Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: main results of a cluster preference randomised controlled trial
Purpose The patient concerns inventory (PCI) is a prompt list allowing head and neck cancer (HNC) patients to discuss issues that otherwise might be overlooked. This trial evaluated the effectiveness of using the PCI at routine outpatient clinics for one year after treatment on health-related QOL (H...
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| Autor*in: |
Rogers, Simon N. [verfasserIn] Allmark, Christine [verfasserIn] Bekiroglu, Fazilet [verfasserIn] Edwards, Rhiannon Tudor [verfasserIn] Fabbroni, Gillon [verfasserIn] Flavel, Robert [verfasserIn] Highet, Victoria [verfasserIn] Ho, Michael W. S. [verfasserIn] Humphris, Gerald M. [verfasserIn] Jones, Terry M. [verfasserIn] Khattak, Owais [verfasserIn] Lancaster, Jeffrey [verfasserIn] Loh, Christopher [verfasserIn] Lowe, Derek [verfasserIn] Lowies, Cher [verfasserIn] Macareavy, Dominic [verfasserIn] Moor, James [verfasserIn] Ong, T. K. [verfasserIn] Prasai, A. [verfasserIn] Roland, Nicholas [verfasserIn] Semple, Cherith [verfasserIn] Spencer, Llinos Haf [verfasserIn] Tandon, Sank [verfasserIn] Thomas, Steven J. [verfasserIn] Schache, Andrew [verfasserIn] Shaw, Richard J. [verfasserIn] Kanatas, Anastasios [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2020 |
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| Schlagwörter: |
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| Anmerkung: |
© The Author(s) 2020 |
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| Übergeordnetes Werk: |
Enthalten in: European archives of oto-rhino-laryngology and head & neck - Berlin : Springer, 1864, 278(2020), 9 vom: 21. Dez., Seite 3435-3449 |
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| Übergeordnetes Werk: |
volume:278 ; year:2020 ; number:9 ; day:21 ; month:12 ; pages:3435-3449 |
| Links: |
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| DOI / URN: |
10.1007/s00405-020-06533-3 |
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| Katalog-ID: |
SPR044724594 |
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| 100 | 1 | |a Rogers, Simon N. |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: main results of a cluster preference randomised controlled trial |
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| 520 | |a Purpose The patient concerns inventory (PCI) is a prompt list allowing head and neck cancer (HNC) patients to discuss issues that otherwise might be overlooked. This trial evaluated the effectiveness of using the PCI at routine outpatient clinics for one year after treatment on health-related QOL (HRQOL). Methods A pragmatic cluster preference randomised control trial with 15 consultants, 8 ‘using’ and 7 ‘not using’ the PCI intervention. Patients treated with curative intent (all sites, disease stages, treatments) were eligible. Results Consultants saw a median (inter-quartile range) 16 (13–26) patients, with 140 PCI and 148 control patients. Of the pre-specified outcomes, the 12-month results for the mean University of Washington Quality of Life (UW-QOLv4) social-emotional subscale score suggested a small clinical effect of intervention of 4.6 units (95% CI 0.2, 9.0), p = 0.04 after full adjustment for pre-stated case-mix. Results for UW-QOLv4 overall quality of life being less than good at 12 months (primary outcome) also favoured the PCI with a risk ratio of 0.83 (95% CI 0.66, 1.06) and absolute risk 4.8% (− 2.9%, 12.9%) but without achieving statistical significance. Other non-a-priori analyses, including all 12 UWQOL domains and at consultant level also suggested better HRQOL with PCI. Consultation times were unaffected and the number of items selected decreased over time. Conclusion This novel trial supports the integration of the PCI approach into routine consultations as a simple low-cost means of benefiting HNC patients. It adds to a growing body of evidence supporting the use of patient prompt lists more generally. | ||
