Development of an Enhanced Risk Stratification System for Patients With Hospital-diagnosed Advanced Lung Cancer
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 18
- 试验地点
- 1
- 主要终点
- Success of the risk-based stratification system implementation - navigation
研究概览
简要总结
This study explores whether supportive care interventions that might reduce rehospitalization could be implemented and feasible, in subjects within a high-risk group of subjects with newly diagnosed hospitalized advanced lung cancer (ALC).
This study screened 50 subjects from health records and consented to 15 of these screened subjects. These 15 subjects responded to PRO questionnaires.
详细描述
Subjects will be considered high risk if they have small cell histology, longer than 8 days hospitalization, high comorbidity, emergency department use or hospitalization in the previous 6 months, prescription of a wheelchair on hospital discharge, or Black and/or Hispanic race. Supportive care interventions such as navigation and palliative care will be recommended for this group.
All hospitalized subjects with newly diagnosed ALC will be offered web- or telephone-based patient-reported outcome (PRO) symptom monitoring for 90 days following hospital discharge if they provide consent. Medical record evaluation of consented subjects will provide data for risk assessment and the high-risk group definition. Healthcare utilization including emergency department visits, hospitalizations, outpatient palliative care, and cancer treatment received will be compared.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
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
- 未提供
排除标准
- 未提供
结局指标
主要结局
Success of the risk-based stratification system implementation - navigation
时间窗: Up to 16 days
The success of the risk-based stratification system implementation- navigation will be determined by the ratio of subjects who received guidance to the whole group is equal to or higher than 70%, in the high-risk group.
Success of the risk-based stratification system implementation - referred
时间窗: Up to 5 days
The success of the risk-based stratification system implementation- referred will be determined by the ratio of subjects who were referred to the whole group is equal to or higher than 70%, in the high-risk group.
Success of the risk-based stratification system implementation - contacted
时间窗: Up to 5 days
The success of the risk-based stratification system implementation- contacted will be determined by the ratio of subjects who were contacted to the whole group is equal to or higher than 70%, in the high-risk group.
Success of the risk-based stratification system implementation - palliative care
时间窗: Up to 16 days
The success of the risk-based stratification system implementation - palliative care will be determined by the ratio of subjects who received palliative care to the whole group is equal to or higher than 70%, in the high-risk group.
次要结局
- Acceptability of the supportive care intervention(Up to 180 days)
- Acceptability of the risk stratification system time to complete thoracic oncology clinical team(Up to 90 days)
- Time to receipt of outpatient palliative care(Up to 90 days)
- Acceptability of the risk stratification system the time to complete for providers(Up to 90 days)
- Implementation of PRO-based symptom monitoring reported to clinical team(Up to 90 days)
- Acceptability of PRO-based symptom monitoring to the thoracic oncology clinical team(Up to 90 days)
- Acceptability of PRO-based symptom monitoring to the clinical team(Up to 90 days)
- Implementation of PRO-based symptom monitoring(Up to 90 days)
- Acceptability of PRO-based symptom monitoring subject(Up to 90 days)