looking at care received by children with cancer in India in the last few days of their life
Not Applicable
- Conditions
- Health Condition 1: C00-D49- Neoplasms
- Registration Number
- CTRI/2020/12/029960
- Lead Sponsor
- Pain Relief and Palliative Care Society
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Inclusion Criteria
1. All patients less than 18 years
2. AND Poor prognostic cancer which is defined as
a. Stage IV cancer at diagnosis
b. Progressive disease, either primary refractory, or following relapse
c. Newly diagnosed cancer, child unfit for treatment due to poor general condition at
presentation
3. AND Died during the study period (Jan 1, 2017-Dec 31, 2019)
4. AND Died either at healthcare facilities (hospital or hospice) OR died at home (only for children
who received community-based palliative care services)
Exclusion Criteria
1. Death at home where no community-based palliative care service was involved
2. Inadequate records (as defined in central document)
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Receipt of cancer-directed treatments (chemotherapy/radiotherapy) and high intensity care at the <br/ ><br>end of life(CPR, intubation/mechanical ventilation, renal replacement therapy (dialysis), <br/ ><br>parenteral nutrition, inotropes, terminal ICU admission)Timepoint: 01-01-2017 to 31-12-2019
- Secondary Outcome Measures
Name Time Method 1. Location and cause of death (disease vs treatment-related) <br/ ><br>2. Presence of and treatments for pain and other symptoms at the end of life <br/ ><br>3. Referral for or provision of specialist palliative care service and/or other forms of psychosocial support <br/ ><br>4. Characteristics of communication with family about prognosis, treatment options and appropriate goals of care at end of life <br/ ><br>5. Participating organizations� capacity and infrastructureTimepoint: 01-01-2017 to 31-12-2019