Assessment of a brain-tumour-specific Patient Concerns Inventory in the neuro-oncology clinic

Alasdair G. Rooney, Anouk Netten, Shanne McNamara, Sara Erridge, Sharon Peoples, Ian Whittle, Belinda Hacking, Robin Grant

Research output: Contribution to journalArticlepeer-review


Brain tumour patients may struggle to express their concerns in the outpatient clinic, creating a physician-focused rather than a shared agenda. We created a simple, practical brain-tumour-specific holistic needs assessment (HNA) tool for use in the neuro-oncology outpatient clinic.

We posted the brain tumour Patient Concerns Inventory (PCI) to a consecutive sample of adult brain tumour attendees to a neuro-oncology outpatient clinic. Participants brought the completed PCI to their clinic consultation. Patients and staff provided feedback.

Seventy seven patients were eligible and 53 participated (response rate = 68 %). The PCI captured many problems absent from general cancer checklists. The five most frequent concerns were fatigue, fear of tumour coming back, memory, concentration, and low mood. Respondents used the PCI to formulate 105 specific questions, usually about the meaning of physical or psychological symptoms. Patients and staff found the PCI to be useful, and satisfaction with the instrument was high.

This study demonstrates the clinical utility of the brain tumour PCI in a neuro-oncology clinic. The combination of a brain-tumour-specific concerns checklist and an intervention to focus patient agenda creates a simple and efficient HNA tool.

Original languageEnglish
Pages (from-to)1059-1069
Number of pages11
JournalSupportive Care in Cancer
Issue number4
Publication statusPublished - Apr 2014


  • Brain tumour
  • Holistic needs assessment
  • Patient Concerns Inventory

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