Hematological Cancer Clinical Trial
Official title:
Patient-Reported Outcomes Integrated in the Follow-up of Patients With Hematological Cancer
This study investigates if integration of patient-reported outcomes in the follow-up of patients with newly diagnosed, not curable, chronic hematological cancer changes the number and kind of supportive care interventions. Furthermore, this study investigates if the patients feel that they are more involved in a positive way when patient-reported outcomes are integrated in the follow-up of their cancer.
This is a multimethod study. It has a quantitative and a qualitative part. The
patient-reported outcome questionnaire European Organization for Research and Treatment of
Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ C-30) and the patient-reported
outcome and patient-reported experience questionnaire The Outcomes and Experiences
Questionnaire (OEQ) are completed by the included patients within one week before a
patient-physician consultation at the outpatient clinic at one single department of
hematology. Baseline is different for different patient groups; 1) for participants
receiving a primary treatment baseline is defined as the first patient-physician
consultation after the primary treatment ended, 2) for patients continuously receiving
medical treatment baseline is defined as the first patient-physician consultation after
starting medical treatment, and 3) for patients followed using a watch and wait strategy
baseline is defined as the first patient-physician consultation after deciding the watch and
wait strategy. Each patient completes the questionnaires for 2 years. The questionnaires can
be completed online or on paper depending on the patients choice. Answers from both
questionnaires are eligible to all health care professionals in the outpatient clinic in an
internet-based tool. A summary of scores from the EORTC QLQ C-30, and the answers and the
score from the OEQ, are written in the medical record.
This study investigates, if use of the patient-reported outcome (PRO) questionnaires are
useful in the assessment of the patients needs and health care providers decision making
regarding supportive care interventions. It investigates, if completion of PRO
questionnaires changes the number and kind of supportive care interventions.
Observations of patient-physician consultations and individual interviews with patients are
used to capture the impact of the questionnaires on the consultations and patients
evaluation of the use of the questionnaires.
This study also investigates, if patients completion of PRO questionnaires and health care
professionals use of the questionnaires in clinical decision making changes the number of
contacts between patients and a department of hematology and the number of paraclinical
interventions.
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