The purpose of this study is to: 1) identify the palliative care needs of Emergency Department patients with advanced cancer, and determine if these needs can be rapidly assessed in the ED; 2) determine whether early palliative care consultation improves survival, quality of life and other burdensome symptoms and decreases utilization as compared to usual care.
Conditions
Conditions (2)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
Early palliative care consultation for ED patients with advanced cancer.
interventionNames
Other: Early palliative care consultation
type
OTHER
label
Care as usual
description
Care as usual, may or may not receive palliative care consultation
interventionNames
Other: Care as usual
Primary outcomes (1)
measure
Quality of life and quality of mental health at 6 weeks and 12 weeks as compared from baseline
timeFrame
at baseline, 6 weeks and 12 weeks
Eligibility
Eligibility (as posted)
Sex
All
Minimum age
18 Years
Show eligibility criteria text
Inclusion Criteria:
* ≥ 18 years age
* Speak English or Spanish
* ED patient with an advanced solid malignancy
Exclusion Criteria:
* Have already been seen by palliative care team
* Cognitive deficits
* Children or adolescents
* No confirmed history of active cancer
* Do not speak English or Spanish
* Reside outside the US
References
Publications (88)
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description
Comparison of life and quality of mental health from baseline to 6 weeks and 12 weeks.
Secondary outcomes (5)
measure
Inpatient costs per day/cost of stay during hospitalization
timeFrame
6 months after hospital discharge
description
Costs per day during incident admission and total cost of entire incident hospital stay
measure
Hospital length of stay
timeFrame
6 months after hospital discharge
description
Number of days hospitalized for incident admission: i.e., date of admission and date of discharge, difference between those two dates.
measure
Survival
timeFrame
at time of enrollment
description
Survival days from day of enrollment to day of death or study termination
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DERIVEDGrudzen CR, Richardson LD, Johnson PN, Hu M, Wang B, Ortiz JM, Kistler EA, Chen A, Morrison RS. Emergency Department-Initiated Palliative Care in Advanced Cancer: A Randomized Clinical Trial. JAMA Oncol. 2016 May 1;2(5):591-598. doi: 10.1001/jamaoncol.2015.5252. PMID 26768772
DERIVEDKistler EA, Sean Morrison R, Richardson LD, Ortiz JM, Grudzen CR. Emergency department-triggered palliative care in advanced cancer: proof of concept. Acad Emerg Med. 2015 Feb;22(2):237-9. doi: 10.1111/acem.12573. Epub 2015 Jan 29. PMID 25639187
DERIVEDKandarian B, Morrison RS, Richardson LD, Ortiz J, Grudzen CR. Emergency department-initiated palliative care for advanced cancer patients: protocol for a pilot randomized controlled trial. Trials. 2014 Jun 25;15:251. doi: 10.1186/1745-6215-15-251. PMID 24962353