Ultrasound in palliative care

Completed

• Conditions: Malignant (primary) neoplasm, unspecified,

• Registration Number: CTRI/2022/03/041019
• Lead Sponsor: AIIMS New Delhi

Brief Summary

After obtaining institutional ethical clearance and CTRIregistration this study has been conducted over 13 months as a single canteredstudy in our tertiary center to assess the role of early integration of POCUSin abdomino-thoraco-pelvic-breast malignancy patients admitted to ourpalliative care ward. When our study population presents to our palliative careward with some acute medical condition, POCUS evaluation of the thorax,abdomen, DVT 2-point test (femoral vein and popliteal vein), ONSD is done forall patients irrespective of symptoms. The POCUS diagnosis will be correlatedwith the physical examination findings by a palliative physician and any newfinding potential to change the management plan is recorded as a positive POCUSoutcome. This examination is done on the same day of admission after theclinical examination. Out of these 320 examined cases, 91 patients had positivePOCUS outcomes (28%). Also, the early presentation to palliative care sincediagnosis as seen with the highest of 72 patients presenting within 2 months ofdiagnosis, increases the responsibility of the palliative physician toimprovise his skill on this easily available and reliable diagnostic tool.Oncology patients with an increase in survival are seen along with advances intreatment options, so there is a major cohort of palliative patients whoseacute symptoms are also inadequately evaluated contributing it all blindly tothe incurable nature/ stage of the disease, poor ECOG-PS of the patients. Butthis bedside POCUS with its versatile nature is capable to provide anon-invasive, affordable, time-saving report and helping in the management ofthe symptoms to improve the quality of life in these patients.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-11-03
• Last Update Posted: 2023-07-17
• Study Completion: 2023-08-04

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 300

Inclusion Criteria

Primary thoracoabdominopelvic and breast cancer patient of ECOG-PS 0-4 irrespective of disease staging and presenting symptoms requiring palliative care.

Exclusion Criteria

Patient refusal to participate, admitted for End Of Life Care(EOLC),presence of cognitive impairment, agitation ,dementia.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To assess the role of early integration of POCUS in management of patients with thoracoabdominopelvic and breast cancer admitted in oncopalliative care	at baseline

Secondary Outcome Measures

Name	Time	Method
To see type of intervention required after POCUS assesment	Role of POCUS assessment in formulating the treatment plan of patient.

Trial Locations

Locations (2)

AIIMS, new delhi; 🇮🇳 Delhi, DELHI, India

NCI-AIIMS; 🇮🇳 Jhajjar, HARYANA, India

AIIMS, new delhi

🇮🇳Delhi, DELHI, India

Dr sushma bhatnagar

Principal investigator

9811326453

sushmabhatnagar1@gmail.com