Clinical trial · Interventional
Care Transition Intervention for Patients With Cancer
Care Transition Intervention for Hospitalized Patients With Advanced Cancer
NCT04640714CI-TRIAL-00055115completedN/AClinicalTrials.gov clinicaltrialsProvenance
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
This research study is investigating an intervention called CONTINUity of care Under Management by Video visits (CONTINUUM-V). CONTINUUM-V involves a video visit with an oncology nurse practitioner within three business days of hospital discharge for patients with advanced cancer with the goal of reducing burdensome care transitions after hospitalization, including hospital readmissions.
Conditions
Conditions (2)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Advanced Cancer | Malignant Neoplasm | CURATED_BROADER | 0.78 |
| Home Care, Hospital-Based | — | UNRESOLVED | — |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| CONTINUity of care Under Management by Video visits (CONTINUUM-V) | Behavioral | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- CONTINUity of care Under Management by Video visits (CONTINUUM-V)
- description
- Participants with advanced cancer will receive a video visit conducted by an oncology Nurse Practitioner (NP) within three (3) business days of hospital discharge. The visit will involve: (1) reconcile medications, (2) manage symptoms, (3) review the post-hospital care plan for hospitalization-specific issues, and (4) schedule follow-up with the outpatient oncology team. Participant and clinician may also be interviewed for their feedback on the video visit. The ultimate goal of the intervention is to improve patients' confidence in managing their health condition and reduce burdensome health care utilization after discharge, particularly reducing 30-day hospital readmissions.
- interventionNames
- Behavioral: CONTINUity of care Under Management by Video visits (CONTINUUM-V)
Primary outcomes (1)
- measure
- Feasibility using enrollment and retention on study
- timeFrame
- Discharge to 3 business days
- description
- The intervention will be deemed feasible if at least 70% of eligible patients participate in the study, and if at least 70% complete the video visit within three business days of discharge.
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: 1. Age \>= 18 years 2. Unplanned admission to the oncology service at Massachusetts General Hospital (MGH) 3. Known diagnosis of advanced breast, thoracic, genitourinary, or gastrointestinal cancers. Advanced cancer defined as not being treated with curative intent as determined by clinic notes and chemotherapy order entry. 4. Receiving ongoing oncology care at MGH 5. Verbal fluency in English 6. Must have internet/wifi/cellular data access Exclusion Criteria: 1. Admitted electively 2. Discharged to a location other than home or expired during admission 3. Discharged with hospice services
References
Publications (1)
- DERIVEDLage DE, Burger AS, Cohn J, Hernand M, Jin E, Horick NK, Miller L, Kuhlman C, Krueger E, Olivier K, Haggett D, Meneely E, Ritchie C, Nipp RD, Traeger L, El-Jawahri A, Greer JA, Temel JS. Continuum: A Postdischarge Supportive Care Intervention for Hospitalized Patients With Advanced Cancer. J Pain Symptom Manage. 2024 Dec;68(6):613-621.e1. doi: 10.1016/j.jpainsymman.2024.08.024. Epub 2024 Aug 27. PMID 39197695