Evaluation of Asymptomatic Radiation Induced Lung Injury (EARLY) Study
Open
Dr Raj Shrimali
University Hospitals Coventry & Warwickshire NHS Trust
To record and analyse the actual impact of radical radiotherapy treatment (with or without chemotherapy) on the typical trend and average decline in Lung function, compared to baseline
Single centre, prospective cohort pilot study
Oncology and Respiratory Physiology
70
Radiotherapy is commonly used for treatment of lung or oesophageal cancers, and radiation-induced lung damage (pneumonitis and fibrosis) is recognised as a complication. Pulmonary function tests (PFT), also known as lung function tests, are breathing tests designed to show how well the lungs and airways are working and delivering oxygen to the bloodstream. PFT are routinely carried out before radiotherapy to assess whether a patient’s lungs are fit to receive this treatment. However, these tests are not usually repeated after radiotherapy unless a patient has overt symptoms.
In this study, regardless of whether they have symptoms or not, we aim to repeat the tests assessing respiratory physiology at defined time points (3, 6, 12 months) after radiotherapy treatment. Furthermore, we aim to explore whether these tests show any correlation with respiratory symptoms as reported in St George’s Respiratory Questionnaire (SGRQ). These extra tests do not involve any exposure to radiation and are minimally invasive. This study is not testing any intervention or treatment, and does not require the patients to take any extra medications. We would try and schedule these tests to take place on the same day as routine follow-up clinic appointment, as far as possible.
In this study (pilot phase) we are aiming to recruit 70 patients, over 2.5 years, and the study will close when the last patient has completed the final assessment at 1 year, after radiotherapy.
06/12/2019
3.5 years
Tel: 02476 967151
Email: kay.sanders@uhcw.nhs.uk
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IMPORTANT INFORMATION ON BLOOD TESTING DUE TO COVID-19
If you are experiencing symptoms associated with COVID-19, e.g. fever, loss of taste or continuous new cough, please DO NOT attend for a blood test.
Earlier this year, the Government revised the guidance on Shielding for CEV patients. All those who have been identified as CEV have been advised to follow the same guidance as everyone else, whilst potentially thinking about extra precautions you could take to reduce your chance of catching COVID-19.
Taking into account this guidance, and the evidence that most patients have now resumed having their blood tests at their usual preferred location, UHCW will no longer be providing the Shielding phlebotomy service from Monday 13 December 2021. You will need to make arrangements to get your blood tests done, as you did prior to the pandemic at locations across Coventry and Warwickshire at www.uhcw.nhs.uk/bloodtests If your specialist has requested a blood test which is due to be taken prior to Monday 13th December, you can expect it to take place at a ‘Pop-up’ clinic, as before. Any blood tests required after this date will need to be a booked appointment.
You can keep up to date with the latest advice from the Government and from UHCW on the following website: www.gov.uk/government/publications/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19/guidance-on-shielding-and-protecting-extremely-vulnerable-persons-from-covid-19
Click on the map for information about phlebotomy clinics in Coventry. You can book an appointment online at the locations in red.
Please book an appointment before attending for a blood test. Click on the ‘Book Online’ button above. Booking an appointment helps patients, their carers and family members to plan their hospital visit better, helping to reduce clinic waiting times and enabling patients to be seen much more quickly.
Location: Outpatients Department, on the ground floor. Opening hours: 8am-4.45pm, Monday to Friday (excluding bank holidays).
Children under 16 years old will need to book online here.
Please book an appointment before attending for a blood test, click on the ‘Book Online’ button above. Patients from Rugby and the surrounding areas are able to access the Friends Blood Taking Unit at the Hospital of St Cross.
Referrals for blood tests can be from GP's, practice nurses or from hospital consultants. Patients are also able to leave other samples, such as urine, which have been collected at home, at the hospital's Pathology Reception.
Location: Near Brookfield House, just off North Road - map here. Opening hours: The blood taking clinic sessions for adults and children are listed below:
Monday -Friday 7am-4:45pm Appointment only
Wednesday Evening 5pm-7pm Suspended due to COVID
Saturday Morning 7am-10pm Suspended due to COVID
April 2020 NEW - This Clinic is now by appointment. Please book an appointment before attending for a blood test. Click on the ‘Book Online’ button above.
Address: Stoney Stanton Road, Coventry CV1 4FS Location: Access is via the main doors, the Phlebotomy team are in Area A. Opening hours: Monday to Friday (excluding bank holidays). 8am–4.45pm
Glucose Tolerance Test (GTT)
Specialist Tests - There are a small number of specialist tests where blood needs to be taken on a hospital site as the sample must be transferred to the laboratory rapidly for the test to be undertaken. Click here for a list of these specialist tests and to find out more.