Telemedicine Versus In-Person Follow-up for Cancer Pain Management: An Equity and Cost Analysis Comparison Using a Prospective Quasi-Experimental Design

NCT05628246 | Completed DMC

• 2 other identifiers: Si 310/2022RO16535048
• Study Type: interventional
• Target: 193
• Locations: 1 country
• Sites: 1

Brief Summary

Cancer is the second leading cause of death worldwide, with approximately 18.1 million new cases and 9.6 million deaths reported in 2018. Cancer-related pain is experienced by 50-70% of patients, with a higher prevalence at advanced disease stages (66.4%). Since the development of WHO's cancer pain guidelines, several studies have reported good relief of symptoms and suffering for a majority of patients. Recent reports suggest that up to 50% of patients still report insufficient pain control. Patients with cancer often present with multiple symptoms and functional decline. Evidence supports multidisciplinary approaches to address symptoms and suffering, including early palliative care referral From review literatures we found that the telemedicine group had significantly higher quality of life than the usual care group. In addition, the telemedicine group had lower anxiety and depression scores than the usual care group. Therefore, we will conduct the non-randomized controlled study of using telemedicine comparing to conventional in-person at OPD in hospitalized cancer pain patients. The purpose of this study is to assess the pain interference by using the Brief Pain Inventory (BPI) and to compare between the in-person group and the telemedicine group. To assess the cost-effectiveness of telemedicine for reducing symptoms associated with cancer and its treatment.

Conditions

Pain, Chronic; Cancer Pain; Cancer Related Pain

Keywords

telemedicine; cancer pain; Pain management; Health equity; Cost-effectiveness analysis; Therapeutic equivalence; Palliative care

Outcome Measures

Primary Outcomes (1)

• Pain interference

  The pain interference will be assessed and compared using Brief Pain Inventory from 0-70 between In-person group and telemedicine group.

  at 1 month

Secondary Outcomes (6)

• Pain intensity

  at 1 month, 2 months and 3 months

• Quality of life (QoL)

  at 1 month

• Functional status

  At baseline, 1 month, 2 month, 3 month

• Opioid consumption

  At baseline, 1 month, 2 month and 3 month

• Economic study

  At Baseline, 1 month, 2 month and 3 month

Study Arms (2)

In-person

ACTIVE COMPARATOR

Face to face at OPD

Other: In-person

Telemedicine

EXPERIMENTAL

Telemedicine

Other: Telemedicine

Interventions

Telemedicine OTHER

Telemedicine

Telemedicine

In-person OTHER

In-person

In-person

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age older than 18 years old
• Cancer patients who new visit as out patient at pain clinic, Siriraj hospital

You may not qualify if:

• Cannot read and write
• Confusion
• Unable to use the 0-10 Numerical Rating Scale (NRS) to rate pain intensity.
• Unstable clinical presentation

Sponsors & Collaborators

• Mahidol University: lead

Study Sites (1)

Faculty of medicine Siriraj Hospital Mahidol University

Bangkoknoi, Bangkok, 10700, Thailand

Location

Related Publications (4)

• Pang L, Liu Z, Lin S, Liu Z, Liu H, Mai Z, Liu Z, Chen C, Zhao Q. The effects of telemedicine on the quality of life of patients with lung cancer: a systematic review and meta-analysis. Ther Adv Chronic Dis. 2020 Oct 7;11:2040622320961597. doi: 10.1177/2040622320961597. eCollection 2020.

  PMID: 33101621 RESULT

• Wangnamthip S, Panchoowong S, Donado C, Lobo K, Phankhongsap P, Sriveerachai P, Euasobhon P, Rushatamukayanunt P, Mandee S, Zinboonyahgoon N, Berde CB. The Effectiveness of Cancer Pain Management in a Tertiary Hospital Outpatient Pain Clinic in Thailand: A Prospective Observational Study. Pain Res Manag. 2021 Jul 20;2021:5599023. doi: 10.1155/2021/5599023. eCollection 2021.

  PMID: 34336068 RESULT

• Chaudakshetrin P. Validation of the Thai Version of Brief Pain Inventory (BPI-T) in cancer patients. J Med Assoc Thai. 2009 Jan;92(1):34-40.

  PMID: 19260241 RESULT

• Pattanaphesaj J, Thavorncharoensap M, Ramos-Goni JM, Tongsiri S, Ingsrisawang L, Teerawattananon Y. The EQ-5D-5L Valuation study in Thailand. Expert Rev Pharmacoecon Outcomes Res. 2018 Oct;18(5):551-558. doi: 10.1080/14737167.2018.1494574. Epub 2018 Jul 6.

  PMID: 29958008 RESULT

MeSH Terms

Conditions

Chronic Pain; Cancer Pain; Agnosia

Interventions

Telemedicine

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Perceptual Disorders; Neurobehavioral Manifestations; Nervous System Diseases

Intervention Hierarchy (Ancestors)

Delivery of Health Care; Patient Care Management; Health Services Administration

Study Officials

• Suratsawadee Wangnamthip, M.D.

  Mahidol University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 15, 2022
• First Posted: November 28, 2022
• Study Start: January 19, 2023
• Primary Completion: January 31, 2026
• Study Completion: March 31, 2026
• Last Updated: July 21, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

TH (1)