Gastrointestinal Cancer
Conditions
Keywords
Pancreatic Cancer, Hepatocellular Cancer, Esophageal Cancer, Gastric Cancer, Cholangio carcinomas
Brief summary
The study goal is to compare surgeon-palliative care team co-management, versus surgeon alone management, of patients and family members preparing for major upper gastrointestinal cancer surgery. The study also aims to explore, using qualitative methods, the impact of surgeon-palliative care team co-management versus surgeon alone management on the perioperative care experience for patients, family members, surgeons, and palliative care clinicians.
Detailed description
The components of surgeon palliative care team co management practices will include Time, Education, Assessments, and Multi disciplinary (TEAM) element. 1. Time; At least 60 minutes/month (per patient and caregiver preference) devoted to palliative care treatments for the patient and family 2. Education - Patients and family members, per their desires and wishes, are counseled and educated about their disease, including self-management of symptoms, prognosis, and treatment options 3. Assessment - Formal assessment of symptoms including pain, dyspnea, constipation/diarrhea, anxiety/depression, fatigue, and nausea. Edmonton symptom score33 will be used as a formal assessment. 4. Multi-Disciplinary - Management must be multi disciplinary with access to a multi-disciplinary palliative care team composed of nurse, physician, social worker, pharmacist, and/or chaplain team members.
Interventions
OTHERSurgeon-palliative care team co management
Surgeon-palliative care team co management includes surgeon alone care and palliative care specialist team
OTHERSurgeon team alone management
The surgeon and surgical team will manage
Sponsors
Patient-Centered Outcomes Research Institute
Stanford University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 18 years of age and must be able to give informed consent. * Diagnosed with pancreatic cancer or hepatocellular cancer or esophageal cancer or gastric cancer and/or cholangio carcinomas * Non emergent, upper gastrointestinal cancer related surgery with a goal of primary resection of the tumor- optimal surgical goal is cure, not merely disease palliation. * One companion per patient will be allowed to participate. In addition, to being identified by the patient at being a key caregiver throughout the surgery period, these companions must be able to give informed consent and at least 18 years of age.
Exclusion criteria
* No previous involvement of palliative care providers in their care course
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient Quality of Life Patient Quality of Life 12 Weeks After Surgery | Up to 12 weeks after surgery | Patient quality of life will be measured by the Functional Assessment of Chronic Illness Therapy Palliative care subscale (FACIT-PAL). FACIT-PAL is a compilation of general questions divided into four primary QOL domains: Physical Well-Being, Social/Family Well-Being, Emotional Well-Being, and Functional Well-Being. FACIT-PAL has 46 item self report measure. The range is from 0-184 for the FACIT-PAL. A higher score is a better outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient Palliative Symptoms Assessment | Up to 12 weeks after surgery | Patient will be assessed for twelve symptoms (pain, tiredness, nausea, depression, anxiety, drowsiness, appetite, well-being, shortness of breath, constipation, financial distress, and spiritual pain) using a modified Edmonton Symptom Assessment System (ESAS). Each symptom is rated from 0 to 10 on a numerical scale, 0 meaning that the symptom is absent and 10 that it is of the worst possible severity. |
| Patient Spiritual Assessment 12 Weeks After Surgery | Up to 12 weeks after surgery | Patient spiritual symptoms assessment will be assessed using Functional Assessment of Chronic Illness Therapy - Spiritual Well-being (FACIT-Sp-12); 12 item Spiritual Well-being Scale. Score range: 0 to 48; higher scores correspond to better spiritual well-being. |
| Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Up to 12 weeks after surgery | Patient prognostic awareness is determined based on the Cancer Care Outcomes Research & Surveillance Consortium (CANCORS) study prognostic awareness questions before and after surgery. To each question, the respondent replied Very likely, Somewhat likely, A little likely, Not at all likely, or Don't know. |
| Patient Mortality up to 6 Months | Up to 6 months after surgery | Number of surviving patients in both arms will be reported at end of 6 months. |
| Patient Mood Symptoms Assessment 12 Weeks After Surgery | Up to 12 weeks after surgery | Patient symptoms were measured using the Patient-Reported Outcomes Measurement Information System (PROMIS-29) version 2.1. PROMIS-29 survey questions were each rated on a 5-point Likert scale (range: 1 to 5, higher scores represent a better outcome). Item responses were converted to PROMIS T-scores per the PROMIS scoring manual (population mean = 50, SD = 10). T-scores were then converted to standardized z-scores using the formula (T-score - 50) / 10. Composite physical and mental health z-scores were calculated using weighted domain z-scores. Higher z-scores indicate better outcomes, and negative z-scores indicate scores below the population reference mean. |
| Caregiver Burden Measurement 12 Weeks After Surgery | Up to 12 weeks after surgery | The Zarit Caregiver Burden Scale (ZBI-12) is a 12-item measure of caregiver burden caring for a patient with chronic illness, focusing on the emotional, physical, and social aspects of caregiving. The questions are ranked on a 5-point Likert scale. The total score is 0-48 a higher score indicates a worse outcome (more caregiver burden). |
| Caregiver Spiritual Measure at 12 Weeks | Up to 12 weeks after surgery | Caregiver spiritual symptoms assessment will be assessed using Functional Assessment of Chronic Illness Therapy - Spiritual Well-being (FACIT-Sp-12); 12 item Spiritual Well-being Scale (score range: 0 to 48; higher scores correspond to better spiritual well-being). |
| Caregiver Prognostic Awareness Assessment at 12 Weeks | Up to 12 weeks after surgery | Caregiver prognostic awareness was determined based on the Cancer Care Outcomes Research & Surveillance Consortium (CANCORS) study prognostic awareness questions before and after surgery. To each question, the respondent replied Very likely, Somewhat likely, A little likely, Not at all likely, or Don't know. |
| Caregiver Mood Symptom Assessment at 12 Weeks After Surgery | Up to 12 weeks after surgery | Caregiver symptoms were measured using the Patient-Reported Outcomes Measurement Information System (PROMIS-29) version 2.1. PROMIS-29 survey questions were each rated on a 5-point Likert scale (range: 1 to 5, higher scores represent a better outcome). Item responses were converted to PROMIS T-scores per the PROMIS scoring manual (population mean = 50, SD = 10). T-scores were then converted to standardized z-scores using the formula (T-score - 50) / 10. Composite physical and mental health z-scores were calculated using weighted domain z-scores. Higher z-scores indicate better outcomes, and negative z-scores indicate scores below the population reference mean. |
Countries
United States
Participant flow
Pre-assignment details
20 patients were discovered to have improperly filled out consents and could not be contacted to correct consent. The site's IRB determined that these patients be unenrolled from the study and that any data collected not be used.
Participants by arm
| Arm | Count |
|---|---|
| Surgeon-palliative Care Team Co-management (Intervention) In the Surgeon-palliative care team co-management arm, all patients receive the surgical care of surgeon alone management, which includes surgeon and the surgical team. In addition to this surgeon alone care, palliative care will also be provided by a specialist team. For patients in this arm, patients and/or family members will be seen by the palliative care team: (1) in an outpatient setting prior to surgery, (2) in the hospital within 72 hours of their initial surgery and as needed afterwards, and (3) via phone on in-clinic (per patient preference) on an at least monthly basis and/or as needed for 12 weeks following surgery.
