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Brief Title: Perioperative Palliative Care Surrounding Cancer Surgery for Patients & Their Family Members
Official Title: A Multi-Center Randomized Controlled Trial of Perioperative Palliative Care Surrounding Cancer Surgery for Patients and Their Family Members (the PERIOP-PC Trial)
Study ID: NCT03611309
Brief Summary: 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.
Detailed Description: 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.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Stanford University, Stanford, California, United States
Johns Hopkins Hostpital, Baltimore, Maryland, United States
Dana Farber/ Brigham, Boston, Massachusetts, United States
University of New Mexico, Albuquerque, New Mexico, United States
Ohio State University Medical Center, Columbus, Ohio, United States
Name: Rebecca A. Aslakson, MD, Ph.D
Affiliation: Stanford University
Role: PRINCIPAL_INVESTIGATOR