Central Nervous System Neoplasm, Leptomeningeal Neoplasm, Metastatic Malignant Neoplasm in the Brain, Primary Brain Neoplasm
Conditions
Brief summary
This study evaluates patient perceptions around quality of care through telemedicine in neuro-oncology. Studying questionnaires related to perceptions quality of care through telemedicine in patients with brain cancer may help doctors to improve the delivery of care through this modality.
Detailed description
PRIMARY OBJECTIVE: I. To evaluate the patient-perceived quality of care by group (telemedicine versus in-person visits) in patients with central nervous system (CNS) cancer. SECONDARY OBJECTIVES: I. To characterize the visits provided by telemedicine compared to those in-person. II. To contrast the average time spent on telemedicine visits compared to in-person visits, and the delay between visit order placement and visit occurring. III. To evaluate the domains of patient care addressed on a telemedicine visit versus in-person visit per documentation, including (1) treatment planning, (2) symptom burden, (3) goals of care. IV. To evaluate frequency of acute care sought (through emergency room or urgent care clinic) within 30 days of encounter in telemedicine visit versus (vs) in-person visit. V. The impact of patient and clinical characteristics on perceived quality of care in the context of covariate-adjusted modeling. OUTLINE: Patients complete a survey related to their perceived quality of care via telephone and have their medical chart reviewed prospectively.
Interventions
OTHERElectronic Health Record Review
Review of medical chart
OTHERSurvey Administration
Complete survey
Sponsors
M.D. Anderson Cancer Center
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients with a CNS tumors: this includes patients with primary brain tumors, brain metastases, and leptomeningeal disease * Established patients with a follow up encounter with Neuro-Oncology at the Brain and Spine Center at the University of Texas MD Anderson Cancer Center; this encounter can be * An in-person visit * A telemedicine appointment
Exclusion criteria
* Encounter occurred with the assistance of official language translation support * Patients with telephone encounters (without interactive video) * New patient or consult visits * Neither patient nor caregiver present during the visit are available or able to answer survey questions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Survey response to question 6 of the quality of care survey ("I felt I received good medical care during this encounter") | through study completion, an average of 1 year | Survey responses will be summarized by ordinal category as counts with percentages, separately by group. Will separately estimate the proportion of each ordinal level of each group with 95% confidence interval. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Care Survey | through study completion, an average of 1 year | Will separately estimate the proportion of each ordinal level of each group with 95% confidence interval. |
| Patients and clinical characteristics | Baseline | Differences between groups will be assessed by 2-sample 2-sided t-test and Mann-Whitney test, Fisher's exact test, or chi-square test. |
| Interactive time spent during visit | through study completion, an average of 1 year | Will be summarized by group per mean, median, standard deviation, and range. Differences between groups will be assessed by t-test and Mann-Whitney test. |
| Time from visit order placement to visit occurring | through study completion, an average of 1 year | Will be summarized by group per mean, median, standard deviation, and range. Differences between groups will be assessed by t-test and Mann-Whitney test. |
| Domains of patient care addressed during a visit, including treatment planning, symptom burden, and goals of care | through study completion, an average of 1 year | Will be summarized as counts with percentages by group. Differences between groups will be assessed by chi-square test. |
| Incidence of acute care sought (through emergency room or urgent care clinic) | Within 30 days of encounter | Will be summarized as counts with percentages by group. Differences between groups will be provisionally assessed by Fisher's exact test. |
Countries
United States
Contacts
CONTACTBarbara J O'Brien, MD
PRINCIPAL_INVESTIGATORBarbara J O'Brien, MD
M.D. Anderson Cancer Center
Outcome results
None listed