| 650 | 4 | |a Head and neck cancer |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Patient concerns inventory |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Quality of life |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Patient-reported outcomes |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Intervention |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Randomised trial |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Allmark, Christine |e verfasserin |4 aut | |
| 700 | 1 | |a Bekiroglu, Fazilet |e verfasserin |4 aut | |
| 700 | 1 | |a Edwards, Rhiannon Tudor |e verfasserin |4 aut | |
| 700 | 1 | |a Fabbroni, Gillon |e verfasserin |4 aut | |
| 700 | 1 | |a Flavel, Robert |e verfasserin |4 aut | |
| 700 | 1 | |a Highet, Victoria |e verfasserin |4 aut | |
| 700 | 1 | |a Ho, Michael W. S. |e verfasserin |4 aut | |
| 700 | 1 | |a Humphris, Gerald M. |e verfasserin |4 aut | |
| 700 | 1 | |a Jones, Terry M. |e verfasserin |4 aut | |
| 700 | 1 | |a Khattak, Owais |e verfasserin |4 aut | |
| 700 | 1 | |a Lancaster, Jeffrey |e verfasserin |4 aut | |
| 700 | 1 | |a Loh, Christopher |e verfasserin |4 aut | |
| 700 | 1 | |a Lowe, Derek |e verfasserin |4 aut | |
| 700 | 1 | |a Lowies, Cher |e verfasserin |4 aut | |
| 700 | 1 | |a Macareavy, Dominic |e verfasserin |4 aut | |
| 700 | 1 | |a Moor, James |e verfasserin |4 aut | |
| 700 | 1 | |a Ong, T. K. |e verfasserin |4 aut | |
| 700 | 1 | |a Prasai, A. |e verfasserin |4 aut | |
| 700 | 1 | |a Roland, Nicholas |e verfasserin |4 aut | |
| 700 | 1 | |a Semple, Cherith |e verfasserin |4 aut | |
| 700 | 1 | |a Spencer, Llinos Haf |e verfasserin |4 aut | |
| 700 | 1 | |a Tandon, Sank |e verfasserin |4 aut | |
| 700 | 1 | |a Thomas, Steven J. |e verfasserin |4 aut | |
| 700 | 1 | |a Schache, Andrew |e verfasserin |4 aut | |
| 700 | 1 | |a Shaw, Richard J. |e verfasserin |4 aut | |
| 700 | 1 | |a Kanatas, Anastasios |e verfasserin |4 aut | |
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10.1007/s00405-020-06533-3 doi (DE-627)SPR044724594 (SPR)s00405-020-06533-3-e DE-627 ger DE-627 rakwb eng 610 ASE 44.94 bkl Rogers, Simon N. verfasserin aut Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: main results of a cluster preference randomised controlled trial 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2020 Purpose The patient concerns inventory (PCI) is a prompt list allowing head and neck cancer (HNC) patients to discuss issues that otherwise might be overlooked. This trial evaluated the effectiveness of using the PCI at routine outpatient clinics for one year after treatment on health-related QOL (HRQOL). Methods A pragmatic cluster preference randomised control trial with 15 consultants, 8 ‘using’ and 7 ‘not using’ the PCI intervention. Patients treated with curative intent (all sites, disease stages, treatments) were eligible. Results Consultants saw a median (inter-quartile range) 16 (13–26) patients, with 140 PCI and 148 control patients. Of the pre-specified outcomes, the 12-month results for the mean University of Washington Quality of Life (UW-QOLv4) social-emotional subscale score suggested a small clinical effect of intervention of 4.6 units (95% CI 0.2, 9.0), p = 0.04 after full adjustment for pre-stated case-mix. Results for UW-QOLv4 overall quality of life being less than good at 12 months (primary outcome) also favoured the PCI with a risk ratio of 0.83 (95% CI 0.66, 1.06) and absolute risk 4.8% (− 2.9%, 12.9%) but without achieving statistical significance. Other non-a-priori analyses, including all 12 UWQOL domains and at consultant level also suggested better HRQOL with PCI. Consultation times were unaffected and the number of items selected decreased over time. Conclusion This novel trial supports the integration of the PCI approach into routine consultations as a simple low-cost means of benefiting HNC patients. It adds to a growing body of evidence supporting the use of patient prompt lists more generally. Head and neck cancer (dpeaa)DE-He213 Patient concerns inventory (dpeaa)DE-He213 Quality of life (dpeaa)DE-He213 Patient-reported outcomes (dpeaa)DE-He213 Intervention (dpeaa)DE-He213 Randomised trial (dpeaa)DE-He213 Allmark, Christine verfasserin aut Bekiroglu, Fazilet verfasserin aut Edwards, Rhiannon Tudor verfasserin aut Fabbroni, Gillon verfasserin aut Flavel, Robert verfasserin aut Highet, Victoria verfasserin aut Ho, Michael W. S. verfasserin aut Humphris, Gerald M. verfasserin aut Jones, Terry M. verfasserin aut Khattak, Owais