A Randomized Trial to Assess the (Cost) Effectiveness of the Use of the Distress Thermometer by a Nurse in Addition to Usual Care for Patients Treated With Curative Intent for Breast Cancer.
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 193
- Locations
- 1
- Primary Endpoint
- Subscale quality of life of the questionnaire: EORTC QLQ C30
Study Overview
Brief Summary
The use of interventions for cancer-related distress is important to reduce this distress. Distress has a negative impact on quality of life, the recovery during and after treatment and may even adversely affect survival. There is insufficient attention to the systematic approach to psychosocial problems in cancer patients in the Netherlands. A task force discussed and studied which instrument measures psychosocial problems best. The distress thermometer ("lastmeter") had the best results. A guideline is written to use the distress thermometer for patients with cancer and will be used in hospitals in the Netherlands. However, it is not clear what the effects are of the use of the distress thermometer on the psychosocial wellbeing of the patient. Furthermore, it is also unknown whether the use of the distress thermometer leads to cost-effective care. The study focuses on the use of the distress thermometer in breast cancer patients. An efficiency study (RCT) will be conducted to evaluate the systematic use of the distress thermometer and its discussion by a nurse as compared to the usual care provided to outpatients who are treated with curative intent for breast cancer by their treating physicians. The clinical and economic impact of the use of the Distress thermometer will be assessed in comparison with usual care.The recruitment of patients will take place in the out-patient clinic of a university hospital. Patients will be followed from diagnose until two years after finishing their treatment.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Diagnostic
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 100 Years (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Histologically proven malignancy of the breast
- •Curative treatment
- •Dominated the dutch language
- •Age > 18 year
Exclusion Criteria
- •Previously treated for a malignancy
- •Psychiatric problems that adherence this study
Arms & Interventions
intervention group
The intervention is to apply the distress thermometer as written in the guideline written by 'Vereniging Integrale Kankercentra' title: 'Detecteren behoefte psychosociale zorg. The distress thermometer is collected from the experimental group and then discussed by a trained nurse.
Intervention: distress thermometer (Device)
control group
usual care
Outcomes
Primary Outcomes
Subscale quality of life of the questionnaire: EORTC QLQ C30
Time Frame: After each treatment completion, during follow up; first year every 3 months, second year every 6 months
Subscale quality of life of the questionnaire: EORTC QLQ C30
Secondary Outcomes
- Other subscales(After each treatment completion, during follow up; first year every 3 months, second year every 6 months)