Hematopoietic/Lymphoid Cancer
Conditions
Keywords
Hematopoietic cell transplantation, Supportive/palliative care
Brief summary
This pilot clinical trial studies supportive care for patients with hematological malignancies undergoing hematopoietic cell transplant. Supportive care may improve quality of life in this patient population.
Detailed description
PRIMARY OBJECTIVES: I. Pilot a supportive care intervention that begins prior to transplantation and continues through the acute peritransplant period. II. Determine the proportion of patients who enroll and the level of comfort / distress of hematopoietic cell transplant (HCT) patients who meet with the supportive care team. III. Pilot data collection mechanisms and cost retrieval in preparation for a randomized clinical trial. OUTLINE: Patients undergo supportive care consultation before transplantation and at least once monthly while they remain at the transplant center.
Interventions
Undergo supportive care intervention
Ancillary studies
Ancillary studies
Sponsors
Study design
Eligibility
Inclusion criteria
* Written informed consent * English as primary language * Planned autologous or allogeneic hematopoietic cell transplantation * Presence of co-morbidities (hematopoietic cell transplant co-morbidity index \[HCT-CI\] score 3 or greater), high risk disease (relapse risk \> 25%), or a planned type of transplant (human leukocyte antigen \[HLA\]-mismatched allogeneic or myeloablative) that places the patient at a higher than average risk of non-relapse mortality or relapse
Exclusion criteria
* Major psychiatric diagnosis that impairs cognitive functioning or is not controlled at the time of the approach, as judged by the patient's medical team * First transplant of a planned tandem procedure (the second transplant is eligible)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Study participation rates defined as the proportion of patients who consent to enroll | Up to 5 months | Will mainly be descriptive. |
| Completion time for the supportive care consultation | Up to 90 days post-treatment | Will mainly be descriptive. |
| Level of comfort / distress attributed to individual parts of the consultation | Up to 90 days post-treatment | Will mainly be descriptive. The post-consultation scores measuring level of comfort or distress per topic in the supportive care consultation will be summarized per item. |
| Completeness of follow-up data collection, where completeness is defined by the proportion of instrument scores that can be calculated per given time point | Up to 90 days post-treatment | Will mainly be descriptive. The completeness of follow-up data collection will be calculated and reported as a proportion of successfully completed scales vs. scales attempted to be collected or completed by patients. |
Countries
United States