Towards a Pain Free Hospital: Effect and Cost Effectiveness of Routine Screening and Treatment for Pain in Head and Neck Oncology Outpatients
试验速览
- 阶段
- 3 期
- 入组人数
- 156
- 试验地点
- 2
- 主要终点
- The change in pain score summarized from patient reports
研究概览
简要总结
This study is looking at treating cancer pain in head and neck cancer. Patients are asked in outpatients to score their worst pain on a scale of 0 to 10 in the last 24 hours. Those with a pain score of 4 and above are randomised into the study.
Patients are allocated to continue with their current care (control group) or to be reviewed by the pain/palliative care team (intervention group). At baseline questionnaires are completed on level of pain, type of pain, quality of life and anxiety/depression. Information is also collected on the analgesia they've used in the past month and basic health economics (GP/hospital visits related to pain management and treatment).
Follow up in the trial is for 3 months and consists of questionnaires as above and further collection of information on analgesic usage and health economics.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients attending head and neck oncology clinics
- •Patients with a cancer diagnosis who are receiving anti cancer treatment or who have received anti cancer treatment
- •Patients who score 4 or more on the Brief Pain Inventory numerical rating scale screening question 'worst pain in past 24 hours'
排除标准
- •age below 18 years
- •patients unable to respond to an English written assessment
- •patients with medical conditions that could affect their mental function or level of consciousness such as stroke, or dementia
- •patients who score <4 on the Brief Pain Inventory numerical rating scale screening question
- •patients already under the care of a pain/palliative care service
结局指标
主要结局
The change in pain score summarized from patient reports
时间窗: 1 month, 2 months and 3 months
次要结局
- Impact of pain(1 month, 2 months, 3 months)
- Quality of life(1 month, 2 months and 3 months)
- Anxiety and depression(1 month, 2 months and 3 months)
- Patient satisfaction(1 month, 2 months and 3 months)
- Adequacy of pain treatment(1 month, 2 months and 3 months)
- Treatment costs(1 month, 2 months and 3 months)
研究者
RMH R&D
Dr John Williams
Royal Marsden NHS Foundation Trust