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dc.contributor.authorRogers, Simon N
dc.contributor.authorAllmark, Christine
dc.contributor.authorBekiroglu, Fazilet
dc.contributor.authorEdwards, Rhiannon Tudor
dc.contributor.authorFabbroni, Gillian
dc.contributor.authorFlavel, Robert
dc.contributor.authorHighet, Victoria
dc.contributor.authorHo, Michael WS
dc.contributor.authorHumphris, Gerald Michael
dc.contributor.authorJones, Terry M
dc.contributor.authorKhattak, Owais
dc.contributor.authorLancaster, Jeffrey
dc.contributor.authorLoh, Christopher
dc.contributor.authorLowe, Derek
dc.contributor.authorLowies, Cher
dc.contributor.authorMacareavy, Dominic
dc.contributor.authorMoor, James
dc.contributor.authorOng, T K
dc.contributor.authorPrasai, Amit
dc.contributor.authorRoland, Nicholas
dc.contributor.authorSemple, Cherith
dc.contributor.authorSpencer, Llinos H
dc.contributor.authorTandon, Sankalap
dc.contributor.authorThomas, Steven J
dc.contributor.authorSchache, Andrew
dc.contributor.authorShaw, Richard J
dc.contributor.authorKanatas, Anastasios
dc.identifier.citationRogers , S N , Allmark , C , Bekiroglu , F , Edwards , R T , Fabbroni , G , Flavel , R , Highet , V , Ho , M WS , 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 , Roland , N , Semple , C , Spencer , L H , Tandon , S , Thomas , S J , Schache , A , Shaw , R J & Kanatas , A 2020 , ' 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 ' , European Archives of Oto-Rhino-Laryngology .
dc.identifier.otherPURE: 271423168
dc.identifier.otherPURE UUID: feac4c04-feda-4f57-bd2b-2b3868aaf4c0
dc.identifier.otherWOS: 000600824400001
dc.identifier.otherScopus: 85097884785
dc.identifier.otherORCID: /0000-0002-4601-8834/work/90951857
dc.descriptionFunding: UK National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Reference Number PB-PG-0215-36047).en
dc.description.abstractPurpose 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.
dc.relation.ispartofEuropean Archives of Oto-Rhino-Laryngologyen
dc.rightsCopyright © The Author(s) 2020. Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit
dc.subjectHead and neck canceren
dc.subjectPatient concerns inventoryen
dc.subjectQuality of lifeen
dc.subjectPatient-reported outcomesen
dc.subjectRandomised trialen
dc.subjectRC0254 Neoplasms. Tumors. Oncology (including Cancer)en
dc.subjectRK Dentistryen
dc.subjectRM Therapeutics. Pharmacologyen
dc.titleImproving 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 trialen
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews.Sir James Mackenzie Institute for Early Diagnosisen
dc.contributor.institutionUniversity of St Andrews.Population and Behavioural Science Divisionen
dc.contributor.institutionUniversity of St Andrews.WHO Collaborating Centre for International Child & Adolescent Health Policyen
dc.contributor.institutionUniversity of St Andrews.Health Psychologyen
dc.contributor.institutionUniversity of St Andrews.St Andrews Sustainability Instituteen
dc.contributor.institutionUniversity of St Andrews.School of Medicineen
dc.description.statusPeer revieweden

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