TY - JOUR

T1 - Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients: baseline results in a cluster preference randomised controlled trial

AU - Rogers, Simon N.

AU - Allmark, Christine

AU - Bekiroglu, Fazilet

AU - Edwards, Rhiannon Tudor

AU - Fabbroni, Gillon

AU - Flavel, Robert

AU - Highet, Victoria

AU - Ho, Michael W. S.

AU - Humphris, Gerald M.

AU - Jones, Terry M.

AU - Khattak, Owais

AU - Lancaster, Jeffrey

AU - Loh, Christopher

AU - Lowe, Derek

AU - Lowies, Cher

AU - Macareavy, Dominic

AU - Moor, James

AU - Ong, T. K.

AU - Prasai, A.

AU - Roland, Nicholas

AU - Semple, Cherith

AU - Spencer, Llinos Haf

AU - Tandon, Sank

AU - Thomas, Steven J.

AU - Schache, Andrew

AU - Shaw, Richard J.

AU - Kanatas, Anastasios

PY - 2020/12

Y1 - 2020/12

N2 - Abstract: Purpose: The main aim of this paper is to present baseline demographic and clinical characteristics and HRQOL in the two groups of the Patient Concerns Inventory (PCI) trial. The baseline PCI data will also be described. Methods: This is a pragmatic cluster preference randomised control trial with 15 consultant clusters from two sites either ‘using' (n = 8) or ‘not using’ (n = 7) the PCI at a clinic for all of their trial patients. The PCI is a 56-item prompt list that helps patients raise concerns that otherwise might be missed. Eligibility was head and neck cancer patients treated with curative intent (all sites, stage of disease, treatments). Results: From 511 patients first identified as eligible when screening for the multi-disciplinary tumour board meetings, 288 attended a first routine outpatient baseline study clinic after completion of their treatment, median (IQR) of 103 (71–162) days. At baseline, the two trial groups were similar in demographic and clinical characteristics as well as in HRQOL measures apart from differences in tumour location, tumour staging and mode of treatment. These exceptions were cluster (consultant) related to Maxillofacial and ENT consultants seeing different types of cases. Consultation times were similar, with PCI group times taking about 1 min longer on average (95% CL for the difference between means was from − 0.7 to + 2.2 min). Conclusion: Using the PCI in routine post-treatment head and neck cancer clinics do not elongate consultations. Recruitment has finished but 12-month follow-up is still ongoing.

AB - Abstract: Purpose: The main aim of this paper is to present baseline demographic and clinical characteristics and HRQOL in the two groups of the Patient Concerns Inventory (PCI) trial. The baseline PCI data will also be described. Methods: This is a pragmatic cluster preference randomised control trial with 15 consultant clusters from two sites either ‘using' (n = 8) or ‘not using’ (n = 7) the PCI at a clinic for all of their trial patients. The PCI is a 56-item prompt list that helps patients raise concerns that otherwise might be missed. Eligibility was head and neck cancer patients treated with curative intent (all sites, stage of disease, treatments). Results: From 511 patients first identified as eligible when screening for the multi-disciplinary tumour board meetings, 288 attended a first routine outpatient baseline study clinic after completion of their treatment, median (IQR) of 103 (71–162) days. At baseline, the two trial groups were similar in demographic and clinical characteristics as well as in HRQOL measures apart from differences in tumour location, tumour staging and mode of treatment. These exceptions were cluster (consultant) related to Maxillofacial and ENT consultants seeing different types of cases. Consultation times were similar, with PCI group times taking about 1 min longer on average (95% CL for the difference between means was from − 0.7 to + 2.2 min). Conclusion: Using the PCI in routine post-treatment head and neck cancer clinics do not elongate consultations. Recruitment has finished but 12-month follow-up is still ongoing.

KW - Head and Neck

KW - Head and neck cancer

KW - Intervention

KW - Prompt list

KW - Health-related quality of life

KW - Randomised trial

KW - Patient concerns inventory

KW - Cluster preference

U2 - 10.1007/s00405-020-06077-6

DO - 10.1007/s00405-020-06077-6

M3 - Article

VL - 277

SP - 3435

EP - 3447

JO - European Archives of Oto-Rhino-Laryngology

JF - European Archives of Oto-Rhino-Laryngology

SN - 0937-4477

IS - 12

ER -