Rapid First Contact Using Virtual Visits to Improve Time-To-Treatment for Patients With Uterine Cancer
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 主要终点
- Time to treatment following diagnosis to treatment initiation
研究概览
简要总结
This project aims to evaluate whether rapid first contact with the oncologist the same day or the next day after pathologic diagnosis contributes to a decreased time to treatment, decreased patient anxiety and increased patient satisfaction.
详细描述
Time to treatment (time from disease diagnosis to initiation of treatment) impacts outcomes in uterine cancer. When controlled for stage, patients with longer time to treatment tend to have less favorable outcomes. Similarly, longer time to treatment has a negative impact on patients' quality of life and markers for anxiety. Our experience at this institution suggests that the time to referral (time from uterine cancer diagnosis and the patients' first encounter with the oncologist) is variable and presents the greatest opportunity for decreasing time to treatment. Among the factors that contribute to the time to referral are the time taken by the referring provider to relay the diagnosis to the patient, time taken to schedule an appointment with the specialist, and the patient's availability to keep an appointment.
Virtual visits provide an opportunity to expedite consultation with the treating oncologist by removing some of the barriers that delay face-to-face visits. Among these barriers are patients' availability for a short notice face-to-face visit based on their work or family obligations, access to transportation, and mental preparedness.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Uterine cancer diagnosis on biopsy read by Cleveland Clinic Pathology Department
- •Patients must be willing to participate in a virtual visit as the initial meeting with an oncologist at the Cleveland Clinic.
- •Receive care at Fairview Hospital, Hillcrest Hospital or Cleveland Clinic Main Campus
- •Internet connected smartphone or internet connected computer with webcam
- •Participants must have email access
- •English speaking
- •Competent to make clinic decisions
排除标准
- •No diagnosis of uterine cancer
研究组 & 干预措施
Rapid first contact virtual visit
Subjects will accept the offer of a virtual visit after being contacted by the nurse to offer a virtual visit with the oncologist prior to the in person office visit once a diagnosis has been confirmed. Subjects will be randomized after accepting offer of a virtual visit.
干预措施: Virtual visit (Behavioral)
First contact in person office visit
Subjects will accept the offer of a virtual visit after being contacted by the nurse to offer a virtual visit with the oncologist prior to the in person office visit once a diagnosis has been confirmed. Subjects will be randomized after accepting offer of a virtual visit.
干预措施: Office visit (Behavioral)
结局指标
主要结局
Time to treatment following diagnosis to treatment initiation
时间窗: 30 days
How long between diagnosis to treatment
次要结局
- Number of patients willing to pay for a virtual visit(30 days)
- Amount of anxiety demonstrated when virtual visits are added(30 days)
- Number of patients with improved satisfaction scores(30 days)