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       Title
      
      
       
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       Publication:
      Journal & date
      
       
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       Key
      improvements
      
       
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       Patient’s
      preferences for video recorded information. 
      Effect of age, sex & ethnic group.
      
       
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       Thomas
      R, Deary A, D. Stockton, 
      N DeZeeuw
      . The Euro J Cancer Care. 1999; 8 83-86
      
       
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      We learnt from patients how they want information
      and discovered deficits in our service.
      
      
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       Patient
      information satisfaction following a diagnosis of cancer. 
      
       
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       Deary
      A, Thomas R. Annuls of Oncology. 1999, 9, S4, p143.
      
       
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       This is initial survey showed that patient were
      dissatisfied
      
       
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       Anxiety
      & Depression - Effect on patient’s preferences for info.
      
       
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       Thomas
      R, Brown C, Stockton D. Anns of Onc 9, S4, pp 141.
      
       
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       Poor information is associated with Anxiety and
      depression 
      
       
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       Epo
      for anaemia & qol in patients undergoing chemotherapy
      
       
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       H
      Thomas, R Thomas, K McAdam, 
      S ESMO
      , Nice 2002.
      
       
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       Epo improved anaemia and qol
      
       
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       Epoeitin:
      Attitudes of community and hospital nursing staff. 
      
       
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       A
      Deary & R Thomas. EJC. Vol.35. Suppl.4. p.30 
      (ab. 92).
      
       
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       Epo use is well accepted by nursing staff
      
       
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       Do
      patient's want the same information as the GP?
      
       
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       Kaminski
      E, Deary A, Thomas R. EJC. 1997. 33, S8, 1391.
      
       
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       Most but not all and may frighten some.
      
       
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       Patient
      preferences for a breast care nurse specialist.
      
       
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       Shingler
      G, Smith S, Thomas R. EJC. 1997. Vol. 33, S8, 1397.
      
       
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       Accepted greater responsibilities of 
      breast care nurses
      
       
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       Patients
      attitudes to a bespoke filofax information system. 
      
       
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       Kaminski
      E, Balusu R, Thomas R.  EJC.
      1997,. 33, S8, 1401.
      
       
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       Highly acceptable
      
       
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       Patient
      information: A new structured information package.
      
       
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       DeZeeuz
      N, Bulusu R, Thomas R.  EJC.
      1997. 33, S8, 1400
      
       
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       Feed back from patients helped us design this file
      
       
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       Where
      do patients seek additional information after a diagnosis?
      
       
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       Shingler
      G, Bulusu R, Thomas R. EJC. 1997. Vol. 33, Sup8, 1426.
      
       
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       Interesting insight into patient behaviour – word
      of mouth
      
       
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       Why
      Oncologist should provide a web site for their patients. 
      
       
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       L
      
      
      Dalton
      
      and R Thomas. The EJC. 1999 35. S4. p.46 
      (ab. 164).
      
       
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       Uncontrolled internet sites. We developed
      cancernet.co.uk
      
       
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       Forewarned
      is forearmed – preparatory information on video cassette for
      chemotherapy & radiotherapy - a randomised trial.
      
       
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       Thomas
      R, Daly M, Perryman B, 
      
      Stockton
      
      D. EJC 36 (2000) 1536-43. JCO
      1999 ASCO): 1570 and  EJC.;35.
      S4. 275
      
       
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       We developed, then evaluated an information film,
      free at 
      
      Bedford
      
      distributed nationally by Cancer Bacup. 
      
       
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       Developing
      and evaluating a regional information strategy.
      
       
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       R
      Thomas, C.Lockery. EJC 2001 vol 37, supp.2 pp 62
      
       
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       This review summarised our information strategies
      
       
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       Lyphpoma
      Chemotherapy – an audit of neutrpenia, dose intensity, and gcsf use in
      the 
      
      UK
      
      
      
       
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       R
      Thomas, J.Sweetman, P Hoskins. EJC 2001 vol 37, supp.2 pp119
      
       
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       Showed the lack of maintaining dose intensity in
      the 
      
      UK
      
      with gcsf
      
       
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       Adjuvant
      
      
      UK
      
      breast cancer Chemotherapy – audit of neutrpenia, dose intensity &
      gcsf.
      
