ROSE

  • Research type

    Research Study

  • Full title

    Impact of feedback from Real-time, electronic symptom monitoring on post-discharge recOvery after Surgery for oEsophago-gastric cancer: a multi-centre randomised controlled trial: The ROSE study

  • IRAS ID

    298723

  • Contact name

    Diana Benton

  • Contact email

    r&dsponsorship@uhbw.nhs.uk

  • Sponsor organisation

    University Hospitals Bristol and Weston NHS Foundation Trust

  • Duration of Study in the UK

    3 years, 0 months, 0 days

  • Research summary

    Around 13,500 people in England and Wales are diagnosed with oesophago-gastric (food pipe or stomach) cancer each year, of which around 5,000 (40%) have major surgery. Patients stay in hospital for around 1-2 weeks after surgery. Even when well enough to continue their recovery at home, patients may still experience surgery-related problems or feel unwell with symptoms such as pain or tiredness. There is growing evidence that electronic (online/web-based) reporting of symptoms can improve patients’ wellbeing by providing patients with information about how best to manage symptoms. However, this has not been studied in patients undergoing surgery for cancer.

    The ROSE study aims to find out if patients recovering at home from surgery for food pipe or stomach cancer benefit from electronic (online/web-based) symptom management information. We aim to recruit 206 patients from approximately six NHS hospitals in England. Participants will be randomly placed in one of two groups. Participants in the ‘electronic information tool’ group will be asked to report their symptoms using an electronic (online/web-based) tool while also receiving their usual care. The tool will provide information about self-care (e.g., self-management of symptoms by the patient) or, if reported symptoms are more serious, provide information to the patient to contact their healthcare team. Patients in the ‘usual care’ group will not use the electronic information tool to report their symptoms or receive symptom management information.

    All patients will complete questionnaires during the study, including before their surgery, when ready for discharge home and at several timepoints up to four weeks thereafter. We will use the questionnaire answers to see if patients in the ‘electronic information tool’ group have a better recovery from surgery than those in the usual care group. We will also look at whether the electronic information tool is good value for money for the NHS.

  • REC name

    East of England - Cambridgeshire and Hertfordshire Research Ethics Committee

  • REC reference

    23/EE/0254

  • Date of REC Opinion

    17 Nov 2023

  • REC opinion

    Favourable Opinion