Rooney Alasdair G, Netten Anouk, McNamara Shanne, Erridge Sara, Peoples Sharon, Whittle Ian, Hacking Belinda, Grant Robin
Edinburgh Centre for Neuro-Oncology, Western General Hospital, Edinburgh, Scotland, UK, EH4 2XU,
Support Care Cancer. 2014 Apr;22(4):1059-69. doi: 10.1007/s00520-013-2058-2. Epub 2013 Nov 29.
Brain tumour patients may struggle to express their concerns in the outpatient clinic, creating a physician-focused rather than a shared agenda. We created a simple, practical brain-tumour-specific holistic needs assessment (HNA) tool for use in the neuro-oncology outpatient clinic.
We posted the brain tumour Patient Concerns Inventory (PCI) to a consecutive sample of adult brain tumour attendees to a neuro-oncology outpatient clinic. Participants brought the completed PCI to their clinic consultation. Patients and staff provided feedback.
Seventy seven patients were eligible and 53 participated (response rate = 68%). The PCI captured many problems absent from general cancer checklists. The five most frequent concerns were fatigue, fear of tumour coming back, memory, concentration, and low mood. Respondents used the PCI to formulate 105 specific questions, usually about the meaning of physical or psychological symptoms. Patients and staff found the PCI to be useful, and satisfaction with the instrument was high.
This study demonstrates the clinical utility of the brain tumour PCI in a neuro-oncology clinic. The combination of a brain-tumour-specific concerns checklist and an intervention to focus patient agenda creates a simple and efficient HNA tool.
脑肿瘤患者可能在门诊中难以表达他们的担忧，从而形成以医生为中心而非共同议程的局面。我们创建了一种简单、实用的针对脑肿瘤的整体需求评估（HNA）工具，用于神经肿瘤门诊。
我们将脑肿瘤患者关注清单（PCI）寄给连续就诊于神经肿瘤门诊的成年脑肿瘤患者样本。参与者在门诊咨询时带上填好的PCI。患者和工作人员提供了反馈。
77名患者符合条件，53名参与（回复率 = 68%）。PCI涵盖了一般癌症清单中未提及的许多问题。最常见的五个担忧是疲劳、害怕肿瘤复发、记忆力、注意力和情绪低落。受访者使用PCI提出了105个具体问题，通常是关于身体或心理症状的含义。患者和工作人员发现PCI很有用，对该工具的满意度很高。
本研究证明了脑肿瘤PCI在神经肿瘤门诊中的临床实用性。特定于脑肿瘤的担忧清单与关注患者议程的干预措施相结合，创建了一个简单而有效的HNA工具。
