Evidence map›Paper›PMID 31385996›Full record

ArticleNeuro-oncology practice2019

Quality improvement of neuro-oncology services: integrating the routine collection of patient-reported, health-related quality-of-life measures.

Rocío Fernández-Méndez, Rebecca J Rastall, William A Sage, Ingela Oberg, Gemma Bullen, Amy Louise Charge, Anna Crofton, Thomas Santarius, Colin Watts, Stephen J Price and 2 more

Abstract read
In one paragraph

Article in Neuro-oncology practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Review
  2. Adaptation of digital integration of PROMs and PREMs in oncology during implementation: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Precision Surgery for Glioblastomas.Journal of personalized medicine · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

12 authors.

Rocío Fernández-MéndezDepartment of Clinical Neurosciences, University of Cambridge, UK.ORCID 0000-0002-4989-0687
Rebecca J RastallDepartment of Clinical Neurosciences, University of Cambridge, UK.
William A SageDepartment of Clinical Neurosciences, University of Cambridge, UK.
Ingela ObergNeurosurgery Department, Cambridge University Hospitals NHS Trust, Addenbrookes Hospital, UK.
Gemma BullenNeurosurgery Department, Cambridge University Hospitals NHS Trust, Addenbrookes Hospital, UK.
Amy Louise ChargeNeurosurgery Department, Cambridge University Hospitals NHS Trust, Addenbrookes Hospital, UK.
Anna CroftonNeurosurgery Department, The Walton Centre NHS Foundation Trust, Liverpool, UK.
Thomas SantariusNeurosurgery Department, Cambridge University Hospitals NHS Trust, Addenbrookes Hospital, UK.
Colin WattsNeurosurgery Department, Cambridge University Hospitals NHS Trust, Addenbrookes Hospital, UK.
Stephen J PriceNeurosurgery Department, Cambridge University Hospitals NHS Trust, Addenbrookes Hospital, UK.
Andrew BrodbeltNeurosurgery Department, The Walton Centre NHS Foundation Trust, Liverpool, UK.
Alexis J JoannidesNeurosurgery Department, Cambridge University Hospitals NHS Trust, Addenbrookes Hospital, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBrain cancer has a strong impact on health-related quality of life (HRQoL), and its evaluation in clinical practice can improve the quality of care provided. The aim of this project was to integrate routine collection of HRQoL information from patients with brain tumor or metastasis in 2 specialized United Kingdom tertiary centers, and to evaluate the implementation process.

methodsSince October 2016, routine collection of electronic self-reported HRQoL information has been progressively embedded in the participating centers using standard questionnaires. During the first year, the project was implemented, and the process evaluated, through regular cycles of process evaluation followed by an action plan, monitoring of questionnaire completion rates, and assessment of patient views.

resultsMain challenges encountered included reluctance to change usual practice and limited resources. Key measures for success included strong leadership of senior staff, involvement of stakeholders in project design and evaluation, and continuous strategic support to professionals. Final project workflow included 6 process steps, 1 decision step, and 4 outputs. Questionnaires were mostly self-completed (75.1%), and completion took 6-9 minutes. Most patients agreed that the questionnaire items were easy to understand (97.0%), important for them (93.0%), and helped them think what they wanted to discuss in their clinical consultation (75.4%).

conclusionsIntegrating HRQoL information as a routine part of clinical assessments has the potential to enhance individually tailored patient care in our institutions. Challenges involved in innovations of this nature can be overcome through a systematic approach involving strong leadership, wide stakeholder engagement, and strategic planning.

Indexed as

brain tumorsprocess evaluationquality improvementquality of life

Identifiers

PMID31385996
PMCPMC6656295

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.