verfasserin aut Lancaster, Jeffrey verfasserin aut Loh, Christopher verfasserin aut Lowe, Derek verfasserin aut Lowies, Cher verfasserin aut Macareavy, Dominic verfasserin aut Moor, James verfasserin aut Ong, T. K. verfasserin aut Prasai, A. verfasserin aut Roland, Nicholas verfasserin aut Semple, Cherith verfasserin aut Spencer, Llinos Haf verfasserin aut Tandon, Sank verfasserin aut Thomas, Steven J. verfasserin aut Schache, Andrew verfasserin aut Shaw, Richard J. verfasserin aut Kanatas, Anastasios verfasserin aut Enthalten in European archives of oto-rhino-laryngology and head & neck Berlin : Springer, 1864 278(2020), 9 vom: 21. Dez., Seite 3435-3449 (DE-627)253722667 (DE-600)1459042-6 1434-4726 nnns volume:278 year:2020 number:9 day:21 month:12 pages:3435-3449 https://dx.doi.org/10.1007/s00405-020-06533-3 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.94 ASE AR 278 2020 9 21 12 3435-3449 |
| spelling |
10.1007/s00405-020-06533-3 doi (DE-627)SPR044724594 (SPR)s00405-020-06533-3-e DE-627 ger DE-627 rakwb eng 610 ASE 44.94 bkl Rogers, Simon N. verfasserin aut Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: main results of a cluster preference randomised controlled trial 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2020 Purpose The patient concerns inventory (PCI) is a prompt list allowing head and neck cancer (HNC) patients to discuss issues that otherwise might be overlooked. This trial evaluated the effectiveness of using the PCI at routine outpatient clinics for one year after treatment on health-related QOL (HRQOL). Methods A pragmatic cluster preference randomised control trial with 15 consultants, 8 ‘using’ and 7 ‘not using’ the PCI intervention. Patients treated with curative intent (all sites, disease stages, treatments) were eligible. Results Consultants saw a median (inter-quartile range) 16 (13–26) patients, with 140 PCI and 148 control patients. Of the pre-specified outcomes, the 12-month results for the mean University of Washington Quality of Life (UW-QOLv4) social-emotional subscale score suggested a small clinical effect of intervention of 4.6 units (95% CI 0.2, 9.0), p = 0.04 after full adjustment for pre-stated case-mix. Results for UW-QOLv4 overall quality of life being less than good at 12 months (primary outcome) also favoured the PCI with a risk ratio of 0.83 (95% CI 0.66, 1.06) and absolute risk 4.8% (− 2.9%, 12.9%) but without achieving statistical significance. Other non-a-priori analyses, including all 12 UWQOL domains and at consultant level also suggested better HRQOL with PCI. Consultation times were unaffected and the number of items selected decreased over time. Conclusion This novel trial supports the integration of the PCI approach into routine consultations as a simple low-cost means of benefiting HNC patients. It adds to a growing body of evidence supporting the use of patient prompt lists more generally. Head and neck cancer (dpeaa)DE-He213 Patient concerns inventory (dpeaa)DE-He213 Quality of life (dpeaa)DE-He213 Patient-reported outcomes (dpeaa)DE-He213 Intervention (dpeaa)DE-He213 Randomised trial (dpeaa)DE-He213 Allmark, Christine verfasserin aut Bekiroglu, Fazilet verfasserin aut Edwards, Rhiannon Tudor verfasserin aut Fabbroni, Gillon verfasserin aut Flavel, Robert verfasserin aut Highet, Victoria verfasserin aut Ho, Michael W. S. verfasserin aut Humphris, Gerald M. verfasserin aut Jones, Terry M. verfasserin aut Khattak, Owais verfasserin aut Lancaster, Jeffrey verfasserin aut Loh, Christopher verfasserin aut Lowe, Derek verfasserin aut Lowies, Cher verfasserin aut Macareavy, Dominic verfasserin aut Moor, James verfasserin aut Ong, T. K. verfasserin aut Prasai, A. verfasserin aut Roland, Nicholas verfasserin aut Semple, Cherith verfasserin aut Spencer, Llinos Haf verfasserin aut Tandon, Sank verfasserin aut Thomas, Steven J. verfasserin aut Schache, Andrew verfasserin aut Shaw, Richard J. verfasserin aut Kanatas, Anastasios verfasserin aut Enthalten in European archives of oto-rhino-laryngology and head & neck Berlin : Springer, 1864 278(2020), 9 vom: 21. Dez., Seite 3435-3449 (DE-627)253722667 (DE-600)1459042-6 1434-4726 nnns volume:278 year:2020 number:9 day:21 month:12 pages:3435-3449 https://dx.doi.org/10.1007/s00405-020-06533-3 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.94 ASE AR 278 2020 9 21 12 3435-3449 |
