Chronic pain in cancer patients Cancer
Conditions
Interventions
Study design
We will use a multi-centre cluster randomised pilot trial, with a nested qualitative sub-study. We will recruit twelve outpatient services across three tertiary oncology referral centres
Sponsors
University of Leeds
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: Patients: 1. Attending a participating outpatient service during the trial period and, 2. Aged 18 years or over; 3. Have a diagnosis of cancer; 4. Self-report a score of > = 3 on the 0-10 Numerical Rating Scale (NRS) for worst pain in the past 72 hours; Healthcare professionals: 1. Work at a participating outpatient service during the study period.
Exclusion criteria
Exclusion criteria: Patients: 1. Clinical judgement will be used to determine patients that are too ill to take part, including those with severe mental health problems; 2. Considered by their clinical teams to be actively dying; 3. Unable to complete a NRS in English; 4. Are not expected to be available for first follow-up data collection (1-week). Healthcare professionals: 1. Do not have any contact with oncology outpatient patients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Pain measured using the Brief Pain Inventory (BPI) at screening, baseline, 1 week, 1 month, 2 months 2. EQ-5D-5L measure of general health related quality of life at baseline, 1 week, 1 month, 2 months 3. Anxiety: Generalised Anxiety Disorder 7-item Scale (GAD-7) at baseline, 1 month, 2 months 4. Depression: Patient Health Questionnaire (PHQ-8) measure of depression at baseline, 1 month, 2 months 5. Symptoms: Edmonton Symptom Assessment System (EASA) at baseline, 1 month, 2 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Basic demographics: age, ethnicity, marital status, sex, highest achieved education level by patient report at baseline 2. Recent medical history, cancer type and stage by patient report at baseline 3. Medications and referral check plus healthcare resource use, analgesic prescriptions, specialist service referral, healthcare resource use measured using patient records at baseline, 1 month, 2 months 4. Site level usual care offered and accessed by participant interview at 2 months | — |
Countries
England, United Kingdom
Contacts
Public ContactOlivia Robinson
Outcome results
None listed