Surgeon-palliative care team co management: Surgeon-palliative care team co management includes surgeon alone care and palliative care specialist team | 182 |
| Surgeon Alone Management (Control) The surgeon and surgical team will manage symptoms, psychosocial support, and prognostic related communication. The surgeon and surgical team care for the patient and their family both prior to and following surgery. The surgeon team is given guidelines published by the National Cancer Coalition Network as to when palliative care specialist consultation is recommended
Surgeon team alone management: The surgeon and surgical team will manage | 177 |
| Total | 359 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Lost to Follow-up | 16 | 8 |
| Overall Study | Physician Decision | 0 | 2 |
| Overall Study | Withdrawal by Subject | 5 | 5 |
Baseline characteristics
| Characteristic | Surgeon-palliative Care Team Co-management (Intervention) | Surgeon Alone Management (Control) | Total |
|---|---|---|---|
| Age, Continuous | 64.57 years STANDARD_DEVIATION 10.9 | 64.72 years STANDARD_DEVIATION 10.4 | 64.66 years STANDARD_DEVIATION 54.02 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 23 Participants | 18 Participants | 41 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 159 Participants | 157 Participants | 316 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 2 Participants | 2 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 5 Participants | 2 Participants | 7 Participants |
| Race (NIH/OMB) Asian | 4 Participants | 9 Participants | 13 Participants |
| Race (NIH/OMB) Black or African American | 11 Participants | 16 Participants | 27 Participants |
| Race (NIH/OMB) More than one race | 2 Participants | 1 Participants | 3 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 1 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 14 Participants | 13 Participants | 27 Participants |
| Race (NIH/OMB) White | 145 Participants | 136 Participants | 281 Participants |
| Region of Enrollment United States | 182 Participants | 177 Participants | 359 Participants |
| Sex/Gender, Customized Female | 73 Participants | 90 Participants | 163 Participants |
| Sex/Gender, Customized Male | 109 Participants | 85 Participants | 194 Participants |
| Sex/Gender, Customized Unknown | 0 Participants | 2 Participants | 2 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 7 / 182 | 6 / 177 |
| other Total, other adverse events | 0 / 182 | 0 / 177 |
| serious Total, serious adverse events | 0 / 182 | 0 / 177 |
Outcome results
Primary
Patient Quality of Life Patient Quality of Life 12 Weeks After Surgery
Patient quality of life will be measured by the Functional Assessment of Chronic Illness Therapy Palliative care subscale (FACIT-PAL). FACIT-PAL is a compilation of general questions divided into four primary QOL domains: Physical Well-Being, Social/Family Well-Being, Emotional Well-Being, and Functional Well-Being. FACIT-PAL has 46 item self report measure. The range is from 0-184 for the FACIT-PAL. A higher score is a better outcome.
Time frame: Up to 12 weeks after surgery
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Surgeon-palliative Care Team Co-management | Patient Quality of Life Patient Quality of Life 12 Weeks After Surgery | 138.54 score on a scale | Standard Deviation 28.28 |
| Surgeon Alone Management | Patient Quality of Life Patient Quality of Life 12 Weeks After Surgery | 136.90 score on a scale | Standard Deviation 28.96 |
p-value: 0.62395% CI: [-8.15, 4.89]Regression, Linear
Secondary
Caregiver Burden Measurement 12 Weeks After Surgery
The Zarit Caregiver Burden Scale (ZBI-12) is a 12-item measure of caregiver burden caring for a patient with chronic illness, focusing on the emotional, physical, and social aspects of caregiving. The questions are ranked on a 5-point Likert scale. The total score is 0-48 a higher score indicates a worse outcome (more caregiver burden).
Time frame: Up to 12 weeks after surgery
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Surgeon-palliative Care Team Co-management | Caregiver Burden Measurement 12 Weeks After Surgery | 6.50 score on a scale |
| Surgeon Alone Management | Caregiver Burden Measurement 12 Weeks After Surgery | 11.50 score on a scale |
p-value: 0.531Regression, Linear
Secondary
Caregiver Mood Symptom Assessment at 12 Weeks After Surgery
Caregiver symptoms were measured using the Patient-Reported Outcomes Measurement Information System (PROMIS-29) version 2.1. PROMIS-29 survey questions were each rated on a 5-point Likert scale (range: 1 to 5, higher scores represent a better outcome). Item responses were converted to PROMIS T-scores per the PROMIS scoring manual (population mean = 50, SD = 10). T-scores were then converted to standardized z-scores using the formula (T-score - 50) / 10. Composite physical and mental health z-scores were calculated using weighted domain z-scores. Higher z-scores indicate better outcomes, and negative z-scores indicate scores below the population reference mean.
Time frame: Up to 12 weeks after surgery
Population: Participants who completed the survey are included in the analysis
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Surgeon-palliative Care Team Co-management | Caregiver Mood Symptom Assessment at 12 Weeks After Surgery | Physical health | 0.32 z-score | Standard Deviation 0.92 |
| Surgeon-palliative Care Team Co-management | Caregiver Mood Symptom Assessment at 12 Weeks After Surgery | Mental health | 0.27 z-score | Standard Deviation 0.94 |
| Surgeon Alone Management | Caregiver Mood Symptom Assessment at 12 Weeks After Surgery | Physical health | 0.33 z-score | Standard Deviation 0.63 |
| Surgeon Alone Management | Caregiver Mood Symptom Assessment at 12 Weeks After Surgery | Mental health | 0.23 z-score | Standard Deviation 0.64 |
Secondary
Caregiver Prognostic Awareness Assessment at 12 Weeks
Caregiver prognostic awareness was determined based on the Cancer Care Outcomes Research & Surveillance Consortium (CANCORS) study prognostic awareness questions before and after surgery. To each question, the respondent replied Very likely, Somewhat likely, A little likely, Not at all likely, or Don't know.
