Evidence map›Paper›PMID 38170289›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024

Evaluating a shared care pathway intervention for people receiving chemotherapy to reduce post-treatment unplanned hospital presentations: a randomised controlled trial.

Judith Fethney, Bora Kim, Chantale Boustany, Heather McKenzie, Lillian Hayes, Keith Cox, Judy M Simpson, Lisa G Horvath, Janette L Vardy, Jodi McLeod and 4 more

Erratum issuedOpen access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% of its field
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 1 country.

Judith FethneySusan Wakil School of Nursing and Midwifery, The University of Sydney, Sydney, Australia. judith.fethney@sydney.edu.au.ORCID http://orcid.org/0000-0003-0716-596X
Bora KimSusan Wakil School of Nursing and Midwifery, The University of Sydney, Sydney, Australia.
Chantale BoustanySusan Wakil School of Nursing and Midwifery, The University of Sydney, Sydney, Australia.
Heather McKenzieSusan Wakil School of Nursing and Midwifery, The University of Sydney, Sydney, Australia.
Lillian HayesSusan Wakil School of Nursing and Midwifery, The University of Sydney, Sydney, Australia.
Keith CoxChris O'Brien Lifehouse, Sydney, Australia.
Judy M SimpsonSydney School of Public Health, The University of Sydney, Sydney, Australia.
Lisa G HorvathChris O'Brien Lifehouse, Sydney, Australia.
Janette L VardyFaculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Jodi McLeodSydney District Nursing, Sydney Local Health District, Sydney, Australia.
Simon WillcockMQ Health, Macquarie University Hospital, Primary Care, Sydney, Australia.
Natalie CookHealthdirect, Sydney, Australia.
Louise AcretCancer Care Research Unit, Sydney Local Health District, The University of Sydney, Sydney, Australia.
Kate WhiteSusan Wakil School of Nursing and Midwifery, The University of Sydney, Sydney, Australia.
The University of Sydney · AUChris O’Brien Lifehouse · AUMacquarie University · AUSydney Local Health District · AU

Funding

National Health and Medical Research Council (Australia) APP1048350
6 · The paper itself

Abstract

purposeThe aim of this randomised controlled trial (RCT) was to explore whether a community nursing intervention for outpatients receiving systemic therapy reduced unplanned hospital presentations and improved physical and psychosocial health outcomes over the first three cycles of treatment compared to a control group receiving standard care.

methodsThe number of and reasons for unplanned presentations were obtained for 170 intervention and 176 control group adult patients with solid tumours starting outpatient chemotherapy. Poisson regression was used to compare the number of presentations between the intervention and control groups. Patients self-completed the Hospital Anxiety and Depression Scale, the Cancer Behavior Inventory and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire core 30 (EORTC QLQ-C30) at the start of the first four cycles. Linear regression techniques were used to compare quality of life outcomes.

resultsThe reduction in unplanned presentations in the intervention group relative to the control group was 12% (95% CI, - 25%, 37%; P = 0.48). At the start of cycle 4, there was no difference in anxiety (difference = 0.47 (95% CI, - 0.28, 1.22; P = 0.22)), depression (difference = 0.57 (95% CI, - 0.18, 1.31; P = 0.13)) or EORTC QLQ-C30 summary score (difference = 0.16 (95% CI, - 2.67, 3.00; P = 0.91)). Scores for self-efficacy as measured by the Cancer Behavior Inventory were higher in the intervention group (difference = 4.3 (95% CI, 0.7, 7.9; P = 0.02)).

conclusionThis RCT did not demonstrate a benefit in reducing unplanned presentations to hospital. The trial identified improved cancer-based self-efficacy in patients receiving the intervention.

trial registrationRegistered at Australian and New Zealand Clinical Trials Registry: ACTRN12614001113640, registered 21/10/2014.

Indexed as

Critical PathwaysNeoplasmsAdultAnxietyAnxiety DisordersAustraliaHumansQuality of LifeCommunity nursing interventionQuality of lifeRandomised controlled trialSystemic chemotherapyUnplanned admissionsUnplanned presentations

Identifiers

PMID38170289
PMCPMC10764538
OpenAlexW4390542861

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.