Best cancer hospitals free clinical trials

BEST CANCER HOSPITALS FREE CLINICAL TRIALS TRIAL
BEST CANCER HOSPITALS FREE CLINICAL TRIALS DOWNLOAD

One UK National Health Service (NHS) hospital explored collaboration with a commercial home care company, but found logistical and clinical governance challenges and concluded that the arrangement was not financially viable ( Taylor et al, 2007).

In the UK, home chemotherapy has hitherto been primarily delivered by the private health-care sector. The cost of delivering community treatment is poorly understood. Community treatment was associated with greater ( Borras et al, 2001 Pace et al, 2009) or equivalent ( King et al, 2000) patient satisfaction, equivalent patient-reported quality of life (QOL King et al, 2000 Borras et al, 2001), and reduced ( Rischin et al, 2000) or equivalent ( Pace et al, 2009) patient anxiety. There was uniform, strong patient preference in favour of treatment in the community ( King et al, 2000 Rischin et al, 2000 Borras et al, 2001 Pace et al, 2009). All studies reported that community care was safe. A range of primary outcome measures was used, but some consistent patterns emerged. Four of these trials used a randomised cross-over design, where patients allocated to treatment in one location crossed over within 2 months of starting chemotherapy to the alternative location, patient-reported outcomes being assessed after cross-over.

BEST CANCER HOSPITALS FREE CLINICAL TRIALS TRIAL

Only one trial was conducted in the UK, comparing a specialist cancer centre with four community hospitals up to 25 miles away ( Pace et al, 2009). Four trials comparing hospital with home delivery were conducted in Australia ( King et al, 2000 Rischin et al, 2000), Spain ( Borras et al, 2001) and France ( Remonnay et al, 2002). To date, only five randomised trials have evaluated community delivery of cancer chemotherapy: all are limited by small sample sizes of between 20 and 87 patients. Although the vast majority of UK chemotherapy is currently delivered in specialist, high-cost hospitals, the UK health service encourages care closer to home ( Department of Health UK, 2006), offering patients greater independence, choice, control and, potentially, better value for money while recognising that the evidence base for such developments is limited ( Department of Health UK, 2010). The UK health service is committed to giving patients more choice about how, when and where they are treated ( Department of Health UK, 2004).

Alongside a priority to improve cancer survival rates is the need to improve cancer service quality. The demand for cancer services is increasing as a consequence of an ageing population, alongside advances in cancer interventions: there was a 60% increase in the amount of chemotherapy delivered in the UK over a recent 4-year period ( Department of Health UK, 2009). Although initial pre-trial interviews revealed concerns among health-care professionals and some patients regarding community treatment, opinions were largely more favourable in post-trial interviews. Seventy-eight percent of patients expressed satisfaction with their treatment whatever their location, whereas 57% of patients preferred future treatment to continue at the hospital, 81% at GP surgeries and 90% at home. There was no evidence that community treatment compromised patient safety and no significant difference between treatment arms in terms of overall costs or Quality Adjusted Life Year. Hospital anxiety and depression scale scores were consistent with the primary outcome measure. There was a significant difference between the two community locations in favour of home (+15в™І, 1в™і to 29в™±, P=0.033). These templates and tools are ordered by category, so please scroll down to find what you need.There was no statistically significant QOL difference between treatment in the combined community locations relative to hospital (difference of в€’7.2, 95% confidence interval: в€’19в™µ to +5в™І, P=0.25). Please ensure that you read and adapt them carefully for your own setting, and that you reference Global Health Trials and The Global Health Network when you use them.В To share your own templates and SOPs, or comment on these, please email We look forward to hearing from you! The templates below have been shared by other groups, and are free to use and adapt for your researchstudies.

BEST CANCER HOSPITALS FREE CLINICAL TRIALS DOWNLOAD

Please click on the orange text to download each template. Please note that this page has been updated for 2015 following a quality check and review of the templates, and many new ones have been added. Welcome to Global Health Trials' tools and templates library.

East African Consortium for Clinical Research.

Worldwide Antimalarial Resistance Network (WWARN).

TREAD (The Research Ethics Application Database).

Sub-Saharan Congenital Anomalies Network.

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Best cancer hospitals free clinical trials