Time frame: Up to 12 weeks after surgery
Population: Participants who completed the respective survey questions are included in the analysis.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Surgeon-palliative Care Team Co-management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Help your loved one live longer? (Don't know) | 4 Participants |
| Surgeon-palliative Care Team Co-management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Cure your loved one's cancer? (Not at all likely) | 19 Participants |
| Surgeon-palliative Care Team Co-management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Help your loved one live longer? (Somewhat likely) | 12 Participants |
| Surgeon-palliative Care Team Co-management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Cure your loved one's cancer? (Don't know) | 12 Participants |
| Surgeon-palliative Care Team Co-management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Cure your loved one's cancer? (Very likely) | 39 Participants |
| Surgeon-palliative Care Team Co-management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Help your loved one with problems due to the cancer? (Very likely) | 58 Participants |
| Surgeon-palliative Care Team Co-management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Help your loved one live longer? (Not at all likely) | 8 Participants |
| Surgeon-palliative Care Team Co-management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Help your loved one with problems due to the cancer? (Somewhat likely) | 15 Participants |
| Surgeon-palliative Care Team Co-management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Cure your loved one's cancer? (Somewhat likely) | 23 Participants |
| Surgeon-palliative Care Team Co-management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Help your loved one with problems due to the cancer? (A little likely) | 4 Participants |
| Surgeon-palliative Care Team Co-management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Help your loved one live longer? (A little likely) | 0 Participants |
| Surgeon-palliative Care Team Co-management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Help your loved one with problems due to the cancer? (Not at all likely) | 12 Participants |
| Surgeon-palliative Care Team Co-management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Cure your loved one's cancer? (A little likely) | 8 Participants |
| Surgeon-palliative Care Team Co-management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Help your loved one with problems due to the cancer? (Don't know) | 12 Participants |
| Surgeon-palliative Care Team Co-management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Help your loved one live longer? (Very Likely) | 77 Participants |
| Surgeon Alone Management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Help your loved one with problems due to the cancer? (Don't know) | 10 Participants |
| Surgeon Alone Management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Help your loved one live longer? (Very Likely) | 83 Participants |
| Surgeon Alone Management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Help your loved one live longer? (Somewhat likely) | 7 Participants |
| Surgeon Alone Management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Help your loved one live longer? (A little likely) | 3 Participants |
| Surgeon Alone Management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Help your loved one live longer? (Not at all likely) | 3 Participants |
| Surgeon Alone Management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Help your loved one live longer? (Don't know) | 3 Participants |
| Surgeon Alone Management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Cure your loved one's cancer? (Very likely) | 33 Participants |
| Surgeon Alone Management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Cure your loved one's cancer? (Somewhat likely) | 37 Participants |
| Surgeon Alone Management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Cure your loved one's cancer? (A little likely) | 10 Participants |
| Surgeon Alone Management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Cure your loved one's cancer? (Not at all likely) | 10 Participants |
| Surgeon Alone Management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Cure your loved one's cancer? (Don't know) | 10 Participants |
| Surgeon Alone Management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Help your loved one with problems due to the cancer? (Very likely) | 50 Participants |
| Surgeon Alone Management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Help your loved one with problems due to the cancer? (Somewhat likely) | 23 Participants |
| Surgeon Alone Management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Help your loved one with problems due to the cancer? (A little likely) | 7 Participants |
| Surgeon Alone Management | Caregiver Prognostic Awareness Assessment at 12 Weeks | Awareness after: Help your loved one with problems due to the cancer? (Not at all likely) | 10 Participants |
Comparison: Analysis of question Help your loved one live longer?p-value: 0.77Regression, Linear
Comparison: Analysis of question Awareness after: Cure your loved one's cancer?p-value: 0.755Regression, Linear
Comparison: Analysis of question Awareness after: Help your loved one with problems due to the cancer?p-value: 0.929Regression, Linear
Secondary
Caregiver Spiritual Measure at 12 Weeks
Caregiver spiritual symptoms assessment will be assessed using Functional Assessment of Chronic Illness Therapy - Spiritual Well-being (FACIT-Sp-12); 12 item Spiritual Well-being Scale (score range: 0 to 48; higher scores correspond to better spiritual well-being).
