Goals of Care Discussion for Patients With Advanced Lung and Gastrointestinal Cancer in the Emergency Department of a Comprehensive Cancer Center
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 200
- 试验地点
- 2
- 主要终点
- Quality Of Life Questionnaire
研究概览
简要总结
To improve quality of life for participants with advanced cancer, support their families, and lower overall cost of care.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
Acute Cancer Care Center
In Group 1, participants will receive the usual standard of care, during your emergency room visit, provided by the Acute Cancer Care Center (ACCC) treating doctor who will address symptoms and other medical problems that brought the participant to the emergency room.
干预措施: Standard of Care (Acute Cancer Care Center) (Other)
Goals of Care
In Group 2, participants will receive the above usual standard of care plus goals of care (GOC) intervention.
干预措施: Standard of Care (Goals of Care) (Other)
结局指标
主要结局
Quality Of Life Questionnaire
时间窗: through study completion; an average of 1 year
次要结局
未报告次要终点