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

Simon Rogers; Christine Allmark; Fazilet Bekiroglu; Rhiannon Tudor Edwards; Gillon Fabbroni; Robert Flavel; Victoria Highet; Michael W. S. Ho; Gerald Michael Humphris; Terry M. Jones; Owais Khattak; Jeffrey Lancaster; Christopher Loh; Derek Lowe; Cher Lowies; Dominic Macareavy; James Moor; T. K. Ong; A. Prasai; Nicholas Roland; Cherith Semple; Llinos Haf Spencer; Sank Tandon; Steven J. Thomas; Andrew Schache; Richard J. Shaw; Anastasios Kanatas

doi:10.1007/s00405-020-06077-6

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

Simon Rogers, Christine Allmark, Fazilet Bekiroglu, Rhiannon Tudor Edwards, Gillon Fabbroni, Robert Flavel, Victoria Highet, Michael W. S. Ho, Gerald Michael Humphris, Terry M. Jones, Owais Khattak, Jeffrey Lancaster, Christopher Loh, Derek Lowe, Cher Lowies, Dominic Macareavy, James Moor, T. K. Ong, A. Prasai, Nicholas RolandCherith Semple, Llinos Haf Spencer, Sank Tandon, Steven J. Thomas, Andrew Schache, Richard J. Shaw, Anastasios Kanatas

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Number of pages	13
Journal	British Journal of Oral and Maxillofacial Surgery
Volume	First Online
DOIs	https://doi.org/10.1007/s00405-020-06077-6
Publication status	Published - 1 Jun 2020

Keywords

Head and neck cancer
Intervention
Prompt list
Health-related quality of life
Randomised trial
Patient concerns inventory
Cluster preference

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Rogers, S., Allmark, C., Bekiroglu, F., Tudor Edwards, R., Fabbroni, G., Flavel, R., Highet, V., Ho, M. W. S., Humphris, G. M., Jones, T. M., Khattak, O., Lancaster, J., Loh, C., Lowe, D., Lowies, C., Macareavy, D., Moor, J., Ong, T. K., Prasai, A., ... Kanatas, A. (2020). 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. British Journal of Oral and Maxillofacial Surgery, First Online. https://doi.org/10.1007/s00405-020-06077-6

@article{cbafddefade54a30a9231c99be28cbab,

title = "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",

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 {\textquoteleft}using' (n = 8) or {\textquoteleft}not using{\textquoteright} (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.",

keywords = "Head and neck cancer, Intervention, Prompt list, Health-related quality of life, Randomised trial, Patient concerns inventory, Cluster preference",

author = "Simon Rogers and Christine Allmark and Fazilet Bekiroglu and {Tudor Edwards}, Rhiannon and Gillon Fabbroni and Robert Flavel and Victoria Highet and Ho, {Michael W. S.} and Humphris, {Gerald Michael} and Jones, {Terry M.} and Owais Khattak and Jeffrey Lancaster and Christopher Loh and Derek Lowe and Cher Lowies and Dominic Macareavy and James Moor and Ong, {T. K.} and A. Prasai and Nicholas Roland and Cherith Semple and {Haf Spencer}, Llinos and Sank Tandon and Thomas, {Steven J.} and Andrew Schache and Shaw, {Richard J.} and Anastasios Kanatas",

note = "Funding: RfPB on behalf of the NIHR (PB-PG-0215-36047). This paper presents independent research funded by the National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Reference Number PB-PG-0215-36047). ",

year = "2020",

month = jun,

day = "1",

doi = "10.1007/s00405-020-06077-6",

language = "English",

volume = "First Online",

journal = "British Journal of Oral and Maxillofacial Surgery",

issn = "0266-4356",

publisher = "Churchill Livingstone",

}

Rogers, S, Allmark, C, Bekiroglu, F, Tudor Edwards, R, Fabbroni, G, Flavel, R, Highet, V, Ho, MWS, Humphris, GM, Jones, TM, Khattak, O, Lancaster, J, Loh, C, Lowe, D, Lowies, C, Macareavy, D, Moor, J, Ong, TK, Prasai, A, Roland, N, Semple, C, Haf Spencer, L, Tandon, S, Thomas, SJ, Schache, A, Shaw, RJ & Kanatas, A 2020, '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', British Journal of Oral and Maxillofacial Surgery, vol. First Online. https://doi.org/10.1007/s00405-020-06077-6

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. / Rogers, Simon; Allmark, Christine; Bekiroglu, Fazilet et al.
In: British Journal of Oral and Maxillofacial Surgery, Vol. First Online, 01.06.2020.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Improving quality of life through the routine use of the patient concerns inventory for head and neck cancer patients

T2 - baseline results in a cluster preference randomised controlled trial

AU - Rogers, Simon

AU - Allmark, Christine

AU - Bekiroglu, Fazilet

AU - Tudor Edwards, Rhiannon

AU - Fabbroni, Gillon

AU - Flavel, Robert

AU - Highet, Victoria

AU - Ho, Michael W. S.

AU - Humphris, Gerald Michael

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 - Haf Spencer, Llinos

AU - Tandon, Sank

AU - Thomas, Steven J.

AU - Schache, Andrew

AU - Shaw, Richard J.

AU - Kanatas, Anastasios

N1 - Funding: RfPB on behalf of the NIHR (PB-PG-0215-36047). This paper presents independent research funded by the National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Reference Number PB-PG-0215-36047).

PY - 2020/6/1

Y1 - 2020/6/1

N2 - 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 - 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 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

SN - 0266-4356

VL - First Online

JO - British Journal of Oral and Maxillofacial Surgery

JF - British Journal of Oral and Maxillofacial Surgery

ER -

Rogers S, Allmark C, Bekiroglu F, Tudor Edwards R, Fabbroni G, Flavel R et al. 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. British Journal of Oral and Maxillofacial Surgery. 2020 Jun 1;First Online. doi: 10.1007/s00405-020-06077-6

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

Abstract

Keywords

UN SDGs

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