Time frame: Up to 12 weeks after surgery
Population: Participants with available survey data
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Surgeon-palliative Care Team Co-management | Caregiver Spiritual Measure at 12 Weeks | 34.06 score on a scale | Standard Deviation 8.34 |
| Surgeon Alone Management | Caregiver Spiritual Measure at 12 Weeks | 33.72 score on a scale | Standard Deviation 7.55 |
p-value: 0.871Regression, Linear
Secondary
Patient Mood Symptoms Assessment 12 Weeks After Surgery
Patient symptoms were measured using the Patient-Reported Outcomes Measurement Information System (PROMIS-29) version 2.1. PROMIS-29 survey questions were each rated on a 5-point Likert scale (range: 1 to 5, higher scores represent a better outcome). Item responses were converted to PROMIS T-scores per the PROMIS scoring manual (population mean = 50, SD = 10). T-scores were then converted to standardized z-scores using the formula (T-score - 50) / 10. Composite physical and mental health z-scores were calculated using weighted domain z-scores. Higher z-scores indicate better outcomes, and negative z-scores indicate scores below the population reference mean.
Time frame: Up to 12 weeks after surgery
Population: Participants with available survey data
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Surgeon-palliative Care Team Co-management | Patient Mood Symptoms Assessment 12 Weeks After Surgery | Physical health | -0.50 z-score | Standard Deviation 1.01 |
| Surgeon-palliative Care Team Co-management | Patient Mood Symptoms Assessment 12 Weeks After Surgery | Mental health | -0.07 z-score | Standard Deviation 0.84 |
| Surgeon Alone Management | Patient Mood Symptoms Assessment 12 Weeks After Surgery | Physical health | -0.43 z-score | Standard Deviation 0.89 |
| Surgeon Alone Management | Patient Mood Symptoms Assessment 12 Weeks After Surgery | Mental health | -0.07 z-score | Standard Deviation 0.87 |
Comparison: Analysis of physical health score.p-value: 0.55595% CI: [-0.29, 0.15]Regression, Linear
Comparison: Analysis of mental health score.p-value: 0.98395% CI: [-0.2, 0.2]Regression, Linear
Secondary
Patient Mortality up to 6 Months
Number of surviving patients in both arms will be reported at end of 6 months.
Time frame: Up to 6 months after surgery
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Surgeon-palliative Care Team Co-management | Patient Mortality up to 6 Months | Alive | 164 Participants |
| Surgeon-palliative Care Team Co-management | Patient Mortality up to 6 Months | Died | 7 Participants |
| Surgeon Alone Management | Patient Mortality up to 6 Months | Alive | 156 Participants |
| Surgeon Alone Management | Patient Mortality up to 6 Months | Died | 6 Participants |
Secondary
Patient Palliative Symptoms Assessment
Patient will be assessed for twelve symptoms (pain, tiredness, nausea, depression, anxiety, drowsiness, appetite, well-being, shortness of breath, constipation, financial distress, and spiritual pain) using a modified Edmonton Symptom Assessment System (ESAS). Each symptom is rated from 0 to 10 on a numerical scale, 0 meaning that the symptom is absent and 10 that it is of the worst possible severity.
Time frame: Up to 12 weeks after surgery
Population: data were not collected for this outcome measure
Secondary
Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery
Patient prognostic awareness is determined based on the Cancer Care Outcomes Research & Surveillance Consortium (CANCORS) study prognostic awareness questions before and after surgery. To each question, the respondent replied Very likely, Somewhat likely, A little likely, Not at all likely, or Don't know.