| allfields_unstemmed |
10.1007/s00405-020-06533-3 doi (DE-627)SPR044724594 (SPR)s00405-020-06533-3-e DE-627 ger DE-627 rakwb eng 610 ASE 44.94 bkl Rogers, Simon N. verfasserin aut Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: main results of a cluster preference randomised controlled trial 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2020 Purpose The patient concerns inventory (PCI) is a prompt list allowing head and neck cancer (HNC) patients to discuss issues that otherwise might be overlooked. This trial evaluated the effectiveness of using the PCI at routine outpatient clinics for one year after treatment on health-related QOL (HRQOL). Methods A pragmatic cluster preference randomised control trial with 15 consultants, 8 ‘using’ and 7 ‘not using’ the PCI intervention. Patients treated with curative intent (all sites, disease stages, treatments) were eligible. Results Consultants saw a median (inter-quartile range) 16 (13–26) patients, with 140 PCI and 148 control patients. Of the pre-specified outcomes, the 12-month results for the mean University of Washington Quality of Life (UW-QOLv4) social-emotional subscale score suggested a small clinical effect of intervention of 4.6 units (95% CI 0.2, 9.0), p = 0.04 after full adjustment for pre-stated case-mix. Results for UW-QOLv4 overall quality of life being less than good at 12 months (primary outcome) also favoured the PCI with a risk ratio of 0.83 (95% CI 0.66, 1.06) and absolute risk 4.8% (− 2.9%, 12.9%) but without achieving statistical significance. Other non-a-priori analyses, including all 12 UWQOL domains and at consultant level also suggested better HRQOL with PCI. Consultation times were unaffected and the number of items selected decreased over time. Conclusion This novel trial supports the integration of the PCI approach into routine consultations as a simple low-cost means of benefiting HNC patients. It adds to a growing body of evidence supporting the use of patient prompt lists more generally. Head and neck cancer (dpeaa)DE-He213 Patient concerns inventory (dpeaa)DE-He213 Quality of life (dpeaa)DE-He213 Patient-reported outcomes (dpeaa)DE-He213 Intervention (dpeaa)DE-He213 Randomised trial (dpeaa)DE-He213 Allmark, Christine verfasserin aut Bekiroglu, Fazilet verfasserin aut Edwards, Rhiannon Tudor verfasserin aut Fabbroni, Gillon verfasserin aut Flavel, Robert verfasserin aut Highet, Victoria verfasserin aut Ho, Michael W. S. verfasserin aut Humphris, Gerald M. verfasserin aut Jones, Terry M. verfasserin aut Khattak, Owais verfasserin aut Lancaster, Jeffrey verfasserin aut Loh, Christopher verfasserin aut Lowe, Derek verfasserin aut Lowies, Cher verfasserin aut Macareavy, Dominic verfasserin aut Moor, James verfasserin aut Ong, T. K. verfasserin aut Prasai, A. verfasserin aut Roland, Nicholas verfasserin aut Semple, Cherith verfasserin aut Spencer, Llinos Haf verfasserin aut Tandon, Sank verfasserin aut Thomas, Steven J. verfasserin aut Schache, Andrew verfasserin aut Shaw, Richard J. verfasserin aut Kanatas, Anastasios verfasserin aut Enthalten in European archives of oto-rhino-laryngology and head & neck Berlin : Springer, 1864 278(2020), 9 vom: 21. Dez., Seite 3435-3449 (DE-627)253722667 (DE-600)1459042-6 1434-4726 nnns volume:278 year:2020 number:9 day:21 month:12 pages:3435-3449 https://dx.doi.org/10.1007/s00405-020-06533-3 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.94 ASE AR 278 2020 9 21 12 3435-3449 |
| allfieldsGer |
10.1007/s00405-020-06533-3 doi (DE-627)SPR044724594 (SPR)s00405-020-06533-3-e DE-627 ger DE-627 rakwb eng 610 ASE 44.94 bkl Rogers, Simon N. verfasserin aut Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: main results of a cluster preference randomised controlled trial 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2020 Purpose The patient concerns inventory (PCI) is a prompt list allowing head and neck cancer (HNC) patients to discuss issues that otherwise might be overlooked. This trial evaluated the effectiveness of using the PCI at routine outpatient clinics for one year after treatment on health-related QOL (HRQOL). Methods A pragmatic cluster preference