Health Condition 1: C00-D49- Neoplasms
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age 18 years or more and willing to participate 2.Referred to Department of Palliative Medicine with constipation more than or equal to 3 out of 10 in numerical rating score NOT on T Bisacodyl 5mg tablet + syrup PEG 20ml in 200ml water. 3.Able to communicate and understand English/Hindi/Marathi 4.Able to give written informed consent for questionnaire administration 5.Diagnosed case of advanced malignancy
Exclusion criteria
Exclusion criteria: 1.Unstable medical condition requiring emergency treatment 2.Pre-existing Psychiatric disorder or cognitive impairment preventing patients from comprehending questionnaire 3.Known or suspected bowel obstruction or ileus 4.Presence of a colostomy or ileostomy 5.History of inflammatory bowel disease 6.Colorectal Primary Site of Cancer 7.Contraindication to any of the medication used Eg.Patients on Parenteral Hydration and nutrition only
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frequency as percentage of responders (Responders will be defined as having passed any bowel movement in 48 hours following initiation of laxative) Timepoint: Baseline and 48 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| 1)To evaluate change in numerical rating score for constipation in Edmonton Symptom Assessment System- Revised CS at 48 hours after initiation of laxative 2) To evaluate patient reported adverse effects at 48 hours a) As reported by patients b) In Edmonton Symptom Assessment System- Revised CS: Other Problem row; with a numerical rating score 0 to 10 3) To understand the factors associated with effectiveness of laxative and contributing factors in non-responders 4) To understand the compliance to prescribed laxatives as per standard OPD practice Timepoint: Baseline and 48 hours | — |
Countries
India
Contacts
Tata Memorial Hospital