Goals of Care Discussions for Hospitalized Patients With Advanced Cancer

Gender Differences in Inpatient Goals of Care Discussions in Patients With Advanced Cancer

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT01991015

Enrollment

Registered

2013-11-25

Start date

2013-11-30

Completion date

2014-12-31

Last updated

2015-02-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Metastatic Cancer

Brief summary

The goal of this study is to better understand gender differences in end-of-life communication between physicians and patients with advanced cancer in the hospital.

Interventions

None listed

Study design

Time perspective

CROSS_SECTIONAL

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* English speaking, have metastatic cancer that has progressed despite treatment

Exclusion criteria

* Cognitive impairment

Design outcomes

Primary

Measure	Time frame	Description
Quality of end-of-life communication	15 months	This is a qualitative study and the outcome will be assessed by coding the transcripts of the goals of care discussions. We will use the Roter Interaction Analysis System (RIAS) in which coders assign 1 of 37 mutually exclusive and exhaustive categories to each complete thought expressed (referred to as an utterance). Utterances are combined to reflect instrumental (e.g., biomedical exchange, psychosocial exchange, and partnership building) and affective behaviors (e.g., social conversation, positive and negative statements, and emotional statements). Additional global measures include patient-centeredness, verbal dominance, and tone.

Countries

United States

Outcome results