Piloting an Artificial Intelligence Algorithm Used to Identify Patients in Need of Outpatient (or Ambulatory) Palliative Care in an Oncology Population
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Mayo Clinic
- 入组人数
- 221
- 试验地点
- 2
- 主要终点
- Timely identification for need of palliative care
研究概览
简要总结
This clinical trial tests an artificial intelligence (AI) algorithm for its ability to identify patients who may benefit from a palliative care consult for gynecologic cancer that has spread from where it first started to nearby tissue, lymph nodes, or distant parts of the body (advanced). A significant delay in referral to palliative care often occurs among patients with cancer. This delay can lead to poorer symptom management, decreased quality of life, and care that does not align with patient goals or values. AI algorithms are computer programs that use step-by-step procedures to solve a problem. In this trial, an AI algorithm is applied to patients' medical records in order to identify patients with a high burden of disease. Information gathered from this study may help researchers learn whether this AI algorithm is useful for identifying patients who could benefit from outpatient palliative care consultation.
详细描述
PRIMARY OBJECTIVE:
I. To pilot an oncology risk prediction model to identify patients who may benefit from outpatient palliative care consultation to improve symptom management and goal-concordant care in this population.
OUTLINE:
Patients' medical records are reviewed for consideration of palliative care consult using AI algorithm once a week (QW) for 6 months.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Screening
- 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
- •Adult patient in Enhanced, Electronic health record (EHR)-facilitated Cancer Symptom Control (E2C2) with a diagnosis of advanced gynecologic malignancy (International Classification of Diseases [ICD] codes C51 through C58)
- •Weekly the reviewers will select patients by looking at patients in sorted order starting with the highest score and proceeding down the list and evaluating each patient for exclusion criteria
排除标准
- •Patients that have been seen by palliative care will be excluded for 75 days
- •Patients under the age of 18 years
- •Patients currently enrolled with hospice
结局指标
主要结局
Timely identification for need of palliative care
时间窗: Up to 6 months
Will be measured as time to the electronic record of consult by the palliative care team in the outpatient setting.
次要结局
- Positive predictive value of screened patients(Up to 6 months)
- Number of billing codes International Classification of Diseases, 10th Revision for palliative care(Up to 6 months)
- Number of palliative care consultations(Up to 6 months)
- Number of advanced care planning notes documented in the electronic health record(Up to 6 months)
- Performance metrics on reviewer/oncologist handoff(Up to 6 months)