Perioperative Palliative Care Surrounding Cancer Surgery for Patients & Their Family Members
| Status: | Recruiting |
|---|---|
| Conditions: | Cancer, Cancer |
| Therapuetic Areas: | Oncology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 3/9/2019 |
| Start Date: | September 25, 2018 |
| End Date: | February 2021 |
| Contact: | Rebecca Aslakson |
| Email: | aslakson@stanford.edu |
| Phone: | 6507216669 |
A Multi-Center Randomized Controlled Trial of Perioperative Palliative Care Surrounding Cancer Surgery for Patients and Their Family Members (the PERIOP-PC Trial)
The study goal is to compare surgeon-palliative care team co-management, versus surgeon alone
management, of patients and family members preparing for major upper gastrointestinal cancer
surgery. The study also aims to explore, using qualitative methods, the impact of
surgeon-palliative care team co-management versus surgeon alone management on the
perioperative care experience for patients, family members, surgeons, and palliative care
clinicians.
management, of patients and family members preparing for major upper gastrointestinal cancer
surgery. The study also aims to explore, using qualitative methods, the impact of
surgeon-palliative care team co-management versus surgeon alone management on the
perioperative care experience for patients, family members, surgeons, and palliative care
clinicians.
The components of surgeon palliative care team co management practices will include Time,
Education, Assessments, and Multi disciplinary (TEAM) element.
1. Time; At least 60 minutes/month (per patient and caregiver preference) devoted to
palliative care treatments for the patient and family
2. Education - Patients and family members, per their desires and wishes, are counseled and
educated about their disease, including self-management of symptoms, prognosis, and
treatment options
3. Assessment - Formal assessment of symptoms including pain, dyspnea,
constipation/diarrhea, anxiety/depression, fatigue, and nausea. Edmonton symptom score33
will be used as a formal assessment.
4. Multi-Disciplinary - Management must be multi disciplinary with access to a
multi-disciplinary palliative care team composed of nurse, physician, social worker,
pharmacist, and/or chaplain team members.
Education, Assessments, and Multi disciplinary (TEAM) element.
1. Time; At least 60 minutes/month (per patient and caregiver preference) devoted to
palliative care treatments for the patient and family
2. Education - Patients and family members, per their desires and wishes, are counseled and
educated about their disease, including self-management of symptoms, prognosis, and
treatment options
3. Assessment - Formal assessment of symptoms including pain, dyspnea,
constipation/diarrhea, anxiety/depression, fatigue, and nausea. Edmonton symptom score33
will be used as a formal assessment.
4. Multi-Disciplinary - Management must be multi disciplinary with access to a
multi-disciplinary palliative care team composed of nurse, physician, social worker,
pharmacist, and/or chaplain team members.
Inclusion Criteria:
- 18 years of age and must be able to give informed consent.
- Diagnosed with pancreatic cancer or hepatocellular cancer or esophageal cancer or
gastric cancer and/or cholangio carcinomas
- Non emergent, upper gastrointestinal cancer related surgery with a goal of primary
resection of the tumor- optimal surgical goal is cure, not merely disease palliation.
- One companion per patient will be allowed to participate. In addition, to being
identified by the patient at being a key caregiver throughout the surgery period,
these companions must be able to give informed consent and at least 18 years of age.
Exclusion Criteria:
- No previous involvement of palliative care providers in their care course
We found this trial at
4
sites
450 Serra Mall
Stanford, California 94305
Stanford, California 94305
(650) 723-2300
Principal Investigator: Rebecca Aslakson, MD
Phone: 650-721-3229
Stanford University Stanford University, located between San Francisco and San Jose in the heart of...
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