Patient-Centered Care for the Older Adult With Hematologic Malignancy

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

View full results

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-02-01

Study Completion Date

2020-05-01

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This research study is evaluating if co-management by a geriatrician embedded in the oncology clinic can improve outcomes for frail older adults with blood cancers. A rigorous pre-entry frailty assessment by a trained research assistant will be followed by randomization to geriatrician co-management versus usual care for patients found to be frail or pre-frail.

Related Clinical Trials

Explore similar clinical trials based on study characteristics and research focus.

A Geriatric Oncology Collaborative Care Intervention for Older Adults With Advanced Cancer

NCT03721926

Other Cancer

COMPLETED NA

Telephone OncoGériatric Followed in the Management of Elderly Patients Treated for Cancer or Haematological Malignancy

NCT02583035

Cancer Hematologic Malignancy

COMPLETED NA

Transdisciplinary Intervention Integrating Geriatric And Palliative Care With Oncology Care For Older Adults With Cancer

NCT02868112

Cancer

COMPLETED NA

Understanding the Preferences and Views of Older Adults on the Use of Geriatric and Objective Functional Assessments for Cancer Treatment Planning.

NCT06652347

Care Delivery Geriatrics Geriatric Assessment

RECRUITING NA

Understanding Needs of Older Patients Prior to Starting Cancer Treatment

NCT07225920

Hematopoietic and Lymphatic System Neoplasm Malignant Solid Neoplasm

ENROLLING_BY_INVITATION NA

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Older adults have unique health concerns, and in particular, older adults with blood cancers may have different disease and other health related issues than younger adults with similar diagnoses. One aspect of aging which can make older adults more vulnerable is frailty. Frailty is a general term that describes a decline in multiple areas of health, including the loss of energy, physical ability, and mental ability. Frailty can make it difficult for patients with cancer to respond to treatment and more likely to have side effects. On the other hand, many older patients are not frail despite advanced age. This study is being done to determine if co-management by a geriatrician of older adults who are found to be frail through a detailed baseline assessment can improve outcomes.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Hematologic Malignancy

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Usual Care

Frail/pre-frail hematologic oncology patients receive usual care

Group Type OTHER

Baseline Geriatric Screening/Assessment

Intervention Type OTHER

All patients receive baseline geriatric screening/assessment by a research assistant to determine frailty status.

Geriatrician Co-Management

Frail/pre-frail hematologic oncology patients receive co-management by a geriatrician

Group Type ACTIVE_COMPARATOR

Baseline Geriatric Screening/Assessment

Intervention Type OTHER

All patients receive baseline geriatric screening/assessment by a research assistant to determine frailty status.

Geriatrician Co-Management

Intervention Type OTHER

A board-certified geriatrician embedded in the oncology clinic will co-manage patients randomized to this arm.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Baseline Geriatric Screening/Assessment

All patients receive baseline geriatric screening/assessment by a research assistant to determine frailty status.

Intervention Type OTHER

Geriatrician Co-Management

A board-certified geriatrician embedded in the oncology clinic will co-manage patients randomized to this arm.

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* All patients aged 75 and older who present for an initial consultation at the Dana-Farber/Brigham and Women's Cancer Center for hematologic malignancy (transplantation consultation excluded).
* Assessed to be pre-frail or frail on formal baseline geriatric assessment.