None listed
Conditions
Brief summary
This study will determine whether conducting a comprehensive health assessment in older people with non-small cell lung cancer can assist in setting health-related goals and personalised treatment plans to achieve these goals. Who is it for? You may be eligible for this study if you are aged 65 years and older, you have been diagnosed with metastatic (spread to other body systems) non-small cell lung cancer, and you meet certain objective 'frailty' criteria. Study details Participants who are enrolled in the first 6 months of this study will receive standard care from their Oncologist. Participants who are enrolled in the second 6 months of this study will undergo a Comprehensive Geriatric Assessment, which involves seeing a Geriatrician for a 1-hour face-to-face assessment. The Geriatrician will ask participants a number of questions relating to their physical, mental and social health, identify any issues, and subsequently write a report with their recommendations and refer the patient to specialists who can help them further. All participants will be asked to complete a goal setting exercise after they have agreed to participate in the study, and will be asked to complete two questionnaires about their health as well. Participants in both phases of the study will be asked to attend two follow-up visits at 3 and 6 months after study enrolment. It is hoped this research may be used to improve health outcomes for older patients with non-small cell lung cancer by identifying health outcomes that are important to them and designing their treatment in a personalised manner to achieve these outcomes.
Interventions
The intervention in this trial is a Comprehensive Geriatric Assessment. This assessment is conducted by a Geriatrician on a 1-to-1 basis and typically takes one hour to complete. It is a one off assessment, where the Geriatrician will identify particular problem areas across multiple health domains, and subsequently begin a process of managing these problem areas. This often occurs by referring the patient to the relevant specialist, including but not limited to: a physiotherapist (to improve ph
The intervention in this trial is a Comprehensive Geriatric Assessment. This assessment is conducted by a Geriatrician on a 1-to-1 basis and typically takes one hour to complete. It is a one off assessment, where the Geriatrician will identify particular problem areas across multiple health domains, and subsequently begin a process of managing these problem areas. This often occurs by referring the patient to the relevant specialist, including but not limited to: a physiotherapist (to improve physical function), nutritionist (to improve nutrition), pharmacist (to review medications), etc. A Comprehensive Geriatric Assessment and subsequent referrals are highly patient-centred and will be unique to each individual, however, they will each examine domains related to physical health, psychological health, functioning, and social circumstances. The Geriatrician will write a report detailing their findings and recommendations, and make the necessary referrals. The Geriatrician will not typically be involved in follow-up or measuring adherence to the recommendations. However, research and medical staff involved in this study will measure adherence using patient self-report, and discussions with relevant professionals, if required.
Sponsors
Princess Alexandra Hospital
Study design
Allocation
Non-randomised trial
Intervention model
Other
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
• Newly diagnosed with metastatic non-small cell lung cancer, • Aged 65 years or older, • Frail patients (those scoring > 0.25 on the frailty index-short form)
Exclusion criteria
• Have a life expectancy < 6 months • Are unable to provide informed consent and/or participate in the Goal Attainment Scaling process due to cognitive impairment or another reason
Outcome results
None listed