Does outpatient advance care planning by the Palliative Advice and Consultation Team (PACT) lead to cost-saving and patient-oriented care?

Phase 3

Completed

Conditions: upper GI tract malignancy
Cancer
10017991

Registration Number: NL-OMON45860

Lead Sponsor: Isala Klinieken

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: Not specified

Target Recruitment: 20

Inclusion Criteria

To be part of the study, patients must meet the following criteria:
- Patients with a minimum age of 18 years.
- Patients have given permission through informed consent.
- Patients diagnosed with a non-curable upper gastrointestinal tract malignancy in an outpatient setting.
- Estimated life expectancy less than one year.
- Outpatient visit with internist oncologist to discuss system-oriented therapy.
- Intervention takes place within one month of determination of not curable illness.

Exclusion Criteria

Patients with the following criteria may not be part of the study:
- Patients with limited cognitive function. This includespatients with cognitive or psychiatric co-morbidity and patients with brain metastases in which cognitive functions are affected.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>Primary outcome measure is the number of days admitted to the hospital after<br /><br>three months after inclusion.</p><br>

Secondary Outcome Measures

Name	Time	Method
<p>Secondary outcome measures are the number of admissions, the average length of<br /><br>admission, the number of emergency room visits, the number of contact moments<br /><br>with the specialized nurse, the quality of life of the patient (EORTC QLQ-C30),<br /><br>the quality of life of relatives (EDIZ) and the satisfaction of fellow<br /><br>practitioners (scale from 0 to 10) after one month and three months after<br /><br>inclusion. In addition, the number of days admitted to the hospital after one<br /><br>month after inclusion, the survival and the place of death in relation to the<br /><br>wished place of death.</p><br>