Evidence map›Paper›PMID 39313288›Full record

Trial reportBMJ open2024

The experiences of patients with oesophageal cancer receiving chemoradiotherapy treatment: a qualitative study embedded in the SCOPE2 trial.

Daniella Holland-Hart, Mirella Longo, Sarah Bridges, Lisette Sheena Nixon, Maria Hawkins, Tom Crosby, Annmarie Nelson

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02741856 (SCOPE2 - A Randomised Phase II/III Trial to Study Radiotherapy Dose Escalation in Patients With Oesophageal Cancer Treated With Definitive Chemo-radiation With an Embedded Phase II Trial for Patients With a Poor Early Response Using Positron Emission Tomography), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT02741856 phase2 / phase3unknown statusnot on this map

SCOPE2 - A Randomised Phase II/III Trial to Study Radiotherapy Dose Escalation in Patients With Oesophageal Cancer Treated With Definitive Chemo-radiation With an Embedded Phase II Trial for Patients With a Poor Early Response Using Positron Emission Tomography (PET)

TypeinterventionalSponsorLisette NixonRan2016 to 2023Enrolled584ConditionsOesophageal CancerArmsCarboplatin, Paclitaxel, Cisplatin, Capecitabine, Radiotherapy
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. 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

7 authors.

Daniella Holland-HartDivision of Population Medicine, Cardiff University, Cardiff, UK Holland-HartD@Cardiff.ac.uk.ORCID 0000-0002-1127-5152
Mirella LongoCardiff University, Cardiff, UK.ORCID 0000-0002-9867-3806
Sarah BridgesCardiff University, Cardiff, UK.ORCID 0000-0002-7665-5770
Lisette Sheena NixonCardiff University, Cardiff, UK.ORCID 0000-0002-1270-6970
Maria HawkinsMedical Physics and Biomedical Engineering, University College London, London, UK.ORCID 0000-0002-6669-0628
Tom CrosbyVelindre University NHS Trust, Cardiff, UK.
Annmarie NelsonCardiff University, Cardiff, UK.ORCID 0000-0002-6075-8425

Funding

Marie Curie MCCC-FCO-11-C
6 · The paper itself

Abstract

objectivesThis qualitative study explored patients' experiences and perceptions of the SCOPE2 trial. SCOPE2 examined radiotherapy dose escalation in patients with inoperable oesophageal cancer treated with definitive chemoradiotherapy (dCRT).

settingRecruitment at five clinical sites in England and Wales, UK.

participantsSCOPE2 trial participants were invited to take part in interviews from across five clinical sites. Participants self-selected to take part in up to three interviews across four different time points: baseline (before treatment) and at 2-3 months, 3-6 months or 6 months+ after baseline. There were five female and five male interview participants.

interventionsParticipants were randomised to standard dose dCRT prescribed carboplatin/paclitaxel or cisplatin/capecitabine, or an escalated dose dCRT prescribed carboplatin/paclitaxel or cisplatin/capecitabine.

methodsThis qualitative study used semistructured longitudinal interviews to explore the impact of treatment on patient outlook and quality of life and the impact of the COVID-19 pandemic. Interview data were thematically analysed.

results10 patients participated in 16 longitudinal interviews. Three participants were accompanied by companions. Participants experienced side-effects from radiotherapy and chemotherapy including nausea, throat pain, difficulties eating and regaining appetite, thrombosis and fatigue, although most of these symptoms gradually improved. Participants required more ongoing information and support regarding treatment side-effects and cancer status in order to improve their overall quality of life. Best practice examples involved key contacts providing practical advice and signposting support.

conclusionParticipants of the SCOPE2 trial reported short and longer-term side-effects from chemoradiotherapy, but these usually lessened over time. Participants attempted to be positive about their survival prospects by readjusting their expectations, priorities and lifestyles. Providing patients with ongoing opportunities to discuss detailed and timely information regarding treatment side-effects, aftercare and cancer status could improve the overall health and well-being of patients during oesophageal cancer trials and pathways. TRIAL REGISTRATION NUMBER: NCT02741856; ISRCTN: 97125464.

Indexed as

ChemoradiotherapyEsophageal NeoplasmsPaclitaxelQualitative ResearchQuality of LifeAgedAntineoplastic Combined Chemotherapy ProtocolsCapecitabineCarboplatinCisplatinCOVID-19EnglandFemaleHumansMaleMiddle AgedCapecitabineCarboplatinCisplatinPaclitaxelOesophageal diseaseONCOLOGYPatient-Centered CareQUALITATIVE RESEARCH

Identifiers

PMID39313288
PMCPMC11418518

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Registered trials

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.