Bladder Cancer
Conditions
Keywords
Geriatric oncology, Comprehensive geriatric assessment, Patient-reported outcomes, Muscle-invasive bladder cancer
Brief summary
A Comprehensive Geriatric Assessment (CGA) is a set of tests used to evaluate a patient's medical, social, and functional status, and can identify impairments in these domains that may not be noticed otherwise. Prior studies have shown that a CGA can accurately predict which patients are more likely to have serious side effects from cancer treatment. However, it is unknown whether interventions can be done to address the impairments found during a CGA in order to reduce the risk of these side effects. This pilot study will test the feasibility of targeted interventions for deficits identified during a CGA in patients 65 years or older with bladder cancer that have not yet started treatment.
Detailed description
This study will enroll patients with muscle-invasive bladder cancer that have not yet started systemic cancer treatment. The participants will complete a CGA and patient-reported outcome (PRO) measures at baseline. Based on any impairments found during the CGA, participants will be referred to specialists to help address these difficulties. Participants will complete the CGA and PRO measures again at 3 months and 1 year after the initial assessment. The goal of this study is to see if patients with advanced bladder cancer are interested in referrals to specialists to address their impairments, and whether participants attend those appointments.
Interventions
OTHERTargeted Interventions for Impairments Identified During Geriatric Assessment
Participants will be referred for specific evidence-based interventions based on impairments identified during a baseline comprehensive geriatric assessment.
Sponsors
UNC Lineberger Comprehensive Cancer Center
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age 65 years or older * Confirmed diagnosis of muscle-invasive bladder cancer * Plan to undergo systemic treatment but have not yet started therapy
Exclusion criteria
* Must be able to read English
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient interest in impairment-directed interventions | 1 year | To establish patient interest in referral for interventions based on impairments found during geriatric assessment within an outpatient genitourinary oncology clinic. Success will be at least 75% of patients accepting referral for indicated interventions. |
Countries
United States
Outcome results
None listed