randomised control trial with 15 consultants, 8 ‘using’ and 7 ‘not using’ the PCI intervention. Patients treated with curative intent (all sites, disease stages, treatments) were eligible. Results Consultants saw a median (inter-quartile range) 16 (13–26) patients, with 140 PCI and 148 control patients. Of the pre-specified outcomes, the 12-month results for the mean University of Washington Quality of Life (UW-QOLv4) social-emotional subscale score suggested a small clinical effect of intervention of 4.6 units (95% CI 0.2, 9.0), p = 0.04 after full adjustment for pre-stated case-mix. Results for UW-QOLv4 overall quality of life being less than good at 12 months (primary outcome) also favoured the PCI with a risk ratio of 0.83 (95% CI 0.66, 1.06) and absolute risk 4.8% (− 2.9%, 12.9%) but without achieving statistical significance. Other non-a-priori analyses, including all 12 UWQOL domains and at consultant level also suggested better HRQOL with PCI. Consultation times were unaffected and the number of items selected decreased over time. Conclusion This novel trial supports the integration of the PCI approach into routine consultations as a simple low-cost means of benefiting HNC patients. It adds to a growing body of evidence supporting the use of patient prompt lists more generally. Head and neck cancer (dpeaa)DE-He213 Patient concerns inventory (dpeaa)DE-He213 Quality of life (dpeaa)DE-He213 Patient-reported outcomes (dpeaa)DE-He213 Intervention (dpeaa)DE-He213 Randomised trial (dpeaa)DE-He213 Allmark, Christine verfasserin aut Bekiroglu, Fazilet verfasserin aut Edwards, Rhiannon Tudor verfasserin aut Fabbroni, Gillon verfasserin aut Flavel, Robert verfasserin aut Highet, Victoria verfasserin aut Ho, Michael W. S. verfasserin aut Humphris, Gerald M. verfasserin aut Jones, Terry M. verfasserin aut Khattak, Owais verfasserin aut Lancaster, Jeffrey verfasserin aut Loh, Christopher verfasserin aut Lowe, Derek verfasserin aut Lowies, Cher verfasserin aut Macareavy, Dominic verfasserin aut Moor, James verfasserin aut Ong, T. K. verfasserin aut Prasai, A. verfasserin aut Roland, Nicholas verfasserin aut Semple, Cherith verfasserin aut Spencer, Llinos Haf verfasserin aut Tandon, Sank verfasserin aut Thomas, Steven J. verfasserin aut Schache, Andrew verfasserin aut Shaw, Richard J. verfasserin aut Kanatas, Anastasios verfasserin aut Enthalten in European archives of oto-rhino-laryngology and head & neck Berlin : Springer, 1864 278(2020), 9 vom: 21. Dez., Seite 3435-3449 (DE-627)253722667 (DE-600)1459042-6 1434-4726 nnns volume:278 year:2020 number:9 day:21 month:12 pages:3435-3449 https://dx.doi.org/10.1007/s00405-020-06533-3 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.94 ASE AR 278 2020 9 21 12 3435-3449 |
| allfieldsSound |
10.1007/s00405-020-06533-3 doi (DE-627)SPR044724594 (SPR)s00405-020-06533-3-e DE-627 ger DE-627 rakwb eng 610 ASE 44.94 bkl Rogers, Simon N. verfasserin aut Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: main results of a cluster preference randomised controlled trial 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2020 Purpose The patient concerns inventory (PCI) is a prompt list allowing head and neck cancer (HNC) patients to discuss issues that otherwise might be overlooked. This trial evaluated the effectiveness of using the PCI at routine outpatient clinics for one year after treatment on health-related QOL (HRQOL). Methods A pragmatic cluster preference randomised control trial with 15 consultants, 8 ‘using’ and 7 ‘not using’ the PCI intervention. Patients treated with curative intent (all sites, disease stages, treatments) were eligible. Results Consultants saw a median (inter-quartile range) 16 (13–26) patients, with 140 PCI and 148 control patients. Of the pre-specified outcomes, the 12-month results for the mean University of Washington Quality of Life (UW-QOLv4) social-emotional subscale score suggested a small clinical effect of intervention of 4.6 units (95% CI 0.2, 9.0), p = 0.04 after full adjustment for pre-stated case-mix. Results for UW-QOLv4 overall quality of life being less than good at 12 months (primary outcome) also favoured the PCI with a risk ratio of 0.83 (95% CI 0.66, 1.06) and absolute risk 4.8% (− 2.9%, 12.9%) but without achieving