Table 2

Secondary patient outcomes

BeforeAfterEffect estimate
(95% CI)*
Time point 1: discharge or ward transfer
HCAHPS35
 Nursing services†n, mean (SD)95, 0.63 (0.42)122, 0.66 (0.37)0.07 (−0.08 to 0.23)
 Doctor communicationn, mean (SD)302, 0.77 (0.38)367, 0.77 (0.38)0.09 (0.00 to 0.19)
 Physical environmentn, mean (SD)276, 0.49 (0.31)347, 0.49 (0.31)0.06 (−0.03 to 0.16)
 Pain control*†n, mean (SD)232, 0.69 (0.40)244, 0.69 (0.40)0.13 (0.00 to 0.26)
 Communication about medicines†n, mean (SD)191, 0.54 (0.40)215, 0.54 (0.40)0.07 (−0.06 to 0.21)
 Discharge informationn, mean (SD)233, 0.65 (0.48)249, 0.65 (0.48)0.09 (−0.06 to 0.24)
 Fatigue and nausea†n, mean (SD)91, 0.79 (0.35)88, 0.79 (0.35)−0.12 (−0.31 to 0.06)
 Overall healthn, mean (SD)280, 0.45 (0.26)345, 0.45 (0.26)−0.02 (−0.09 to 0.05)
PANAS48
 Positive Affect Scalen, mean (SD)244, 26.7 (8.2)263, 26.7 (8.2)−0.18 (−2.86 to 2.51)
 Negative Affect Scalen, mean (SD)251, 16.9 (6.6)279, 16.9 (6.6)−2.01 (−3.84 to −0.18)
HADS43
 Anxietyn, mean (SD)258, 5.8 (4.2)314, 5.8 (4.2)−0.63 (−1.77 to 0.51)
 Depressionn, mean (SD)259, 5.0 (3.9)321, 5.0 (3.9)−0.49 (−1.54 to 0.55)
EORTC42
 Painn, mean (SD)281, 46.6 (33.1)323, 46.6 (33.1)−7.6 (−17.5 to 2.3)
 Fatiguen, mean (SD)282, 59.2 (26.4)324, 59.2 (26.4)−5.6 (−13.4 to 2.2)
 Nausea/vomitingn, mean (SD)279, 15.9 (24.1)321, 15.9 (24.1)−1.4 (−6.0 to 8.7)
Ward rating
 Confidence in future treatmentn, mean (SD)292, 8.49 (1.9)357, 8.9 (1.6)0.32 (−0.12 to 0.80)
 Overall ward ratingn, mean (SD)293, 8.5 (1.6)359, 8.9 (1.5)0.46 (0.01 to 0.92)
HCAHPS recommendation to family/friends35
 Definitely yesn/N (%)181/294 (61.6)255/360 (70.8)0.71 (0.40 to 1.26)
 Probably yesn/N (%)91/294 (31.0)87/360 (24.2)
 Probably non/N (%)16/294 (5.4)10/360 (2.8)
 Defiantly non/N (%)6/294 (2.0)8/360 (2.2)
Time point 2: 46 weeks after discharge/ward transfer
HCAHPS35
 Overall healthn, mean (SD)130, 0.43 (0.28)149, 0.40 (0.24)−0.05 (−0.14 to 0.05)
EORTC42
 Painn, mean (SD)128, 34.9 (30.0)150, 37.1 (34.9)−0.5 (−12.6 to 11.7)
 Fatiguen, mean (SD)129, 45.6 (29.5)147, 50.3 (29.7)5.9 (−5.4 to 17.3)
 Nausea/vomitingn, mean (SD)127, 8.3 (16.5)149, 9.7 (20.0)−0.7 (−8.7 to 7.2)
 HCAHPS recommendation to family/friends35
 Definitely yesn/N (%)76/131 (58.0)96/150 (64.0)0.79 (0.31 to 2.09)
 Probably yesn/N (%)40/131 (30.5)46/150 (30.5)
 Probably non/N (%)12/131 (9.2)6/150 (9.2)
 Definitely non/N (%)3/131 (2.3)2/150 (2.3)
Patient Enablement Instrument score44n, mean (SD)99, 4.05 (3.86)107, 4.31 (3.75)0.03 (−1.63 to 1.68)
Ward rating
 Overall ward ratingn, mean (SD)132, 8.1 (1.6)153, 8.6 (1.5)0.68 (0.49 to 1.31)
 Confidence in future treatmentn, mean (SD)131, 8.4 (1.9)151, 8.9 (1.7)0.72 (−0.02 to 1.47)
  • Results in bold indicate statistically significant improvements.

  • *Effect estimate is the adjusted mean difference, except for recommendation to family/friends where it is an odds ratio.

  • †There were screening questions for nursing services, pain control, communication about medicines and fatigue/nausea, so these scrores were only calculated for applicable patients

  • EORTC, European Organization for the Research and Treatment of Cancer; HADS, Hospital Anxiety and Depression Scale; HCAHPS, Hospital Consumer Assessment of Healthcare Providers and Systems; PANAS, Positive and Negative Affect Schedule.