A Pilot Randomized Trial of a Comprehensive Transitional Care Program for Colorectal Cancer Patients

Not Applicable

Withdrawn

• Conditions: Comprehensive Transitional Care Program; Colorectal Cancer
• Interventions: Other: Transition coach; Other: Timely PCP communication; Other: Follow-up telephone call

• Registration Number: NCT02202096
• Lead Sponsor: The University of Texas Health Science Center, Houston

Brief Summary

The primary hypothesis is that a comprehensive transitional care program based on the premise of a patient-centered medical home versus routine care reduces emergency room visits and hospital readmissions without increasing costs among cancer patients undergoing surgery at a large safety-net hospital.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2014-05-19
• Study First Submitted QC: 2014-07-24
• Study First Posted: 2014-07-28
• Study Start: 2015-02
• Primary Completion: 2016-02
• Status Verified: 2016-06
• Last Update Submitted: 2016-06-13
• Last Update Posted: 2016-06-14

Recruitment & Eligibility

• Status: WITHDRAWN
• Sex: All
• Target Recruitment: Not specified

Inclusion Criteria

• Diagnosis of colorectal cancer
• Adults, Age 18 years or older
• Undergoing surgery for either palliative cure or palliation

Exclusion Criteria

• Patients not expected to survive hospital based on the operating surgeon's opinion
• Children under the age of 18 years

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention (plus usual care)	Timely PCP communication	Patient education: One-on-one visit Discharge planning: Assessment of barriers to discharge Medication reconciliation: Patient medication review Appointment before discharge: Additional measure to ensure awareness of next clinic visit Transition coach Patient-centered discharge instructions: Enhanced Provider continuity: Specific surgeons responsible for coordinating care with medical/radiation oncology Timely follow-up: Barriers to clinic follow-up visits will be discussed Timely PCP communication Follow-up telephone call Patient hotline: 24 hour follow-up following call to Ask My Nurse number
Intervention (plus usual care)	Transition coach	Patient education: One-on-one visit Discharge planning: Assessment of barriers to discharge Medication reconciliation: Patient medication review Appointment before discharge: Additional measure to ensure awareness of next clinic visit Transition coach Patient-centered discharge instructions: Enhanced Provider continuity: Specific surgeons responsible for coordinating care with medical/radiation oncology Timely follow-up: Barriers to clinic follow-up visits will be discussed Timely PCP communication Follow-up telephone call Patient hotline: 24 hour follow-up following call to Ask My Nurse number
Intervention (plus usual care)	Follow-up telephone call	Patient education: One-on-one visit Discharge planning: Assessment of barriers to discharge Medication reconciliation: Patient medication review Appointment before discharge: Additional measure to ensure awareness of next clinic visit Transition coach Patient-centered discharge instructions: Enhanced Provider continuity: Specific surgeons responsible for coordinating care with medical/radiation oncology Timely follow-up: Barriers to clinic follow-up visits will be discussed Timely PCP communication Follow-up telephone call Patient hotline: 24 hour follow-up following call to Ask My Nurse number

Primary Outcome Measures

Name	Time	Method
Number of post-operative ER visits and readmissions	up to 30 days postoperatively	The number of times the patient returned to the ER and/or was readmitted to the hospital withing 30 days following their surgery

Trial Locations

Locations (1)

Lyndon B. Johnson General Hospital; 🇺🇸 Houston, Texas, United States