statistical significance. Other non-a-priori analyses, including all 12 UWQOL domains and at consultant level also suggested better HRQOL with PCI. Consultation times were unaffected and the number of items selected decreased over time. Conclusion This novel trial supports the integration of the PCI approach into routine consultations as a simple low-cost means of benefiting HNC patients. It adds to a growing body of evidence supporting the use of patient prompt lists more generally. Head and neck cancer (dpeaa)DE-He213 Patient concerns inventory (dpeaa)DE-He213 Quality of life (dpeaa)DE-He213 Patient-reported outcomes (dpeaa)DE-He213 Intervention (dpeaa)DE-He213 Randomised trial (dpeaa)DE-He213 Allmark, Christine verfasserin aut Bekiroglu, Fazilet verfasserin aut Edwards, Rhiannon Tudor verfasserin aut Fabbroni, Gillon verfasserin aut Flavel, Robert verfasserin aut Highet, Victoria verfasserin aut Ho, Michael W. S. verfasserin aut Humphris, Gerald M. verfasserin aut Jones, Terry M. verfasserin aut Khattak, Owais verfasserin aut Lancaster, Jeffrey verfasserin aut Loh, Christopher verfasserin aut Lowe, Derek verfasserin aut Lowies, Cher verfasserin aut Macareavy, Dominic verfasserin aut Moor, James verfasserin aut Ong, T. K. verfasserin aut Prasai, A. verfasserin aut Roland, Nicholas verfasserin aut Semple, Cherith verfasserin aut Spencer, Llinos Haf verfasserin aut Tandon, Sank verfasserin aut Thomas, Steven J. verfasserin aut Schache, Andrew verfasserin aut Shaw, Richard J. verfasserin aut Kanatas, Anastasios verfasserin aut Enthalten in European archives of oto-rhino-laryngology and head & neck Berlin : Springer, 1864 278(2020), 9 vom: 21. Dez., Seite 3435-3449 (DE-627)253722667 (DE-600)1459042-6 1434-4726 nnns volume:278 year:2020 number:9 day:21 month:12 pages:3435-3449 https://dx.doi.org/10.1007/s00405-020-06533-3 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.94 ASE AR 278 2020 9 21 12 3435-3449 |
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Enthalten in European archives of oto-rhino-laryngology and head & neck 278(2020), 9 vom: 21. Dez., Seite 3435-3449 volume:278 year:2020 number:9 day:21 month:12 pages:3435-3449 |
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Enthalten in European archives of oto-rhino-laryngology and head & neck 278(2020), 9 vom: 21. Dez., Seite 3435-3449 volume:278 year:2020 number:9 day:21 month:12 pages:3435-3449 |
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Head and neck cancer Patient concerns inventory Quality of life Patient-reported outcomes Intervention Randomised trial |
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Rogers, Simon N. @@aut@@ Allmark, Christine @@aut@@ Bekiroglu, Fazilet @@aut@@ Edwards, Rhiannon Tudor @@aut@@ Fabbroni, Gillon @@aut@@ Flavel, Robert @@aut@@ Highet, Victoria @@aut@@ Ho, Michael W. S. @@aut@@ Humphris, Gerald M. @@aut@@ Jones, Terry M. @@aut@@ Khattak, Owais @@aut@@ Lancaster, Jeffrey @@aut@@ Loh, Christopher @@aut@@ Lowe, Derek @@aut@@ Lowies, Cher @@aut@@ Macareavy, Dominic @@aut@@ Moor, James @@aut@@ Ong, T. K. @@aut@@ Prasai, A. @@aut@@ Roland, Nicholas @@aut@@ Semple, Cherith @@aut@@ Spencer, Llinos Haf @@aut@@ Tandon, Sank @@aut@@ Thomas, Steven J. @@aut@@ Schache, Andrew @@aut@@ Shaw, Richard J. @@aut@@ Kanatas, Anastasios @@aut@@ |
| publishDateDaySort_date |
2020-12-21T00:00:00Z |
| hierarchy_top_id |
253722667 |
| dewey-sort |
3610 |
| id |
SPR044724594 |
| language_de |
englisch |
| fullrecord |
<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">SPR044724594</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230519155231.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">210803s2020 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1007/s00405-020-06533-3</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR044724594</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)s00405-020-06533-3-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="082" ind1="0" ind2="4"><subfield code="a">610</subfield><subfield code="q">ASE</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">44.94</subfield><subfield code="2">bkl</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Rogers, Simon N.