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Does outpatient advance care planning by the Palliative Advice and Consultation Team (PACT) lead to cost-saving and patient-oriented care?

Does outpatient advance care planning by the Palliative Advice and Consultation Team (PACT) lead to cost-saving and patient-oriented care? - Palliative Active Care Team Study

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON45860
Enrollment
20
Registered
2018-08-16
Start date
2018-12-01
Completion date
Unknown
Last updated
2024-08-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cancer upper GI tract malignancy

Interventions

Early outpatient consultation of the PACT and creating aadvance care plan for current and future health care providers.

Sponsors

Isala Klinieken
Lead Sponsor

Eligibility

Age
18 Years to 99 Years

Inclusion criteria

Inclusion criteria: To be part of the study, patients must meet the following criteria: - Patients with a minimum age of 18 years. - Patients have given permission through informed consent. - Patients diagnosed with a non-curable upper gastrointestinal tract malignancy in an outpatient setting. - Estimated life expectancy less than one year. - Outpatient visit with internist oncologist to discuss system-oriented therapy. - Intervention takes place within one month of determination of not curable illness.

Exclusion criteria

Exclusion criteria: Patients with the following criteria may not be part of the study: - Patients with limited cognitive function. This includespatients with cognitive or psychiatric co-morbidity and patients with brain metastases in which cognitive functions are affected.

Design outcomes

Primary

MeasureTime frame
Primary outcome measure is the number of days admitted to the hospital after three months after inclusion.

Secondary

MeasureTime frame
Secondary outcome measures are the number of admissions, the average length of admission, the number of emergency room visits, the number of contact moments with the specialized nurse, the quality of life of the patient (EORTC QLQ-C30), the quality of life of relatives (EDIZ) and the satisfaction of fellow practitioners (scale from 0 to 10) after one month and three months after inclusion. In addition, the number of days admitted to the hospital after one month after inclusion, the survival and the place of death in relation to the wished place of death.

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)