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dc.contributor.authorCorrie, Pippa Gen
dc.contributor.authorMoody, Margareten
dc.contributor.authorWood, Victoriaen
dc.contributor.authorBavister, Lindaen
dc.contributor.authorPrevost, Tobyen
dc.contributor.authorParker, Richard Aen
dc.contributor.authorSabes-Figuera, Ramonen
dc.contributor.authorMcCrone, Paulen
dc.contributor.authorBalsdon, Helenen
dc.contributor.authorMcKinnon, Karenen
dc.contributor.authorO'Sullivan, Brendanen
dc.contributor.authorTan, Ray Sen
dc.contributor.authorBarclay, Stephenen
dc.date.accessioned2011-11-15T12:19:07Z
dc.date.available2011-11-15T12:19:07Z
dc.date.issued2011-10-29en
dc.identifier.issn1471-2407
dc.identifier.urihttp://www.dspace.cam.ac.uk/handle/1810/240558
dc.description.abstractAbstract Background The national Cancer Reform Strategy recommends delivering care closer to home whenever possible. Cancer drug treatment has traditionally been administered to patients in specialist hospital-based facilities. Technological developments mean that nowadays, most treatment can be delivered in the out-patient setting. Increasing demand, care quality improvements and patient choice have stimulated interest in delivering some treatment to patients in the community, however, formal evaluation of delivering cancer treatment in different community settings is lacking. This randomised trial compares delivery of cancer treatment in the hospital with delivery in two different community settings: the patient's home and general practice (GP) surgeries. Methods/design Patients due to receive a minimum 12 week course of standard intravenous cancer treatment at two hospitals in the Anglia Cancer Network are randomised on a 1:1:1 basis to receive treatment in the hospital day unit (control arm), or their own home, or their choice of one of three neighbouring GP surgeries. Overall patient care, treatment prescribing and clinical review is undertaken according to standard local practice. All treatment is dispensed by the local hospital pharmacy and treatment is delivered by the hospital chemotherapy nurses. At four time points during the 12 week study period, information is collected from patients, nursing staff, primary and secondary care teams to address the primary end point, patient-perceived benefits (using the emotional function domain of the EORTC QLQC30 patient questionnaire), as well as secondary end points: patient satisfaction, safety and health economics. Discussion The Outreach trial is the first randomised controlled trial conducted which compares delivery of out-patient based intravenous cancer treatment in two different community settings with standard hospital based treatment. Results of this study may better inform all key stakeholders regarding potential costs and benefits of transferring clinical services from hospital to the community. Trial registration number ISRCTN: ISRCTN66219681
dc.titleProtocol for the OUTREACH trial: a randomised trial comparing delivery of cancer systemic therapy in three different settings -patient's home, GP surgery and hospital day uniten
dc.typeArticle
dc.date.updated2011-11-15T12:19:08Z
dc.description.versionRIGHTS : This article is licensed under the BioMed Central licence at http://www.biomedcentral.com/about/license which is similar to the 'Creative Commons Attribution Licence'. In brief you may : copy, distribute, and display the work; make derivative works; or make commercial use of the work - under the following conditions: the original author must be given credit; for any reuse or distribution, it must be made clear to others what the license terms of this work are.en
dc.language.rfc3066en
dc.rights.holderCorrie et al.; licensee BioMed Central Ltd.
prism.publicationDate2011en
dcterms.dateAccepted2011-10-29en
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2011-10-29en
dc.contributor.orcidBarclay, Stephen [0000-0002-4505-7743]
dc.identifier.eissn1471-2407
rioxxterms.typeJournal Article/Reviewen


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