</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: main results of a cluster preference randomised controlled trial</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2020</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© The Author(s) 2020</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Purpose The patient concerns inventory (PCI) is a prompt list allowing head and neck cancer (HNC) patients to discuss issues that otherwise might be overlooked. This trial evaluated the effectiveness of using the PCI at routine outpatient clinics for one year after treatment on health-related QOL (HRQOL). Methods A pragmatic cluster preference randomised control trial with 15 consultants, 8 ‘using’ and 7 ‘not using’ the PCI intervention. Patients treated with curative intent (all sites, disease stages, treatments) were eligible. Results Consultants saw a median (inter-quartile range) 16 (13–26) patients, with 140 PCI and 148 control patients. Of the pre-specified outcomes, the 12-month results for the mean University of Washington Quality of Life (UW-QOLv4) social-emotional subscale score suggested a small clinical effect of intervention of 4.6 units (95% CI 0.2, 9.0), p = 0.04 after full adjustment for pre-stated case-mix. Results for UW-QOLv4 overall quality of life being less than good at 12 months (primary outcome) also favoured the PCI with a risk ratio of 0.83 (95% CI 0.66, 1.06) and absolute risk 4.8% (− 2.9%, 12.9%) but without achieving statistical significance. Other non-a-priori analyses, including all 12 UWQOL domains and at consultant level also suggested better HRQOL with PCI. Consultation times were unaffected and the number of items selected decreased over time. Conclusion This novel trial supports the integration of the PCI approach into routine consultations as a simple low-cost means of benefiting HNC patients. 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610 ASE 44.94 bkl Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: main results of a cluster preference randomised controlled trial Head and neck cancer (dpeaa)DE-He213 Patient concerns inventory (dpeaa)DE-He213 Quality of life (dpeaa)DE-He213 Patient-reported outcomes (dpeaa)DE-He213 Intervention (dpeaa)DE-He213 Randomised trial (dpeaa)DE-He213 |
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Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: main results of a cluster preference randomised controlled trial |
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Rogers, Simon N. Allmark, Christine Bekiroglu, Fazilet Edwards, Rhiannon Tudor Fabbroni, Gillon Flavel, Robert Highet, Victoria Ho, Michael W. S. Humphris, Gerald M. Jones, Terry M. Khattak, Owais Lancaster, Jeffrey Loh, Christopher Lowe, Derek Lowies, Cher Macareavy, Dominic Moor, James Ong, T. K. Prasai, A. Roland, Nicholas Semple, Cherith Spencer, Llinos Haf Tandon, Sank Thomas, Steven J. Schache, Andrew Shaw, Richard J. Kanatas, Anastasios |
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improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: main results of a cluster preference randomised controlled trial |
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Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: main results of a cluster preference randomised controlled trial |
| abstract |
Purpose The patient concerns inventory (PCI) is a prompt list allowing head and neck cancer (HNC) patients to discuss issues that otherwise might be overlooked. This trial evaluated the effectiveness of using the PCI at routine outpatient clinics for one year after treatment on health-related QOL (HRQOL). Methods A pragmatic cluster preference randomised control trial with 15 consultants, 8 ‘using’ and 7 ‘not using’ the PCI intervention. Patients treated with curative intent (all sites, disease stages, treatments) were eligible. Results Consultants saw a median (inter-quartile range) 16 (13–26) patients, with 140 PCI and 148 control patients. Of the pre-specified outcomes, the 12-month results for the mean University of Washington Quality of Life (UW-QOLv4) social-emotional subscale score suggested a small clinical effect of intervention of 4.6 units (95% CI 0.2, 9.0), p = 0.04 after full adjustment for pre-stated case-mix. Results for UW-QOLv4 overall quality of life being less than good at 12 months (primary