Evaluation of the Impact of a Coordinating Nurse in a Personalized Care Program on Quality of Care, Coordination of the Actors and on Quality of Life for Patients With Lung Cancer

NCT ID: NCT02822209

Last Updated: 2019-08-21

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

COMPLETED

Clinical Phase

NA

Total Enrollment

59 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-05-11

Study Completion Date

2017-12-08

Brief Summary

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The prognosis of patients with lung cancer is related to the stage of the diagnosis : 73% of one-year-survival rate at stage IA and only 13% one-year-survival rate at stage IV. Controlling the timelines in a care program seems crucial to improve prognosis of lung cancer.

The project aims to evaluate the impact of a coordinating nurse (CN) in a personalized care program for patients of thoracic oncology.

Detailed Description

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New strategies therapeutics result in a longer survival rate. However their side effects affect the patient's quality of life. Even if these side effects are ambulatory manageable, they require to be treated promptly and tends to increase the active list of patients of the thoracic oncology.

Due to the alteration in the care provided to lung cancer patient, there is a need to coordinate the available means, inside and outside the hospital, to improve the quality of care and the quality of life of the patient.

Every patient of the thoracic oncology department receives a personalized care program as a routine practice. In this study, a coordinating nurse (CN) will be added to the personalized care program. Patients newly diagnosed with a lung cancer will be randomized either in the group with a CN or in the group without a CN.

The study will last one year maximum for each participant. Their quality of life, their satisfaction of the quality of the personalized care program - and their general practitioner's satisfaction - will be evaluated throughout the study.

Conditions

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Lung Cancer

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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Coordinating nurse added to the personalized care program

The coordinating nurse (CN) is dedicated to the newly diagnosed patient to optimize their personalized care program.

* The CN is the connection between the medical team and the patient. They act according to the instructions from the multidisciplinary staff in charge of bronchopulmonary cancer patients.:

e.g. Schedule an exam or an hospitalization, collect and share results of useful information to correct treatment's side effects etc
* Main contact of the patient, the general practitioner and the patient's relatives, they give practical information for the patient's case
* Quality of life questionnaires - EORTC QLQ-C30 and EORTC QLQ-LC13 - completed by the patient throughout the study.
* 2 Satisfaction questionnaires completed :
* satisfaction questionnaire - patient,
* satisfaction questionnaire - general practitioner or home nurse

Group Type EXPERIMENTAL

EORTC QLQ-C30

Intervention Type BEHAVIORAL

Questionnaire submitted at the beginning of the study. Then three more times : 3, 6 and 12 months after the start of anti-cancer therapy. The questionnaire can also be completed before the 12th month: when the care program is about to end

Satisfaction questionnaire - patient

Intervention Type BEHAVIORAL

The patient will fill in a satisfaction questionnaire three times : around the third, the sixth and the twelfth month after they started an anti-cancer therapy.

Satisfaction questionnaire - general practitioner or home nurse

Intervention Type BEHAVIORAL

The general practitioner or the nurse in charge of the patient at home will fill in a satisfaction questionnaire six months after the patient started an anti-cancer therapy.

EORTC QLQ-LC13

Intervention Type BEHAVIORAL

Questionnaire submitted at the beginning of the study. Then three more times : 3, 6 and 12 months after the start of anti-cancer therapy. The questionnaire can also be completed before the 12th month: when the care program is about to end

Personalized care program as routine practice

A personalized care program is decided for the newly diagnosed patient by the multidisciplinary team in charge of lung cancer.

The care provided will be organized by the medical team, and besides the oncologist, no principal coordinating contact will be in charge of the patient.

The quality of life questionnaire - EORTC QLQ-C30 and QLQ-LC13 - will be completed by the patient throughout the study.

* 2 Satisfaction questionnaires completed :
* satisfaction questionnaire - patient,
* satisfaction questionnaire - general practitioner or home nurse

Group Type ACTIVE_COMPARATOR

EORTC QLQ-C30

Intervention Type BEHAVIORAL

Questionnaire submitted at the beginning of the study. Then three more times : 3, 6 and 12 months after the start of anti-cancer therapy. The questionnaire can also be completed before the 12th month: when the care program is about to end

Satisfaction questionnaire - patient

Intervention Type BEHAVIORAL

The patient will fill in a satisfaction questionnaire three times : around the third, the sixth and the twelfth month after they started an anti-cancer therapy.

Satisfaction questionnaire - general practitioner or home nurse

Intervention Type BEHAVIORAL

The general practitioner or the nurse in charge of the patient at home will fill in a satisfaction questionnaire six months after the patient started an anti-cancer therapy.

