The goal is to gain more clarity in the wishes of the patient and family members by means of Advance Care Planning with the help of an early outpatiënt consultation of the PACT. This is hoped to show the intervention leads to a reduced number of…
ID
Source
Brief title
Condition
- Gastrointestinal neoplasms malignant and unspecified
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Primary outcome measure is the number of days admitted to the hospital after
three months after inclusion.
Secondary outcome
Secondary outcome measures are the number of admissions, the average length of
admission, the number of emergency room visits, the number of contact moments
with the specialized nurse, the quality of life of the patient (EORTC QLQ-C30),
the quality of life of relatives (EDIZ) and the satisfaction of fellow
practitioners (scale from 0 to 10) after one month and three months after
inclusion. In addition, the number of days admitted to the hospital after one
month after inclusion, the survival and the place of death in relation to the
wished place of death.
Background summary
Palliative care is an approach that aims to improve the quality of life of
patients with a life-threatening condition. Recent international research has
shown that early intervention by a specialized palliative care team leads to an
improvement in quality of life. However, it is still unclear what the effects
of this intervention are on the health care costs and the effectiveness of
Advance Care Planning is in Dutch healthcare system.
Study objective
The goal is to gain more clarity in the wishes of the patient and family
members by means of Advance Care Planning with the help of an early outpatiënt
consultation of the PACT. This is hoped to show the intervention leads to a
reduced number of hospital admissions and a shorter hospital stay. In addition,
an attempt is made to improve the quality of life of patients and primary
caregivers and to optimize communication between the GP'er and hospital.
Study design
Pilot study
Intervention
Early outpatient consultation of the PACT and creating aadvance care plan for
current and future health care providers.
Study burden and risks
Patients will undergo an additional outpatient consultation of the PACT. The
consultation will mostly be in line with a hospital visit. However, some
patients will be asked if they are willing to come to the hospital. During this
consultation they will be asked to think about issues that fit the last phase
of life. Their wishes are further investigated. After one month and three
months, the quality of life will be measured by the patient and the primary
caregiver by means of a questionnaire. Patients will be contacted to fill in
the questionnaires by telephone or mail . Caregivers will be asked about their
experiences by telephone.
Dr van Heesweg 2
Zwolle 8025AB
NL
Dr van Heesweg 2
Zwolle 8025AB
NL
Listed location countries
Age
Inclusion criteria
To be part of the study, patients must meet the following criteria:
- Patients with a minimum age of 18 years.
- Patients have given permission through informed consent.
- Patients diagnosed with a non-curable upper gastrointestinal tract malignancy in an outpatient setting.
- Estimated life expectancy less than one year.
- Outpatient visit with internist oncologist to discuss system-oriented therapy.
- Intervention takes place within one month of determination of not curable illness.
Exclusion criteria
Patients with the following criteria may not be part of the study:
- Patients with limited cognitive function. This includespatients with cognitive or psychiatric co-morbidity and patients with brain metastases in which cognitive functions are affected.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL66721.075.18 |