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

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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
Pages (from-to)	3435-3447
Number of pages	13
Journal	European Archives of Oto-Rhino-Laryngology
Volume	277
Issue number	12
Early online date	1 Jun 2020
DOIs	https://doi.org/10.1007/s00405-020-06077-6
Publication status	Published (in print/issue) - 31 Dec 2020

Keywords

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

UN SDGs

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

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Rogers, S., Allmark, C., Bekiroglu, FA., Edwards, R. T., Fabbroni, G., Flavel, R., Highet, V., Ho, M. W. S., Humphris, G., Jones, T., Khattak, O., Lancaster, J., Loh, C., Lowe, D., Lowies, C., Macareavey, 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. European Archives of Oto-Rhino-Laryngology, 277(12), 3435-3447. https://doi.org/10.1007/s00405-020-06077-6

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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 twogroups 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{\textquoteright} (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 helpspatients raise concerns that otherwise might be missed. Eligibility was head and neck cancer patients treated with curativeintent (all sites, stage of disease, treatments).Results From 511 patients first identified as eligible when screening for the multi-disciplinary tumour board meetings, 288attended 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 measuresapart 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 PCIgroup 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. Recruitmenthas finished but 12-month follow-up is still ongoing.",

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

author = "Simon Rogers and Christine Allmark and FAxilet Bekiroglu and Edwards, {Rhiannon Tudor} and Gillon Fabbroni and Robert Flavel and Victoria Highet and Ho, {Michael W S} and Gerry Humphris and Terry Jones and Owais Khattak and Jeffrey Lancaster and Christopher Loh and Derek Lowe and Cher Lowies and Dominic Macareavey 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 Richard Shaw and Anastasios Kanatas",

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

language = "English",

volume = "277",

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Rogers, S, Allmark, C, Bekiroglu, FA, Edwards, RT, Fabbroni, G, Flavel, R, Highet, V, Ho, MWS, Humphris, G, Jones, T, Khattak, O, Lancaster, J, Loh, C, Lowe, D, Lowies, C, Macareavey, D, Moor, J, Ong, TK, Prasai, A, Roland, N, Semple, C, Haf Spencer, L, Tandon, S, Thomas, SJ, Schache, A, Shaw, R & 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', European Archives of Oto-Rhino-Laryngology, vol. 277, no. 12, pp. 3435-3447. 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, FAxilet et al.
In: European Archives of Oto-Rhino-Laryngology, Vol. 277, No. 12, 31.12.2020, p. 3435-3447.

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: baseline results in a cluster preference randomised controlled trial

AU - Rogers, Simon

AU - Allmark, Christine

AU - Bekiroglu, FAxilet

AU - Edwards, Rhiannon Tudor

AU - Fabbroni, Gillon

AU - Flavel, Robert

AU - Highet, Victoria

AU - Ho, Michael W S

AU - Humphris, Gerry

AU - Jones, Terry

AU - Khattak, Owais

AU - Lancaster, Jeffrey

AU - Loh, Christopher

AU - Lowe, Derek

AU - Lowies, Cher

AU - Macareavey, 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

AU - Kanatas, Anastasios

PY - 2020/12/31

Y1 - 2020/12/31

N2 - Purpose The main aim of this paper is to present baseline demographic and clinical characteristics and HRQOL in the twogroups 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 helpspatients raise concerns that otherwise might be missed. Eligibility was head and neck cancer patients treated with curativeintent (all sites, stage of disease, treatments).Results From 511 patients first identified as eligible when screening for the multi-disciplinary tumour board meetings, 288attended 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 measuresapart 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 PCIgroup 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. Recruitmenthas 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 twogroups 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 helpspatients raise concerns that otherwise might be missed. Eligibility was head and neck cancer patients treated with curativeintent (all sites, stage of disease, treatments).Results From 511 patients first identified as eligible when screening for the multi-disciplinary tumour board meetings, 288attended 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 measuresapart 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 PCIgroup 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. Recruitmenthas finished but 12-month follow-up is still ongoing.

KW - Cluster preference

KW - Head and neck cancer

KW - Health-related quality of life

KW - Intervention

KW - Patient concerns inventory

KW - Prompt list

KW - Randomised trial

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U2 - 10.1007/s00405-020-06077-6

DO - 10.1007/s00405-020-06077-6

M3 - Article

C2 - 32488378

SN - 0937-4477

VL - 277

SP - 3435

EP - 3447

JO - European Archives of Oto-Rhino-Laryngology

JF - European Archives of Oto-Rhino-Laryngology

IS - 12

ER -

Rogers S, Allmark C, Bekiroglu FA, Edwards RT, 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. European Archives of Oto-Rhino-Laryngology. 2020 Dec 31;277(12):3435-3447. Epub 2020 Jun 1. 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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