A Randomized Study of Early Palliative Care

NCT ID: NCT02311465

Last Updated: 2015-12-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2015-12-31

Study Completion Date

2015-12-31

Brief Summary

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The purpose of this research study is to find out whether it is better to introduce cancer patients to the palliative care team at a later date when there is a specific issue or problem or to introduce cancer patients to the palliative care team when first diagnosed before any specific issue or problem occurs.

Detailed Description

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The investigators will conduct a one-year randomized, controlled study to evaluate the impact of an early, integrated palliative care services. The intervention will include comprehensive palliative care services delivered in conjunction with standard oncology care and patient friendly materials for high risk oncology patients. The investigators primary clinical endpoint will be health related quality of life, specifically focusing on measures of anxiety, depression, and well-being.

Secondary personalized palliative care outcomes are expected to include:

* Reduced deviations from care plan as captured in the medical record compared to the group who did not receive early, integrated palliative care services
* Reduced hospital utilization compared to the group who did not receive early, integrated palliative care services

Conditions

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Quality of Life

Keywords

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Palliative Care

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Palliative Care + Standard of Care

Consenting patients will be approached by a research nurse to complete quality of life questionnaires (baseline measures) either in the oncology clinics or infusion clinics. Patients assigned to early palliative care will meet with a member of the palliative care team after enrollment and completion of the initial questionnaires to receive and review patient-oriented materials detailing palliative care services. Patients will then receive a comprehensive initial consult with a palliative care provider (a trained physician, nurse or nurse practitioner). Additional consults with the palliative care service will be scheduled approximately every 6 weeks for the duration of the study period (one year) at the discretion of the patient and palliative care provider.

Group Type EXPERIMENTAL

Palliative Care

Intervention Type OTHER

Components of the palliative care service intervention are expected to include:

* Establishment of a palliative care plan
* Care coordination by palliative care team
* Informational, patient friendly materials supporting Palliative Care
* Communication by palliative care team to all providers and teams involved in patient's care
* Systematic collection of information, including identification of surrogate or health care proxy and advance care planning
* Questionnaires capturing health related quality of life at regular intervals throughout the intervention period

Standard of Care

Patients will receive standard care from their oncologist. An assessment of health related quality of life will be conducted at regular oncology clinic visits at baseline and 3,6,9,and 12 months.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Palliative Care

Components of the palliative care service intervention are expected to include:

* Establishment of a palliative care plan
* Care coordination by palliative care team
* Informational, patient friendly materials supporting Palliative Care
* Communication by palliative care team to all providers and teams involved in patient's care
* Systematic collection of information, including identification of surrogate or health care proxy and advance care planning
* Questionnaires capturing health related quality of life at regular intervals throughout the intervention period

Intervention Type OTHER

Other Intervention Names

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Support Care

Eligibility Criteria

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Inclusion Criteria

* -Adults with newly diagnosed pancreatic, hepatocellular, esophageal, or stomach cancer
* Upcoming scheduled oncology clinic visit (2nd visit to the clinic) at Vanderbilt
* Ability to read and respond to questions in English
* Permission of oncology physician

Exclusion Criteria

* -Receiving oncology care at non-Vanderbilt sites (to ensure appropriate follow-up)
* Participation in another clinical trial
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vanderbilt University

OTHER

Sponsor Role lead

Responsible Party

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Gordon Bernard

Professor of Medicine; Associate Vice-Chancellor for Research

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Gordon Bernard, MD

Role: PRINCIPAL_INVESTIGATOR

Vanderbilt University Medical Center

Locations

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Vanderbilt University

Nashville, Tennessee, United States

Site Status

Countries

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United States

Other Identifiers

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141854

Identifier Type: -

Identifier Source: org_study_id