Gastrointestinal Cancer, Lung Cancer
Conditions
Brief summary
To improve quality of life for participants with advanced cancer, support their families, and lower overall cost of care.
Detailed description
Primary Objective: To compare overall percentage of days spent in an acute care setting over the 30-day period from time of the index emergency department (ED), referred to as Acute Cancer Care Center (ACCC), visit for patients who receive the emergency department-based GOC intervention and those who do not. Secondary Objective: To obtain data on rates of admission to the ICU, death in the hospital setting, symptom improvement for participants hospitalized, hospice referral, survival, and 30-day care costs for participants who receive the GOC intervention in the ACCC and those who do not.
Interventions
OTHERStandard of Care (Acute Cancer Care Center)
In Group 1, participants will receive the usual standard of care by an emergency care physician not trained in palliative care.
OTHERStandard of Care (Goals of Care)
In Group 2, participants will receive standard of care plus palliative care intervention by an emergency care physician trained in palliative care.
Sponsors
M.D. Anderson Cancer Center
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Participant is at least 18 years old presenting to the triage area of the MDACC ACCC for treatment 2. Participant has advanced lung or GI cancer. Advanced cancer patient defined as: locally recurrent or metastatic for which there is no curative treatment available. 3. Participant screens positive for at least 2 of 3 triple threat conditions (dyspnea, altered mental status, or poor performance status) 4. Participant has the ability to speak and write in English 5. Participant has the ability to provide consent OR is accompanied by a LAR able to provide consent
Exclusion criteria
1. Participant is already enrolled in hospice 2. Participant is comatose 3. Participant has severe intellectual disability 4. Participant has a history of dementia documented in the medical records 5. Participant has baseline communication barriers such as aphasia or deafness 6. Participant is new to MDACC, without established oncology care at our institution at time of ACCC arrival 7. Participant is 18 years or older, currently cared for by pediatrics service 8. Pregnant women 9. Prisoners
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Quality Of Life Questionnaire | through study completion; an average of 1 year |
Countries
United States
Contacts
CONTACTAhmed Elsayem, MD,MPH
PRINCIPAL_INVESTIGATORAhmed Elsayem, MD,MPH
M.D. Anderson Cancer Center
Outcome results
None listed