Goals of Care Discussion for Patients With Advanced Lung and Gastrointestinal Cancer in the Emergency Department of a Comprehensive Cancer Center
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Lung Cancer
- Sponsor
- M.D. Anderson Cancer Center
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- Quality Of Life Questionnaire
- Status
- Recruiting
- Last Updated
- 4 months ago
Overview
Brief Summary
To improve quality of life for participants with advanced cancer, support their families, and lower overall cost of care.
Detailed Description
Primary Objective: To compare overall percentage of days spent in an acute care setting over the 30-day period from time of the index emergency department (ED), referred to as Acute Cancer Care Center (ACCC), visit for patients who receive the emergency department-based GOC intervention and those who do not. Secondary Objective: To obtain data on rates of admission to the ICU, death in the hospital setting, symptom improvement for participants hospitalized, hospice referral, survival, and 30-day care costs for participants who receive the GOC intervention in the ACCC and those who do not.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Participant is at least 18 years old presenting to the triage area of the MDACC ACCC for treatment
- •Participant has advanced lung or GI cancer. Advanced cancer patient defined as: locally recurrent or metastatic for which there is no curative treatment available.
- •Participant screens positive for at least 2 of 3 triple threat conditions (dyspnea, altered mental status, or poor performance status)
- •Participant has the ability to speak and write in English
- •Participant has the ability to provide consent OR is accompanied by a LAR able to provide consent
Exclusion Criteria
- •Participant is already enrolled in hospice
- •Participant is comatose
- •Participant has severe intellectual disability
- •Participant has a history of dementia documented in the medical records
- •Participant has baseline communication barriers such as aphasia or deafness
- •Participant is new to MDACC, without established oncology care at our institution at time of ACCC arrival
- •Participant is 18 years or older, currently cared for by pediatrics service
- •Pregnant women
Outcomes
Primary Outcomes
Quality Of Life Questionnaire
Time Frame: through study completion; an average of 1 year