Evaluation of a Nurse-Led Telephone Clinic in the Follow-up of Patients with Malignant Glioma

Sardell, S.; Sharpe, Geoffrey; Ashley, S.; Guerrero, D.; Brada, Michael

doi:10.1053/clon.2000.9108

Cited by 45 publications

(102 citation statements)

References 7 publications

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“…Compared to this, the studies reported by Chow et al [5] and Sardell et al [10] were both in a research trial setting with multiple calls scheduled at regular intervals. In addition, our audit was done in a population of patients with brain metastases (mostly from lung cancer) who usually have a high rate of morbidity and mortality [11].…”

Section: Discussionmentioning

confidence: 98%

“…Telephone follow-up has been found a feasible tool for the prospective outcome assessment of symptom palliation [5]. Nurse-led telephone follow-up has been concluded to be an acceptable alternative to clinic follow-up for malignant glioma patients, providing the opportunity to lead a normal life away from the hospital and to maintain contact with the specialist unit [10]. According to some authors, it may be just as good to talk on the telephone as in a clinic [8].…”

Section: Discussionmentioning

confidence: 99%

“…The study by Chow et al [5] was done in a population of patients similar to ours in most respects, but which included largely bone metastases and only 23% brain metastases. Patients studied by Sardell et al [10] all had clinically and radiologically stable disease and did not need palliative care. Other authors too have commented on the crucial need for careful patient selection for telephone follow-up [4,8].…”

Section: Discussionmentioning

confidence: 99%

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The success of data collection in the palliative setting?telephone or clinic follow-up?

Haddad

Wilson

Wong

et al. 2003

Supportive Care in Cancer

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Assessment of outcomes is essential in order to improve available palliative treatments. Collecting follow-up information can be a challenging task in the palliative setting. We compared the effectiveness of data collection by telephone contact and clinic visit in 112 patients with brain metastases treated with whole-brain radiotherapy. The first 56 patients (group A) were followed by telephone only. The second 56 patients (group B) were asked to attend an outpatient clinic appointment 4 weeks after radiotherapy. Successful contact was defined as obtaining data at week 4. Patients in the two groups did not differ significantly with regard to age, sex, performance status, primary site, number of brain metastases, or the treatment given. The proportions of patients with successful follow-up contact at week 4 were 45% and 61% in groups A and B, respectively ( P = 0.09). The quality of the collected data did not differ significantly between the two groups. The side effects and responses to therapy were similar. However, there were significantly more patients with a reduced dose of dexamethasone among the successful contacts in group B, which probably reflected the better condition of the patients coming back to clinic at week 4. In conclusion, there was a trend towards more successful data collection in our clinic follow-up. Some of the observed outcome data suggest that the two methods of follow-up might be reaching different populations of patients; considering this and the high attrition rate, a combined follow-up strategy of clinic and telephone contacts might be the best strategy.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The success of data collection in the palliative setting?telephone or clinic follow-up?

Haddad

Wilson

Wong

et al. 2003

Supportive Care in Cancer

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“…Sardell et al evaluated a nurse-led telephone follow-up for patients with high-grade glioma as an alternative to traditional clinic follow-up [6]. All patients with high-grade glioma who were completing primary treatment (surgery and radical radiotherapy), had clinically and radiologically stable disease, were not on corticosteroid therapy, and did not require active palliative care were eligible for the study.…”

Section: Discussionmentioning

confidence: 99%

Review of telephone follow-up experience at the Rapid Response Radiotherapy Program

Chow

Fung

Bradley

et al. 2004

Support Care Cancer

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Telephone follow-up is a feasible tool for prospective outcome assessment of symptom palliation in metastatic cancer patients. Telephone follow-up is recommended for outcome assessment of symptom relief when it can achieve the same purpose as clinic follow-up. Data collection remains a challenge in the palliative patient population. Further studies are required to determine how well other methods of maximizing data collection, such as through the use of caregivers, can provide reliable and accurate information.

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“…This may be even more important for patients with brain tumours of low malignancy with an extended illness continuum. Two studies assessed patient satisfaction with such nurse case-coordinators and found that the patients were highly satisfied with the service, although some patients would have preferred the availability of both a nurse and doctor [8,41].…”

Section: Firstmentioning

confidence: 99%

Supportive care needs of people with brain tumours and their carers

Janda

Eakin

Bailey

et al. 2006

Support Care Cancer

131

150

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Five recommendations to improve service delivery include: assignment of a dedicated member of the care team or case manager; proactive dissemination of information, education and psychosocial support; access to objective assessment of neuropsychological functioning; facilitating easier access to welfare payments; and services facilitating communication about difficult illness-related topics. Provision of services along these recommendations could improve supportive care of brain tumour patients and their carers.

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Evaluation of a Nurse-Led Telephone Clinic in the Follow-up of Patients with Malignant Glioma

Cited by 45 publications

References 7 publications

The success of data collection in the palliative setting?telephone or clinic follow-up?

The success of data collection in the palliative setting?telephone or clinic follow-up?

Review of telephone follow-up experience at the Rapid Response Radiotherapy Program

Supportive care needs of people with brain tumours and their carers

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