Improving Cancer Survival and Reducing Treatment Variations With Protocols for Emergency Care (ICARE)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 152
- 试验地点
- 1
- 主要终点
- ED utilization rate
研究概览
简要总结
Significant challenges and gaps remain in navigating transitions between acute care and outpatient care for many cancer survivors. This study underscores 1) implementation of Emergency Department (ED) risk-stratified treatments protocols that standardize patient care and would allow for rapid re-assessment and access to specialist care with well-coordinated cancer care plans, and 2) the significant numbers of minority cancer survivors seeking episodic care in the ED that are at increased risk of not receiving recommended post cancer treatment surveillance.
详细描述
The over-arching goal of this study is to develop a portable model for ED cancer treatment guidelines and management using evidence based protocols in a population at high risk for poor cancer -related outcomes by identifying & overcoming specific barriers to enhanced survivorship. Based on the demographics of ED population (currently, 70% racial/ethnic minorities), the majority of participants will be underrepresented (African-American and Hispanic) and low-income individuals. The investigators propose a feasibility study of 150 patients in the ED over a 1 year period.
The specific aims are:
Aim 1: Evaluate the effectiveness of ED Risk-Stratified, Evidence-Based Treatment protocols on the primary outcome of ED utilization rates and subsequent acute inpatient admissions at 6 -months post-intervention.
Aim 2: Evaluate the effectiveness of an ED-based Cancer Patient Navigator on the secondary outcomes of patient engagement and primary care engagement at 6 -months post-intervention.
Aim 3: Examine barriers and facilitators to compliance for cancer survivorship recommendations that occur in an ED setting at 6-months post intervention.
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 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Cancer survivor (has had cancer in their lifetime, and is currently disease-free)
- •Verbal fluency in English or Spanish
- •Age 18-75 years
排除标准
- •Unable to verbalize comprehension of study or impaired decision making (e.g., dementia)
- •Plans to move from Chicago area within the next year
结局指标
主要结局
ED utilization rate
时间窗: 6 months from study entry
Emergency department utilization over 6 month period
Mortality
时间窗: 1 year from study entry
Mortality due to deep vein thrombosis/pulmonary embolism, due to sepsis, and overall mortality
次要结局
- Admission and Readmission rate(6 months from study entry)
研究者
Heather Prendergast
Professor
University of Illinois at Chicago