Evidence map›Paper›PMID 19410103›Full record

Trial reportGeneral hospital psychiatry

The Indiana Cancer Pain and Depression (INCPAD) trial Design of a telecare management intervention for cancer-related symptoms and baseline characteristics of study participants.

Kurt Kroenke, Dale Theobald, Kelli Norton, Rebecca Sanders, Susan Schlundt, Stephanie McCalley, Pamela Harvey, Karen Iseminger, Gwendolyn Morrison, Janet S Carpenter and 5 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Collaborative care for depression and anxiety problems.The Cochrane database of systematic reviews · 2012
    Pooled it
  3. Citalopram versus other anti-depressive agents for depression.The Cochrane database of systematic reviews · 2012
    Pooled it
  4. Randomized Controlled Trial of Acceptance and Commitment Therapy for Fatigue Interference With Functioning in Metastatic Breast Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Trial
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  9. Longitudinal relationships between fatigue and depression in cancer patients with depression and/or pain.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2013
    Trial
  10. Somatic symptoms in cancer patients trajectory over 12 months and impact on functional status and disability.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2013
    Trial
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  19. Article
  20. Measurement of patients' acceptable symptom levels and priorities for symptom improvement in advanced prostate cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Kurt KroenkeDepartment of Medicine, Indiana University, Indianapolis, IN 46202, USA. kkroenke@regenstrief.org
Dale Theobald
Kelli Norton
Rebecca Sanders
Susan Schlundt
Stephanie McCalley
Pamela Harvey
Karen Iseminger
Gwendolyn Morrison
Janet S Carpenter
Dawana Stubbs
Rakeva Jacks
Caroline Carney-Doebbeling
Jingwei Wu
Wanzhu Tu

Funding

Stepped Care for Depression and Musculoskeletal PainR01MH071268 · NIMH · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI KROENKE, KURT · 2004 to 2007
$2.7M
TeleCare Management of Pain and Depression in CancerR01CA115369 · NCI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI KROENKE, KURT · 2005 to 2009
$2.1M
NCI NIH HHS R01 CA-115369NCI NIH HHS R01 CA115369NIMH NIH HHS R01 MH071268
6 · The paper itself

Abstract

objectivePain and depression are two of the most prevalent and treatable cancer-related symptoms, each present in at least 20-30% of oncology patients. Both symptoms are frequently either unrecognized or undertreated, however. This article describes a telecare management intervention delivered by a nurse-psychiatrist team that is designed to improve recognition and treatment of pain and depression. The enrolled sample is also described.

methodsThe Indiana Cancer Pain and Depression study is a National Cancer Institute-sponsored randomized clinical trial. Four hundred five patients with cancer-related pain and/or clinically significant depression from 16 urban or rural oncology practices throughout Indiana have been enrolled and randomized to either the intervention group or to a usual-care control group. Intervention patients receive centralized telecare management coupled with automated home-based symptom monitoring. Outcomes will be assessed at 1, 3, 6 and 12 months by research assistants blinded to treatment arms.

resultsOf 4465 patients screened, 2185 (49%) endorsed symptoms of pain or depression. Of screen-positive patients, about one-third were ineligible (most commonly due to pain or depression not meeting severity thresholds or to pain that is not related to cancer). Of the 405 patients enrolled, 32% have depression only, 24% have pain only and 44% have both depression and pain. At baseline, participants reported an average of 16.8 days out of the past 4 weeks during which they were confined to bed or had to reduce their usual activities by > or =50% due to pain or depression. Also, 176 (44%) reported being unable to work due to health reasons.

conclusionsWhen completed, the Indiana Cancer Pain and Depression trial will test whether centralized telecare management coupled with automated home-based symptom monitoring improves outcomes in cancer patients with depression and/or pain. Findings will be important for both oncologists and mental health clinicians confronted with oncology patients' depression or pain.

Indexed as

Pain ManagementAnalgesicsAntidepressive AgentsComorbidityDrug TherapyFemaleHumansMajor Depressive DisorderMaleMiddle AgedNeoplasmsPainSeverity of Illness IndexSurveys and QuestionnairesTelemedicineAnalgesicsAntidepressive Agents

Identifiers

PMID19410103
PMCPMC2743872

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.