Evidence map›Paper›PMID 25839061›Full record

ArticleThe Journal of community and supportive oncology2015

Impact of a telehealth intervention on quality of life and symptom distress in patients with head and neck cancer.

Mark P Pfeifer, Cynthia Keeney, Jeffrey Bumpous, Tara J Schapmire, Jamie L Studts, John Myers, Barbara Head

Abstract read
In one paragraph

Article in The Journal of community and supportive oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. A systematic review of psychological interventions for patients with head and neck cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Pooled it
  3. Trial
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  14. Digital health for optimal supportive care in oncology: benefits, limits, and future perspectives.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    Review
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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

7 authors.

Mark P PfeiferDepartment of Medicine, University of Louisville, Louisville, Kentucky, USA.
Cynthia KeeneyDepartment of Medicine, University of Louisville, Louisville, Kentucky, USA. Ms Keeney is now with Big White Wall.
Jeffrey BumpousDepartment of Surgery/Otolaryngology, University of Louisville, Louisville, Kentucky, USA.
Tara J SchapmireDepartment of Medicine, University of Louisville, Louisville, Kentucky, USA.
Jamie L StudtsDepartment of Behavioral Science, College of Medicine, University of Kentucky, Lexington, Kentucky, USA.
John MyersDepartment of Pediatrics, School of Medicine, University of Louisville, Louisville, Kentucky, USA.
Barbara HeadDepartment of Medicine, University of Louisville, Louisville, Kentucky, USA. barbara.head@louisville.edu.

Funding

Telehealth Symptom Management in Head and Neck CancerR21CA115345 · NCI · UNIVERSITY OF LOUISVILLE · PI PFEIFER, MARK P. · 2005 to 2006
$234k
NCI NIH HHS R21 CA115345
6 · The paper itself

Abstract

backgroundPatients undergoing treatment for head and neck cancer commonly experience signi•cant changes in quality of life (QoL) and levels of symptom distress. It is not known if a telehealth intervention would mitigate these changes.

objectiveTo evaluate the impact of a telehealth intervention on QoL and symptom burden in patients undergoing initial treatment for head and neck cancers.

methodsA randomized clinical trial comparing the impact on QoL and symptom distress of telehealth intervention and standard care was conducted with 80 patients (45 treatment, 35 control) who had been diagnosed with head or neck cancer and were receiving 1 or more treatment modalities. Treatment group participants responded daily to symptom management algorithms using a simple telehealth messaging device. QoL was evaluated by the Functional Assessment of Cancer Therapy-Head and Neck Scale (FACTHN) and symptom burden by the Memorial Symptom Assessment Scale (MSAS). Control group participants completed assessments while they received routine care.

resultsIn the posttreatment phase, the telehealth participants had signi•cantly better scores than the controls for physical well-being (20.6 vs 17.0, P = .02) and trial outcome index (59.9 vs. 50.2, P = .04) on the FACT-HN, and total scores on the MSAS (0.9 vs. 1.2, P = .04). LIMITATIONS: The moderate sample size of 80 patients limits the power to measure more subtle impacts of the intervention.

conclusionsUsing telehealth to provide support to patients with head and neck cancer during the acute phase of treatment improved some aspects of posttreatment QoL and symptom burden.

Indexed as

head and neck cancerquality of lifesupportive oncologytelehealth

Identifiers

PMID25839061
PMCPMC6935317

What OpenQuestion holds

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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.