Appraisal Delay and Disparities in Timely Cancer Diagnosis
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 84
- 试验地点
- 4
- 主要终点
- Factors that influence appraisal and diagnostic delay
研究概览
简要总结
RATIONALE: Gathering information about timely diagnosis in African American and Caucasian patients with newly diagnosed colorectal cancer may help doctors learn more about factors that influence a diagnosis and plan the best treatment.
PURPOSE: This phase I trial is studying differences in timely cancer diagnosis in African American patients and in Caucasian patients with newly diagnosed colorectal cancer.
详细描述
OBJECTIVES:
- Identify and examine the factors that influence appraisal and diagnostic delay by focusing on recognition, perception, communication, and response to pre-diagnosis cancer symptoms in African American and Caucasian patients with newly diagnosed colorectal cancer.
OUTLINE: This is a multicenter study. Patients are stratified according to race (African-American vs Caucasian) and gender (male vs female).
Patients undergo a 45-60 minute interview to obtain information on variations in symptom perception, assessment, and patient-physician communication process. Patients are assessed by sociodemographic characteristics (i.e, education, gender, age, insurance status, employment status, income, race/ethnicity, and religiosity), information of close confidants (i.e., relationship, family history of cancer, and caregiver/decision-making status), and physician characteristics. Patients are also assessed by the Trust in the Health Care System, DMPQ, RCS, Brief COPE scale, Lukwago Religiosity scale, and RAND Social Support Survey questionnaires.
Patient charts are reviewed to obtain medical data.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 21 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •21 years of age or older
- •Cognitively able to participate in an interview
- •Diagnosed with Colorectal cancer
- •Patient at University Hospitals, Case Western Reserve University, or Cleveland Clinic Foundation
- •diagnosed within 6 months of the scheduled interview
- •have no prior history of colon cancer or cancer of any other major organ system
- •any stage of cancer
- •Patient will have described their symptoms to their PCPs
- •Patient will have acted as their own decision maker
- •Must be African American or Caucasian
- •Exclusion Criteria
- •No disease discovered by previous routine screening or by other unintentional detection procedure (i.e., without symptom appraisal process or communicating specific symptoms to physicians)
- •Not living in nursing or assisted living facilities
- •Cognitive impairment
排除标准
- 未提供
结局指标
主要结局
Factors that influence appraisal and diagnostic delay
时间窗: 45-60 minute interview
次要结局
未报告次要终点