Mapping the Processes of Cancer Care Delivery at a Comprehensive Cancer Center
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Minutes spent in discussion
研究概览
简要总结
This study examines how cancer care is delivered in oncology and supportive care clinics. Collecting patient feedback may help doctors better understand the processes of cancer care in oncology and supportive care clinics.
详细描述
PRIMARY OBJECTIVES:
I. To compare the total amount of follow-up clinic time spent on discussing supportive/palliative care issues between primary palliative care provided by the oncology team and specialist palliative care.
SECONDARY OBJECTIVES:
I. To compare between the specialist palliative care team and the oncology team the following aspects of supportive/palliative care delivery: Ia. The number of supportive/palliative care needs the patient reported before the clinic visit (SPARC).
Ib. The number of supportive/palliative care needs the patient wanted to discuss with the clinical team before the clinic visit (SPARC).
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
- •Within 6 months of diagnosis of metastatic (or stage IV) solid malignancies
- •Age 18 or greater
- •English speaking
- •Follow-up clinic visit (Supportive Care and Medical Oncology Outpatient Clinics at MD Anderson Cancer Center)
- •Medical oncologist listed as the attending physician
- •COHORT A (Oncology team only cohort): Patients should not have been referred to palliative care services at MD Anderson Cancer Center
- •COHORT B (Oncology team and specialist palliative care cohort): Patients should have an upcoming specialist palliative care follow-up visit within 1 week of a medical oncology visit
排除标准
- •Delirium (Memorial Delirium Assessment Scale [MDAS] >= 13/30)
- •Significant hearing impairment requiring multiple repetitions during the screening process (that may prolong clinic time)
研究组 & 干预措施
Supportive Care (questionnaire, clinic conversation)
Patients complete questionnaires over 15-20 minutes and undergo audio recording of clinic conversations between the oncology team or the specialist palliative care team. Patients' medical records are also reviewed.
干预措施: Questionnaire Administration (Other)
Supportive Care (questionnaire, clinic conversation)
Patients complete questionnaires over 15-20 minutes and undergo audio recording of clinic conversations between the oncology team or the specialist palliative care team. Patients' medical records are also reviewed.
干预措施: Discussion (Procedure)
Supportive Care (questionnaire, clinic conversation)
Patients complete questionnaires over 15-20 minutes and undergo audio recording of clinic conversations between the oncology team or the specialist palliative care team. Patients' medical records are also reviewed.
干预措施: Electronic Health Record Review (Other)
结局指标
主要结局
Minutes spent in discussion
时间窗: through study completion, an average of 1 year
Will be examined using linear mixed models (LMMs) with physician as the unit of analysis.
次要结局
未报告次要终点