Stage IV cancer patients under systemic treatment in an ambulatory setting.
Conditions
Interventions
Group 1: Prospective observational study with historical control
Assesment with questionnaire at at least two timepoints:
• prevalence of advance care documents
• quantify the need for qualified ad
Sponsors
Universitätsklinikum Leipzig
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: • age > 18a • incurable Stage IV cancer • ambulatory palliative cancer therapy • signed and dated declaration of consent
Exclusion criteria
Exclusion criteria: The patient is unable to comprehend and answer questions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Repeated inquiries about advance care wishes (e. g. substitute decision maker, advance care directives and preferences of end-of-life care) (gathering information at at least 2 time points: for every change in therapy, but latest after 12 months). | — |
Secondary
| Measure | Time frame |
|---|---|
| • prevalence of advance care documents • quantify the need for qualified advice on advance care documents • Adherence to the documented patient wishes • can repeated inquiries and the preparation of advance care documents in the ambulatory setting lead to a higher proportion of documented limitation of therapy, less invasive therapies and less tranferral to intensive care units at the end of life compared to a historical sample. • assessment of the psychosocial stress in the event of unplanned inpatient treatment | — |
Countries
Germany
Contacts
Public ContactThomas Golombek
Universitätsklinikum Leipzig
Outcome results
None listed