Early Palliative Care in Advanced Lung and Gastrointestinal Malignancies
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Lung Cancer, Liver Cancer, Cancer, Cancer, Cancer, Cancer, Cancer, Cancer, Cancer, Cancer, Cancer, Cancer, Cancer, Gastrointestinal, Pancreatic Cancer |
| Therapuetic Areas: | Gastroenterology, Oncology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 11/17/2018 |
| Start Date: | May 2011 |
| End Date: | December 2019 |
Randomized Study of Early Palliative Care Integrated With Standard Oncology Care Versus Standard Oncology Care Alone in Patients With Advanced Lung and Non-colorectal Gastrointestinal Malignancies
The purpose of this study is to compare two types of care - standard oncology care and
standard oncology care with early palliative care (started soon after diagnosis) to see which
is better for improving the experience of patients and families with advanced lung and
non-colorectal GI cancer. The study will use questionnaires to measure patients' and
caregivers' quality of life, mood, coping and understanding of their illness.
standard oncology care with early palliative care (started soon after diagnosis) to see which
is better for improving the experience of patients and families with advanced lung and
non-colorectal GI cancer. The study will use questionnaires to measure patients' and
caregivers' quality of life, mood, coping and understanding of their illness.
Subjects and their caregiver will complete a baseline questionnaire and then be randomized to
a study group.
Subjects who are randomized to Standard Oncology Care will follow up with their treating
oncologist. They will consult with the palliative care team at their request or at the
request of the treating oncologist. They will complete questionnaires at 12 weeks and 24
weeks after enrollment.
Subjects who are randomized to the Standard Oncology Care with Early Palliative Care will
meet with a palliative care clinician at their next medical oncology visit or infusion visit.
They will meet with the palliative care clinician at least every three weeks. They will
complete questionnaires at 12 and 24 weeks after enrollment.
a study group.
Subjects who are randomized to Standard Oncology Care will follow up with their treating
oncologist. They will consult with the palliative care team at their request or at the
request of the treating oncologist. They will complete questionnaires at 12 weeks and 24
weeks after enrollment.
Subjects who are randomized to the Standard Oncology Care with Early Palliative Care will
meet with a palliative care clinician at their next medical oncology visit or infusion visit.
They will meet with the palliative care clinician at least every three weeks. They will
complete questionnaires at 12 and 24 weeks after enrollment.
Inclusion Criteria:
- Confirmed metastatic lung cancer (NSCLC, small cell lung cancer, and mesothelioma)or
non-colorectal GI cancer (esophageal, gastric and hepatobiliary) not being treated
with curative intent
- Informed of metastatic disease within the previous 8 weeks
- No prior therapy for metastatic disease
- Able to read questions in English or willing to complete questionnaires with the
assistance of an interpreter
- Relative or friend of patient who will likely accompany the patient to clinic visits
Exclusion Criteria:
- Significant psychiatric or other co-morbid disease
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