Needs assessment in patients surgically treated for head and neck cancer-a randomized controlled trial.
Burden
Head and neck cancer
Needs assessment
Quality of life
Rehabilitation
Symptom
Journal
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer
ISSN: 1433-7339
Titre abrégé: Support Care Cancer
Pays: Germany
ID NLM: 9302957
Informations de publication
Date de publication:
May 2022
May 2022
Historique:
received:
11
07
2021
accepted:
13
12
2021
pubmed:
28
1
2022
medline:
26
3
2022
entrez:
27
1
2022
Statut:
ppublish
Résumé
To investigate the effect and feasibility of a head and neck cancer-specific needs assessment tool integrated into nursing rehabilitation consultations early in the post-surgical period on quality of life, symptom burden, and referrals for multidisciplinary follow-up. Ninety-two surgically treated patients with head and neck cancer were enrolled in a two-arm randomized controlled trial. All participants received nursing rehabilitation consultations prior to discharge, and two weeks and two months post-operative. The intervention group had their needs assessed using Patient Concerns Inventory, while standard care used a systematic questioning approach. Primary outcome was quality of life. Secondary outcomes were symptom burden and referrals for multidisciplinary rehabilitation follow-up. No significant differences were found in quality of life or symptom burden between groups. However, 35% more patients in the intervention group were referred for rehabilitation. The attrition rate was similar in both groups, with a dropout rate of six in each group. No patients declined using the Patient Concerns Inventory. The intervention showed no improvement in QoL or symptom burden compared to standard care. However, the results suggest that important needs were identified and addressed. Especially emotional and existential needs, which were accommodated through referrals and professional advice. Nursing rehabilitation consultations using the Patient Concerns Inventory are feasible and may ensure that patient preferences and priorities are incorporated in their care. ClinicalTrials.com (NCT03443258). Date of registration: May 31
Identifiants
pubmed: 35083545
doi: 10.1007/s00520-021-06759-9
pii: 10.1007/s00520-021-06759-9
doi:
Banques de données
ClinicalTrials.gov
['NCT03443258']
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
4201-4218Subventions
Organisme : novo nordisk fonden
ID : NNF16OC0022338
Organisme : novo nordisk fonden
ID : NNF18OC0053227
Organisme : danish nurses organization
ID : OTS/DSc
Informations de copyright
© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
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