RecruitingNot ApplicableNCT06420206
Goals of Care Discussion for Patients With Advanced Lung and Gastrointestinal Cancer in the Emergency Department of a Comprehensive Cancer Center
Sponsor
M.D. Anderson Cancer Center
Enrollment
200 participants
Start Date
May 14, 2024
Study Type
INTERVENTIONAL
Conditions
Summary
To improve quality of life for participants with advanced cancer, support their families, and lower overall cost of care.
Eligibility
Min Age: 18 Years
Inclusion Criteria5
- Participant is at least 18 years old presenting to the triage area of the MDACC ACCC for treatment
- Participant has advanced lung or GI cancer. Advanced cancer patient defined as: locally recurrent or metastatic for which there is no curative treatment available.
- Participant screens positive for at least 2 of 3 triple threat conditions (dyspnea, altered mental status, or poor performance status)
- Participant has the ability to speak and write in English
- Participant has the ability to provide consent OR is accompanied by a LAR able to provide consent
Exclusion Criteria9
- Participant is already enrolled in hospice
- Participant is comatose
- Participant has severe intellectual disability
- Participant has a history of dementia documented in the medical records
- Participant has baseline communication barriers such as aphasia or deafness
- Participant is new to MDACC, without established oncology care at our institution at time of ACCC arrival
- Participant is 18 years or older, currently cared for by pediatrics service
- Pregnant women
- Prisoners
Interventions
OTHERStandard of Care (Acute Cancer Care Center)
In Group 1, participants will receive the usual standard of care by an emergency care physician not trained in palliative care.
OTHERStandard of Care (Goals of Care)
In Group 2, participants will receive standard of care plus palliative care intervention by an emergency care physician trained in palliative care.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06420206
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