Author(s): Rogers S.; Lowe D.; Mcavery D.; Flavel R.; Lowies C.; Tien Yeo S.; Allmark C.; Kanatas A.; Humphris G.; Semple C.; Thomas S.

Source: Psycho-Oncology; Feb 2019; vol. 28 ; p. 10-11

Publication Date: Feb 2019

Publication Type(s): Conference Abstract

Available  at Psycho-Oncology –  from Wiley Online Library Full Collection

Abstract:Background: The consequences of Head and Neck cancer (HNC) treatment have profound detrimental impacts such as impaired QOL, emotional distress, delayed recovery, and frequent healthcare use. Cancer RCTs have low recruitment rates and fail to include the elderly, those from lower socio-economic groups or those with advanced disease. Aim(s): The trial aim is to determine if routine use of the PCI in review clinics during the first year following treatment results in a clinically meaningful and significant difference in overall QoL, social-emotional dysfunction and distress. Method(s): In this cluster preference RCT consultants either use or do not use the PCI package at clinic. The primary outcome is the percentage of participants with less than good overall QoL at the 1-year clinic, measured by the University of Washington QOL questionnaire V4. Result(s): Between 17/01/2017 and 31/10/2018, 230 consented to participate; another 71 patients are awaiting consent. The refusal rate amongst those approached is 14% (51/380). Of those consenting 52% are in the upper 4th & 5th quintiles of social-deprivation as shown by IMD2015 scores, a traditionally hard to reach group with lower recruitment. Conclusion(s): This trial will provide knowledge on the effectiveness of a consultation intervention package based around the PCI used at routine follow-up clinics following treatment of HNC with curative intent. Analysis of patient’s demographic and disease related factors will help to further understand recruitment into HNC trials.

Database: EMBASE