       
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       R
      Thomas and R Leonard. EJC 2001 vol 37, supp.2 pp61
      
       
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       Showed the diverse choice of regimens and lack of
      maintenance of dose intensity
      
       
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       Lessons
      Learnt from Raltitrexed – QA, Patient Education and Intensive Supportive
      Drugs 
      
       
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       R.J.
      Thomas, M. Williams, J. Garcia-Vargas Clinical Oncology (2003) 00:1-6
      
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       For
      colorectal cancer - Showed how to optimize tolerability, now 
      AstraZeneca guidelines
      
       
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       Examining
      quality of life issues in relation to endocrine therapy for breast cancer.
      
       
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       Robert
      Thomas. American Journal of Clinical Oncology 2003. Vol. 26, No. 4, p
      S40-44
      
       
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       Showed the importance of letting patients have
      greater input into their management.
      
       
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       RTO1
      (MRC)
      
       
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       National
      publication
      
       
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       Conformal Rxt better 
      
       
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       Viktor
      study (MRC)
      
       
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       National
      Publication
      
       
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       Trial stopped - cardiac morbidity
      
       
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       Measuring
      information strategies – developing an information satisfaction
      questionnaire
      
       
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       Thomas
      R, Kaminski E, Stanton E and Williams M. EJCC, 2004, 13, 65-70.
      
       
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       This questionnaire is now used internationally to
      measure patient satisfaction to information
      
       
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       Giving
      patients a choice improves qol: A multi-centre, investigator-blind, RCT of
      letrozole v  anastrozole
      
       
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       R.
      Thomas, S. Godward, A. Makris, D. Bloomfield, A.M. Moody, M. Williams.
      Clinical Oncology (2004) 16: 485-491. 
      
       
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       Qol and tolerability can be improved by giving
      patients a choice.
      
       
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       Patient
      Information materials in Oncology: Are they needed and do they work?
      
       
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       Thomas
      R, and H Thorton. Clinical
      Oncology 1999;11: 225-231.
      
       
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       This review helped us understand the available
      literature and improve our service
      
       
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       How
      to deal with the complexities of patient consent?
      
       
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       Robert
      Thomas.  Pulse Clinical pp42-43
      Dec2003.
      
       
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       This review helped us re-write our consent sheet.
      
       
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       The
      changing face of informed consent
      
       
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       R
      Thomas. B Journal of Can 
      
      Man.
      
      Summer 2004 Vol. 1 No. 1.
      
       
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       This review also helped us re-write our consent
      sheet.
      
       
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       What
      are the costs of not using rhEPO to treat anaemia in cancer.
      
       
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       R
      Thomas. Focus on anaemia in cancer. 2002, 3, 2, pp52-53.
      
       
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       This review identified the most cost effective
      patients for epo
      
       
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       NICE
      guidance on supportive and palliative care – Implications for Oncology
      Teams.
      
       
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       Dr
      R Thomas and Professor Alison Richardson. Clinical Oncology (2004) 16: 420-424.
      
       
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       Summarised the NICE guidelines for oncologist
      
       
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       The
      NICE guidance on supportive and palliative care.
      
       
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       R
      Thomas and Prof A Richardson. B J CM2004. 1. 3
      
       
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       Summarised the NICE guidelines for managers
      
       
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       Anaemia
      fatigue and Epoeitin in Oncology
      
       
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       R
      Thomas. British Journal of Cancer Management. April 2005. 
      
       
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       A summary of the evidence helped us write the epo
      guidance
      
       
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       PET
      saves man
      
       
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       R
      Thomas, M Williams & S Old. BJCM 2004 Vol. 1 No. 1
      
       
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       Highlighted the advantages of PET in colorectal
      oncology
      
       
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       Information
      – Local policies or a national strategy?
      
