Biliary Tract Cancer, Cancer Pain, Depression, Pancreatic Cancer
Conditions
Keywords
pancreatic cancer, biliary tract cancer, cancer pain, depression
Brief summary
Effect of Early management on PAin and DEpression in patients with PancreatoBiliary Cancer, EPADE-PB Purpose To determine whether early palliative care integrated with usual oncologic care with automated symptom monitoring can improve depression and pain in patients with cancer
Interventions
Drug: The interventions consisted of the following: (1) Nursing assessment of pain and depression mood (2) Pain control based NCCN guideline (3) Depression control by psychoeducation and/or consultation of psychiatrist specialist (4) Patient education
Sponsors
Study design
Eligibility
Inclusion criteria
* Ages Eligible for Study: 18 Years and older Genders Eligible for Study: Both Accepts Healthy Volunteers: No * Pathologic confirmed locally advanced or metastatic pancreatic cancer or biliary tract cancer * within 8 weeks after diagnosis * cancer-related pain (Brief Pain Inventory \[BPI\] worst pain score \>3), depression (Center for Epidemiological Studies-Depression Scale \[CES-D\] \>16) or both * Karnofsky Performance Rating Scale ≥50%
Exclusion criteria
* Opioid intolerance * History of drug or alcohol abuse * Impaired sensory or cognitive function * Pregnant or lactating woman * Women of child bearing potential not using a contraceptive method * Sexually active fertile men not using effective birth control during medication of study drug and up to 6 months after completion of study drug if their partners are women of child-bearing potential
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reduction in pain score | at baseline, 1 month, and every 3 months, up to 1 year | • Reduction in pain scores, Brief Pain Inventory \[BPI\] severity |
| Reduction in depression score | at baseline, 1 month, and every 3 months, up to 1 year | Reduction in depression score, Center for Epidemiological Studies-Depression Scale \[CES-D\] |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life | at baseline, 1 month, and every 3 months, up to 1 year | EORTC QLQ-C30 General Questionnaire, Korean version |
| Overall survival | at baseline, 1 month, and every 3 months, up to 1 year | — |
Countries
South Korea