EORTC QLQ-LC13

Intervention Type BEHAVIORAL

Questionnaire submitted at the beginning of the study. Then three more times : 3, 6 and 12 months after the start of anti-cancer therapy. The questionnaire can also be completed before the 12th month: when the care program is about to end

Interventions

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EORTC QLQ-C30

Questionnaire submitted at the beginning of the study. Then three more times : 3, 6 and 12 months after the start of anti-cancer therapy. The questionnaire can also be completed before the 12th month: when the care program is about to end

Intervention Type BEHAVIORAL

Satisfaction questionnaire - patient

The patient will fill in a satisfaction questionnaire three times : around the third, the sixth and the twelfth month after they started an anti-cancer therapy.

Intervention Type BEHAVIORAL

Satisfaction questionnaire - general practitioner or home nurse

The general practitioner or the nurse in charge of the patient at home will fill in a satisfaction questionnaire six months after the patient started an anti-cancer therapy.

Intervention Type BEHAVIORAL

EORTC QLQ-LC13

Questionnaire submitted at the beginning of the study. Then three more times : 3, 6 and 12 months after the start of anti-cancer therapy. The questionnaire can also be completed before the 12th month: when the care program is about to end

Intervention Type BEHAVIORAL

Other Intervention Names

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The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Lung Cancer

Eligibility Criteria

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Inclusion Criteria

* Patient of the thoracic oncology ward between April and November 2016
* Newly diagnosed lung cancer
* Treated in the pneumology ward of the Mulhouse Hospital (France)
* Patient enrolled in another clinical trial can also be enrolled in this study
* Patients who have not disagreed to participate to the study

Exclusion Criteria

* Secondary cancer in lung
* Relapse of primary cancer in lung of the same histological type
* Previous enrollment in this study
* Uncontrolled psychological problem
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Groupe Hospitalier de la Region de Mulhouse et Sud Alsace

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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GHRMSA

Mulhouse, , France

Site Status

Countries

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France

References

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Martin F, Piquet J, Orlando JP, Blanchon F, Lebas FX. [Clinical research in pneumology in French general hospitals]. Rev Mal Respir. 2014 Nov;31(9):801-3. doi: 10.1016/j.rmr.2014.10.726. Epub 2014 Nov 5. No abstract available. French.

Reference Type BACKGROUND
PMID: 25433584 (View on PubMed)

Locher C, Debieuvre D, Coetmeur D, Goupil F, Molinier O, Collon T, Dayen C, Le Treut J, Asselain B, Martin F, Blanchon F, Grivaux M. Major changes in lung cancer over the last ten years in France: the KBP-CPHG studies. Lung Cancer. 2013 Jul;81(1):32-8. doi: 10.1016/j.lungcan.2013.03.001. Epub 2013 Mar 29.

Reference Type BACKGROUND
PMID: 23541463 (View on PubMed)

Grivaux M, Locher C, Bombaron P, Collon T, Coetmeur D, Dayen C, Debieuvre D, Goupil F, Le Treut J, Martin F, Molinier O, Asselain B, Zureik M, Blanchon F. [Study KBP-2010-CPHG: inclusion of new cases of primary lung cancer diagnosed in general hospital pneumology departments between 1st January and 31 December 2010]. Rev Pneumol Clin. 2010 Dec;66(6):375-82. doi: 10.1016/j.pneumo.2010.08.001. Epub 2010 Dec 3. French.

Reference Type BACKGROUND
PMID: 21167448 (View on PubMed)

Leveque N, Brouchet L, Lepage B, Hermant C, Bigay-Game L, Plat G, Dahan M, Riviere D, Didier A, Mazieres J. [An analysis of treatment delays of thoracic cancers: a prospective study]. Rev Mal Respir. 2014 Mar;31(3):208-13. doi: 10.1016/j.rmr.2013.10.001. Epub 2013 Oct 28. French.

Reference Type BACKGROUND
PMID: 24680111 (View on PubMed)

Goldstraw P, Crowley J, Chansky K, Giroux DJ, Groome PA, Rami-Porta R, Postmus PE, Rusch V, Sobin L; International Association for the Study of Lung Cancer International Staging Committee; Participating Institutions. The IASLC Lung Cancer Staging Project: proposals for the revision of the TNM stage groupings in the forthcoming (seventh) edition of the TNM Classification of malignant tumours. J Thorac Oncol. 2007 Aug;2(8):706-14. doi: 10.1097/JTO.0b013e31812f3c1a.

Reference Type BACKGROUND
PMID: 17762336 (View on PubMed)

Other Identifiers

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2015-A01660-49

Identifier Type: OTHER

Identifier Source: secondary_id

804

Identifier Type: -

Identifier Source: org_study_id

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