Cancer
Conditions
Keywords
Automated Geriatric Co-Management Program, Perioperative Care, Solid mass, Nodule, 19-066
Brief summary
The purpose of this study is to find out if it is possible to use the automated geriatric co-management program to manage the participants care before, during and after surgery.
Interventions
OTHERin-person geriatric co-management
The geriatrics service sees these patients for at least 2 postoperative days, if deemed clinically necessary by the geriatrician. During the inpatient hospital course, the geriatrics service will ensure the execution of preoperative recommendations and will discuss with the surgical team, who will act as a primary team, any additional recommendation in order to improve postoperative care. In-person geriatric consults to be done via telemedicine due to the current pandemic and consideration for patient safety.
OTHERautomated geriatric co-management
Following completion of the eRFA, the summary of impairments as well as the recommendations generated by the study team (hard-copy or email) will be provided in real-time to the surgery team for their attention.
Sponsors
Memorial Sloan Kettering Cancer Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
The proposed study is a randomized controlled trial study.
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Solid mass or nodule suspicious for cancer * Aged 65 or older * Being considered for surgical resection of the solid mass or nodule, with anticipated hospital length of stay of at least two days, * Completed the eRFA per routine care
Exclusion criteria
* Unable to read or comprehend English * Not having a completed electronic Rapid Fitness Assessment within 2 months of surgery\*\*Note) To avoid excluding patients based this item, patients have to complete another eRFA within two months of surgery. * Being discharged in one day or earlier from the hospital.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of Automated Geriatric Co-management Program | 2 years | percentage of recommendations that were followed by the surgery team |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| In-person Geriatric Co-management Group In-person geriatric consults to be done via telemedicine due to the current pandemic and consideration for patient safety. | 11 |
| Automated Geriatric Co-management Program Group automated geriatric co-management: Following completion of the eRFA, the summary of impairments as well as the recommendations generated by the study team (hard-copy or email) will be provided in real-time to the surgery team for their attention. | 9 |
| Total | 20 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Patient became ineligible becasue she underwent neoaedjuvant chemotherapy before surgery. | 1 | 0 |
| Overall Study | Patient deemed to be ineligible due to language preference | 1 | 0 |
| Overall Study | Patient did not undergo surgery within 2 months of consent. | 1 | 1 |
| Overall Study | Patient unable to complete appointment - withdrawn from study | 0 | 1 |
Baseline characteristics
| Characteristic | In-person Geriatric Co-management Group | Automated Geriatric Co-management Program Group | Total |
|---|---|---|---|
| Age, Continuous | 75 years | 76 years | 76 years |
| Ethnicity (NIH/OMB) Hispanic or Latino | 3 Participants | 0 Participants | 3 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 8 Participants | 9 Participants | 17 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 0 Participants | 1 Participants | 1 Participants |
| Race (NIH/OMB) More than one race | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 1 Participants | 2 Participants | 3 Participants |
| Race (NIH/OMB) White | 10 Participants | 6 Participants | 16 Participants |
| Region of Enrollment United States | 11 Participants | 9 Participants | 20 Participants |
| Sex: Female, Male Female | 9 Participants | 3 Participants | 12 Participants |
| Sex: Female, Male Male | 2 Participants | 6 Participants | 8 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 3 / 11 | 0 / 9 |
| other Total, other adverse events | 0 / 11 | 0 / 9 |
| serious Total, serious adverse events | 0 / 11 | 0 / 9 |
Outcome results
Primary
Feasibility of Automated Geriatric Co-management Program
percentage of recommendations that were followed by the surgery team
Time frame: 2 years
Population: N/A data were not collected