Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: a cluster preference randomized controlled trial
Abstract Background The consequences of treatment for Head and Neck cancer (HNC) patients has profound detrimental impacts such as impaired QOL, emotional distress, delayed recovery and frequent use of healthcare. The aim of this trial is to determine if the routine use of the Patients Concerns Inve...
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doaj-5cb079012fe5477d9770b83d342c1efc2020-11-25T00:38:16ZengBMCBMC Cancer1471-24072018-04-0118111010.1186/s12885-018-4355-0Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: a cluster preference randomized controlled trialSimon N. Rogers0Derek Lowe1Cher Lowies2Seow Tien Yeo3Christine Allmark4Dominic Mcavery5Gerald M. Humphris6Robert Flavel7Cherith Semple8Steven J. Thomas9Anastasios Kanatas10Regional Maxillofacial Unit, University Hospital AintreeRegional Maxillofacial Unit, University Hospital AintreeHead and Neck Clinical Trials, University Hospital AintreeCentre for Health Economics and Medicines Evaluation (CHEME), School of Healthcare Sciences, College of Health and Behavioural Sciences (CoHaBS), Bangor UniversityLeeds Teaching Hospitals and St James Institute of Oncology, Leeds Dental Institute and Leeds General InfirmaryRegional Maxillofacial Unit, University Hospital AintreeSchool of Medicine, Medical & Biological SciencesSouthway, GuildfordMacmillan Health and Wellbeing Service, Ulster HospitalOral and Maxillofacial Surgery Department, University, BristolLeeds Teaching Hospitals and St James Institute of Oncology, Leeds Dental Institute and Leeds General InfirmaryAbstract Background The consequences of treatment for Head and Neck cancer (HNC) patients has profound detrimental impacts such as impaired QOL, emotional distress, delayed recovery and frequent use of healthcare. The aim of this trial is to determine if the routine use of the Patients Concerns Inventory (PCI) package in review clinics during the first year following treatment can improve overall quality of life, reduce the social-emotional impact of cancer and reduce levels of distress. Furthermore, we aim to describe the economic costs and benefits of using the PCI. Methods This will be a cluster preference randomised control trial with consultants either ‘using’ or ‘not using’ the PCI package at clinic. It will involve two centres Leeds and Liverpool. 416 eligible patients from at least 10 consultant clusters are required to show a clinically meaningful difference in the primary outcome. The primary outcome is the percentage of participants with less than good overall quality of life at the final one-year clinic as measured by the University of Washington QOL questionnaire version 4 (UWQOLv4). Secondary outcomes at one-year are the mean social-emotional subscale (UWQOLv4) score, Distress Thermometer (DT) score ≥ 4, and key health economic measures (QALY-EQ-5D-5 L; CSRI). Discussion This trial will provide knowledge on the effectiveness of a consultation intervention package based around the PCI used at routine follow-up clinics following treatment of head and neck cancer with curative intent. If this intervention is (cost) effective for patients, the next step will be to promote wider use of this approach as standard care in clinical practice. Trial registration 32,382. Clinical Trials Identifier, NCT03086629. Protocol: Version 3.0, 1st July 2017.http://link.springer.com/article/10.1186/s12885-018-4355-0Head and neck CancerPatient concerns inventoryQuality of lifePatient reported outcomesIntervention |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Simon N. Rogers Derek Lowe Cher Lowies Seow Tien Yeo Christine Allmark Dominic Mcavery Gerald M. Humphris Robert Flavel Cherith Semple Steven J. Thomas Anastasios Kanatas |
spellingShingle |
Simon N. Rogers Derek Lowe Cher Lowies Seow Tien Yeo Christine Allmark Dominic Mcavery Gerald M. Humphris Robert Flavel Cherith Semple Steven J. Thomas Anastasios Kanatas Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: a cluster preference randomized controlled trial BMC Cancer Head and neck Cancer Patient concerns inventory Quality of life Patient reported outcomes Intervention |
author_facet |
Simon N. Rogers Derek Lowe Cher Lowies Seow Tien Yeo Christine Allmark Dominic Mcavery Gerald M. Humphris Robert Flavel Cherith Semple Steven J. Thomas Anastasios Kanatas |
author_sort |
Simon N. Rogers |
title |
Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: a cluster preference randomized controlled trial |
title_short |
Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: a cluster preference randomized controlled trial |
title_full |
Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: a cluster preference randomized controlled trial |
title_fullStr |
Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: a cluster preference randomized controlled trial |
title_full_unstemmed |
Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: a cluster preference randomized controlled trial |
title_sort |
improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: a cluster preference randomized controlled trial |
publisher |
BMC |
series |
BMC Cancer |
issn |
1471-2407 |
publishDate |
2018-04-01 |
description |
Abstract Background The consequences of treatment for Head and Neck cancer (HNC) patients has profound detrimental impacts such as impaired QOL, emotional distress, delayed recovery and frequent use of healthcare. The aim of this trial is to determine if the routine use of the Patients Concerns Inventory (PCI) package in review clinics during the first year following treatment can improve overall quality of life, reduce the social-emotional impact of cancer and reduce levels of distress. Furthermore, we aim to describe the economic costs and benefits of using the PCI. Methods This will be a cluster preference randomised control trial with consultants either ‘using’ or ‘not using’ the PCI package at clinic. It will involve two centres Leeds and Liverpool. 416 eligible patients from at least 10 consultant clusters are required to show a clinically meaningful difference in the primary outcome. The primary outcome is the percentage of participants with less than good overall quality of life at the final one-year clinic as measured by the University of Washington QOL questionnaire version 4 (UWQOLv4). Secondary outcomes at one-year are the mean social-emotional subscale (UWQOLv4) score, Distress Thermometer (DT) score ≥ 4, and key health economic measures (QALY-EQ-5D-5 L; CSRI). Discussion This trial will provide knowledge on the effectiveness of a consultation intervention package based around the PCI used at routine follow-up clinics following treatment of head and neck cancer with curative intent. If this intervention is (cost) effective for patients, the next step will be to promote wider use of this approach as standard care in clinical practice. Trial registration 32,382. Clinical Trials Identifier, NCT03086629. Protocol: Version 3.0, 1st July 2017. |
topic |
Head and neck Cancer Patient concerns inventory Quality of life Patient reported outcomes Intervention |
url |
http://link.springer.com/article/10.1186/s12885-018-4355-0 |
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