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Evaluating unmet needs in patients undergoing surgery for colorectal cancer: A patient reported outcome measures (PROMS) study
Sutton, Paul Bourdon-Pierre, Rebecca Smith, Carly M. Appleton, Nathan Lightfoot, Tina Gabriel, Claire Richards, Bernadette Mohamed, Sbai Mason-Whitehead, Elizabeth Hulbert-Williams, Nicholas J.
Sutton, Paul
Bourdon-Pierre, Rebecca
Smith, Carly M.
Appleton, Nathan
Lightfoot, Tina
Gabriel, Claire
Richards, Bernadette
Mohamed, Sbai
Mason-Whitehead, Elizabeth
Hulbert-Williams, Nicholas J.
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EPub Date
Publication Date
2019-03-03
Submitted Date
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Abstract
Aim
Patient reported outcome measures (PROMs) are self-reported measures of patients’ health status or health related quality of life at a single point in time. We aimed to evaluate the use of a colorectal PROM, and conducted a focus group to further explore this and other unmet needs in our patient population treated surgically for colorectal cancer.
Method
A multidisciplinary research group consisting of colorectal surgeons, nurse specialists, psychologists, sociologists and patient representatives devised a composite tool of new and existing outcome measures which was piloted in our local population (n=35). Participants were subsequently invited to attend a semi-structured focus group during which the PROM was reviewed and an unmet needs analysis performed. Thematic analysis of focus group transcripts was undertaken for emergent themes.
Results
Initial consensus was for a tool including the EQ-5D, FACT-C, the distress thermometer, a validated measure of stigma, an unmet needs analysis, and questions assessing the psychological impact of cancer. Median and IQR values suggested all metrics were discriminatory with the exception of FACT-C. All participants agreed the tool was acceptable, and reflected the current state of their health and emotions. Thematic analysis of focus group transcripts identified four major themes: Physical symptoms, emotional response, information provision and coping mechanisms.
Conclusion
Through expert consensus, local piloting and patient focus groups we have evaluated a novel PROM for colorectal cancer. Furthermore, through our direct engagement with patients we have identified several unmet needs which we are currently exploring within the clinical service.
Citation
Sutton, P. A., Bourdon-Pierre, R., Smith, C., Appleton, N., Lightfoot, T., Gabriel, C., ... Vimalachandran, D. (2019). Evaluating unmet needs in patients undergoing surgery for colorectal cancer: A patient reported outcome measures (PROMS) study. Colorectal Disease, 21(7), 797-804. https://doi.org/10.1111/codi.14599
Publisher
Wiley
Journal
Colorectal Disease
Research Unit
PubMed ID
PubMed Central ID
Type
Article
Language
en
Description
This is the peer reviewed version of the following article: Sutton, P. A., Bourdon-Pierre, R., Smith, C., Appleton, N., Lightfoot, T., Gabriel, C., Richards, B., Mohammed, S., Mason-Whitehead, E., Hilbert-Williams, N. J. & Vimalachandrian, D. (2019). Evaluating unmet needs in patients undergoing surgery for colorectal cancer: A patient reported outcome measures (PROMS) study. Colorectal Disease, which has been published in final form at https://doi.org/10.1111/codi.14599. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Series/Report no.
ISSN
1462-8910
EISSN
1463-1318