Spots Global Cancer Trial Database for Using Whole-Person-Care Guide in Patients Receiving Care for Cancer or Complications From Cancer Treatment

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Trial Identification

Brief Title: Using Whole-Person-Care Guide in Patients Receiving Care for Cancer or Complications From Cancer Treatment

Official Title: Developing a Nested Whole-Person-Care Guide: Screening and Evaluation Steps (American Cancer Society) ACS

Study ID: NCT00608738

Conditions

Chemotherapeutic Agent Toxicity

Infection

Malnutrition

Musculoskeletal Complications

Neutropenia

Radiation Toxicity

Thrombocytopenia

Unspecified Adult Solid Tumor, Protocol Specific

Interventions

informational intervention

medical chart review

questionnaire administration

assessment of therapy complications

management of therapy complications

Study Description

Brief Summary: RATIONALE: Gathering information about patients with cancer and cancer-related conditions may help doctors learn more about a patient's needs and help doctors plan the best treatment. PURPOSE: This clinical trial is studying how well a whole-person-care guide works in identifying patient needs in patients with cancer or complications from cancer treatment.

Detailed Description: OBJECTIVES: * To determine what patient needs are detected from NEST13+ interviews of cancer patients and their caregivers. * To determine the concordance among patient, caregiver, and team goals. * To determine palliative care services provided. OUTLINE: Participants are assigned sequentially to 1 of 2 intervention groups. * Group 1 (NEST13+): Patients and caregivers undergo NEST13+ interviews at the time of admission to Northwestern Memorial Hospital (caregivers answer the NEST13+ interviews from the patient's perspective). A NEST13+ care plan is then derived from both patient and caregiver responses. Research MD or RN presents patient's NEST13+ findings and recommended interventions for integration with actual care. On the day of discharge, patients and caregivers undergo a second NEST13+ interview. * Group 2 (control): Patients and caregivers undergo a sham interview at the time of admission to Northwestern Memorial Hospital. On the day of discharge, patients and caregivers undergo a NEST13+ interview as in group 1. Medical charts for all patients are reviewed by a member of the research staff to document needs assessments in domains covered by NEST and to document palliative care-related decisions. Abstracted chart review by blinded experts is also performed to evaluate palliative care quality based on National Comprehensive Cancer Network guidelines. PROJECTED ACCRUAL: A total of 500 patients and 250 caregivers will be accrued for this study.