       
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       Thomas
      R, British Medical Journal, 1999, vol 318. page 462
      
       
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       Comment on the importance of give local info for
      local patients
      
       
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       The
      Role of an Italian Volunteer Organisation.
      
       
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       F.
      De lorenzo, R. Thomas,. L. 1998. Health communications.
      
       
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       Evaluated the Italian translation of our patient
      information film.
      
       
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       An
      open randomised trial of second-line endocrine therapy in breast cancer:
      comparison of the letrozole and anastrozole.
      
       
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       C.
      Rose, O. Vtoraya, A. Pluzanska, N. Davidson, M. R. Thomas, S. Johnson, et
      al. EJC 39 (2003) 2318-2327
      
       
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       This head to head comparison suggested letrozole
      has some advantages in terms of response.
      
       
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       Dietary
      advice combined with a salicylate mineral and vitamin supplement  (CV247)- a phase II study
      
       
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       R
      Thomas, M Blades, M Williams Nutrition & Food Science. 2005 35 ,6,
      436-451.
      
       
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       One of the first studies to suggest dietary
      intervetion after cancer may affect progression
      
       
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       Avastin
      saves the day
      
       
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        R
      Thomas, A Eldin, BJCC, 2006,  vol.2,no.2,
      20-21
      
       
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       Interesting case report on the use of Avastin
      
       
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       Erbitux
      the new team player
      
       
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       Y
      Habba, R Thomas, D Skipper, M Rees, BJCM Jan 2006
      
       
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       Highlights a potential new role for erbitux
      
       
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       Complementary
      & alternative medicine- evidence online
      
       
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       J
      Richardson, K Pilkington R Thomas, BJCM 2005, 2;2,10-14
      
       
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       Reviewed the evidence for 
      CAM
      therapies often taken by patients
      
       
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       Can
      we move to a paperless information system?
      
       
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       A
      Deary, R Thomas, M Williams ESMO 2005
      
       
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       Evaluated the attitudes & costs of an online
      only system
      
       
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       Patients
      in trials are more satisfied with their received info
      
       
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       R
      Thomas, M Williams ESMO 2005
      
       
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       Reassures patients they are well informed in
      clinical trials
      
       
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       Phase
      111 study of gemcitabine and capecitabine for pancreas
      
       
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       National
      publication 
      
       
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       Help understand the chemo responsiveness of
      pancreatic ca.
      
       
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       Can
      switching to letrozole improve hot flushes, qol and patient preference
      
       
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       R
      Thomas, L Walker, C Marshall, 
      
      San Antonio
      
      breast cancer conference 2005 & ESMO Istanbul 2006
      
       
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       This study, with Hull & Cranfield Universities
      highlights the qol benefits of changing to letrozole
      
       
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       Adjuvant
      breast cancer drugs – blockbusters or bankrupters
      
       
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       R
      Thomas, J Green, M Callam. BJCM Jan 2006
      
       
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       Reviewed evidence & cost of 
      Rx for our health economics study with 
      
      Cranfield
      
      University
      
      
      
       
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    | Cost
      effectiveness of adjuvant exemestane | 
    R
      Thomas, M Williams, J Glen 
      
      ECCO 2007 and Nottingham Breast conference 2007 | 
      | 
  
  
    | Cost
      effectiveness of adjuvant arimidex | 
    R
      Thomas, M Williams, J Glen  - ongoing
      
       | 
      | 
  
  
    | Cost
      effectiveness of adjuvant taxotere | 
    R
      Thomas, M Williams, J Glen - ongoing
      
       | 
      | 
  
  
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       Can
      switching to exemestane improve hot flushes, qol and patient preference
      
       
     | 
    
       R
      Thomas, L Walker, C Marshall, 
      
      ECCO 2007 - ongoing
      
       
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       This study, with Hull & Cranfield Universities
      highlights the qol benefits of changing to exemestane
      
       
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       Double
      blind randomised trial of  CV247 v sodium salicylate in men with indolent
      prostate cancer 
     | 
    
       R
      Thomas, M Williams etc - ongoing 
     | 
    
       NCRN
      trial designed at Bedford. completed and being analysed. 
     |