outcome) also favoured the PCI with a risk ratio of 0.83 (95% CI 0.66, 1.06) and absolute risk 4.8% (− 2.9%, 12.9%) but without achieving statistical significance. Other non-a-priori analyses, including all 12 UWQOL domains and at consultant level also suggested better HRQOL with PCI. Consultation times were unaffected and the number of items selected decreased over time. Conclusion This novel trial supports the integration of the PCI approach into routine consultations as a simple low-cost means of benefiting HNC patients. It adds to a growing body of evidence supporting the use of patient prompt lists more generally. © The Author(s) 2020 |
| abstractGer |
Purpose The patient concerns inventory (PCI) is a prompt list allowing head and neck cancer (HNC) patients to discuss issues that otherwise might be overlooked. This trial evaluated the effectiveness of using the PCI at routine outpatient clinics for one year after treatment on health-related QOL (HRQOL). Methods A pragmatic cluster preference randomised control trial with 15 consultants, 8 ‘using’ and 7 ‘not using’ the PCI intervention. Patients treated with curative intent (all sites, disease stages, treatments) were eligible. Results Consultants saw a median (inter-quartile range) 16 (13–26) patients, with 140 PCI and 148 control patients. Of the pre-specified outcomes, the 12-month results for the mean University of Washington Quality of Life (UW-QOLv4) social-emotional subscale score suggested a small clinical effect of intervention of 4.6 units (95% CI 0.2, 9.0), p = 0.04 after full adjustment for pre-stated case-mix. Results for UW-QOLv4 overall quality of life being less than good at 12 months (primary outcome) also favoured the PCI with a risk ratio of 0.83 (95% CI 0.66, 1.06) and absolute risk 4.8% (− 2.9%, 12.9%) but without achieving statistical significance. Other non-a-priori analyses, including all 12 UWQOL domains and at consultant level also suggested better HRQOL with PCI. Consultation times were unaffected and the number of items selected decreased over time. Conclusion This novel trial supports the integration of the PCI approach into routine consultations as a simple low-cost means of benefiting HNC patients. It adds to a growing body of evidence supporting the use of patient prompt lists more generally. © The Author(s) 2020 |
| abstract_unstemmed |
Purpose The patient concerns inventory (PCI) is a prompt list allowing head and neck cancer (HNC) patients to discuss issues that otherwise might be overlooked. This trial evaluated the effectiveness of using the PCI at routine outpatient clinics for one year after treatment on health-related QOL (HRQOL). Methods A pragmatic cluster preference randomised control trial with 15 consultants, 8 ‘using’ and 7 ‘not using’ the PCI intervention. Patients treated with curative intent (all sites, disease stages, treatments) were eligible. Results Consultants saw a median (inter-quartile range) 16 (13–26) patients, with 140 PCI and 148 control patients. Of the pre-specified outcomes, the 12-month results for the mean University of Washington Quality of Life (UW-QOLv4) social-emotional subscale score suggested a small clinical effect of intervention of 4.6 units (95% CI 0.2, 9.0), p = 0.04 after full adjustment for pre-stated case-mix. Results for UW-QOLv4 overall quality of life being less than good at 12 months (primary outcome) also favoured the PCI with a risk ratio of 0.83 (95% CI 0.66, 1.06) and absolute risk 4.8% (− 2.9%, 12.9%) but without achieving statistical significance. Other non-a-priori analyses, including all 12 UWQOL domains and at consultant level also suggested better HRQOL with PCI. Consultation times were unaffected and the number of items selected decreased over time. Conclusion This novel trial supports the integration of the PCI approach into routine consultations as a simple low-cost means of benefiting HNC patients. It adds to a growing body of evidence supporting the use of patient prompt lists more generally. © The Author(s) 2020 |
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Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: main results of a cluster preference randomised controlled trial |
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