Time frame: Up to 12 weeks after surgery
Population: Participants who completed the respective survey questions are included in the analysis.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Surgeon-palliative Care Team Co-management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Help you live longer? (Don't know) | 6 Participants |
| Surgeon-palliative Care Team Co-management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Cure your cancer? (Not at all likely) | 14 Participants |
| Surgeon-palliative Care Team Co-management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Help you live longer? (Somewhat likely) | 13 Participants |
| Surgeon-palliative Care Team Co-management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Cure your cancer? (Don't know) | 11 Participants |
| Surgeon-palliative Care Team Co-management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Cure your cancer? (Somewhat likely) | 27 Participants |
| Surgeon-palliative Care Team Co-management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Help you with problems you were having because of your cancer? (Very likely) | 54 Participants |
| Surgeon-palliative Care Team Co-management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Help you live longer? (Not at all likely) | 6 Participants |
| Surgeon-palliative Care Team Co-management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Help you with problems you were having because of your cancer? (Somewhat likely) | 54 Participants |
| Surgeon-palliative Care Team Co-management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Cure your cancer? (Very likely) | 39 Participants |
| Surgeon-palliative Care Team Co-management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Help you with problems you were having because of your cancer? (A little likely) | 6 Participants |
| Surgeon-palliative Care Team Co-management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Help you live longer? (A little likely) | 6 Participants |
| Surgeon-palliative Care Team Co-management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Help you with problems you were having because of your cancer? (Not at all likely) | 12 Participants |
| Surgeon-palliative Care Team Co-management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Cure your cancer? (A little likely) | 10 Participants |
| Surgeon-palliative Care Team Co-management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Help you with problems you were having because of your cancer? (Don't know) | 11 Participants |
| Surgeon-palliative Care Team Co-management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Help you live longer? (Very likely) | 70 Participants |
| Surgeon Alone Management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Help you with problems you were having because of your cancer? (Don't know) | 9 Participants |
| Surgeon Alone Management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Help you live longer? (Very likely) | 80 Participants |
| Surgeon Alone Management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Help you live longer? (Somewhat likely) | 11 Participants |
| Surgeon Alone Management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Help you live longer? (A little likely) | 3 Participants |
| Surgeon Alone Management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Help you live longer? (Not at all likely) | 3 Participants |
| Surgeon Alone Management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Help you live longer? (Don't know) | 3 Participants |
| Surgeon Alone Management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Cure your cancer? (Somewhat likely) | 25 Participants |
| Surgeon Alone Management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Cure your cancer? (Very likely) | 51 Participants |
| Surgeon Alone Management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Cure your cancer? (A little likely) | 10 Participants |
| Surgeon Alone Management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Cure your cancer? (Not at all likely) | 10 Participants |
| Surgeon Alone Management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Cure your cancer? (Don't know) | 5 Participants |
| Surgeon Alone Management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Help you with problems you were having because of your cancer? (Very likely) | 57 Participants |
| Surgeon Alone Management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Help you with problems you were having because of your cancer? (Somewhat likely) | 17 Participants |
| Surgeon Alone Management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Help you with problems you were having because of your cancer? (A little likely) | 8 Participants |
| Surgeon Alone Management | Patient Prognostic Awareness Assessment Assessment 12 Weeks After Surgery | Help you with problems you were having because of your cancer? (Not at all likely) | 10 Participants |
Comparison: Analysis of question Help you live longer?p-value: 0.484Regression, Linear
Comparison: Analysis of question Cure your cancer?p-value: 0.343Regression, Linear
Comparison: Analysis of question Help you with problems you were having because of your cancer?p-value: 0.908Regression, Linear
Secondary
Patient Spiritual Assessment 12 Weeks After Surgery
Patient spiritual symptoms assessment will be assessed using Functional Assessment of Chronic Illness Therapy - Spiritual Well-being (FACIT-Sp-12); 12 item Spiritual Well-being Scale. Score range: 0 to 48; higher scores correspond to better spiritual well-being.
Time frame: Up to 12 weeks after surgery
Population: Participants with available survey data
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Surgeon-palliative Care Team Co-management | Patient Spiritual Assessment 12 Weeks After Surgery | 35.90 score on a scale | Standard Deviation 9.4 |
| Surgeon Alone Management | Patient Spiritual Assessment 12 Weeks After Surgery | 35.89 score on a scale | Standard Deviation 8.92 |
p-value: 0.99795% CI: [-2.09, 2.1]Regression, Linear