Integrating Palliative Care in Liver Cancer Care Pathways

Not Applicable

Recruiting

• Conditions: Hepatocellular carcinoma; Palliative care; Cancer - Liver

• Registration Number: ACTRN12623000010695
• Lead Sponsor: The University of Sydney

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2023-01-09
• Last Update Posted: 29 January 2024

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 500

Inclusion Criteria

Sites will be ambulatory liver cancer clinics at participating hospitals.
Participants will include patients, carers and centre staff at each site.

Liver cancer patients
1. Attend a participating liver cancer and palliative care centre as an outpatient during the study period
2. Have a diagnosis of current active liver cancer
3. Be able to self-complete a 0-10 liver-specific Edmonton Symptom Assessment scale (ESAS)

Inclusion criteria for carers will be:
1. Identified by a patient who has completed the symptom and needs assessment as providing them with substantial emotional and practical support in an unpaid capacity
2. Have spoken and written English proficiency sufficient to complete the Carer-Support Needs Assessment Tool (CSNAT).

Inclusion criteria for centre staff :
1.Employed full- or part-time at a participating cancer or palliative care centre in a role that provides clinical care to patients with liver cancer
2.Provide written informed consent.

Exclusion Criteria

Exclusion criteria for liver cancer patients:
1. Patients with Barcelona Clinic Liver Cancer (BCLC) stage A disease and no underlying liver disease
2. Patients with advanced disease (BCLC D) where inpatient care or direct referral to palliative care has been performed prior to ambulatory liver cancer clinic appointment.
3. Those who opt-out of completing the ESAS and needs assessment as part of their clinic assessment.
4. Participation at another centre taking part in the trial;
5. Documented as having cognitive impairment that would preclude capacity to give informed consent.

Exclusion criteria for carers:
1.Those who opt-out of completing the needs assessment as part of the assessment of the person for whom they are providing care.

Study & Design

• Study Type: Interventional
• Study Design: Not specified