Advanced Cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Included when all of the following are met. 1) Patients with a diagnosis of untreatable, metastatic, or recurrent gastrointestinal cancer. 2) Patients with a histopathological diagnosis of gastric, esophageal, biliary, pancreatic, or colorectal cancer (regardless of histological type). 3) Patients who are within 6 weeks (42 days) of initiating palliative primary chemotherapy at Kyoto University Hospital and are able to visit the outpatient clinic. 4) Patients who have received an explanation of the disease diagnosis and palliative treatment. 5) Patients who are at least 20 years of age at the time consent is obtained. 6) Patients who are able to bring a family member to at least one ACP discussion. 7) Patients with an ECOG Performance Status (PS) of 0 to 2. 8) Patients whose written consent to participate in the study has been obtained.
Exclusion criteria
Exclusion criteria: Excluded when any of the following items apply. 1) Patients with the Distress and Impediment Thermometer (DIT) test score of 4 or more for distress and a score of 3 or more for impediment. 2) Patients who have had an ACP discussion prior to participation in this study, covering the full range of medical condition awareness, prognostic information sharing, values identification, and discussion of desired medical care and care. 3) Patients with higher brain dysfunction (apparent intellectual decline, attention deficits, and dysgraphia). 4) Patients who are unable to speak, read, or write in Japanese. 5) Patients who are judged by the attending physician to be unsuitable to be included in this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patients' quality of life 24 weeks after starting ACP support | — |
Countries
Japan
Contacts
Kyoto University Graduate School of Medicine Division of Human Health Sciences Department of Nursing Ethics