Published in
BMJ Publishing Group, BMJ, 7373(325), p. 1145-1145, 2002
DOI: 10.1136/bmj.325.7373.1145
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- [www.researchgate.net] | PDF
- [www.ncbi.nlm.nih.gov] | PDF
- [www.ncbi.nlm.nih.gov] | PDF
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Nurse led follow up and conventional medical follow up in management of patients with lung cancer: randomised trial
,
Emma Salmon,
Charles Normand,
Mary O'Brien,
Ian Smith,
Jessica Corner,
Jo Haviland,
Sally Moore,
Mike Brada
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Abstract
Objective: To assess the effectiveness of nurse led follow up in the management of patients with lung cancer. Design: Randomised controlled trial. Setting: Specialist cancer hospital and three cancer units in southeastern England. Participants: 203 patients with lung cancer who had completed their initial treatment and were expected to survive for at least 3 months. Intervention: Nurse led follow up of outpatients compared with conventional medical follow up. Outcome measures: Quality of life, patients' satisfaction, general practitioners' satisfaction, survival, symptom-free survival, progression-free survival, use of resources, and comparison of costs. Results: Patient acceptability of nurse led follow up was high: 75% (203/271) of eligible patients consented to participate. Patients who received the intervention had less severe dyspnoea at 3 months (P=0.03) and had better scores for emotional functioning (P=0.03) and less peripheral neuropathy (P=0.05) at 12 months. Intervention group patients scored significantly better in most satisfaction subscales at 3, 6, and 12 months (P