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Brief Title: A Randomized Study of Early Palliative Care
Official Title: A Randomized Study of Early Palliative Care Integrated With Standard Oncology Care Versus Oncology Care Alone in Patients With Non-colorectal Gastrointestinal Malignancies.
Study ID: NCT02311465
Brief Summary: The purpose of this research study is to find out whether it is better to introduce cancer patients to the palliative care team at a later date when there is a specific issue or problem or to introduce cancer patients to the palliative care team when first diagnosed before any specific issue or problem occurs.
Detailed Description: The investigators will conduct a one-year randomized, controlled study to evaluate the impact of an early, integrated palliative care services. The intervention will include comprehensive palliative care services delivered in conjunction with standard oncology care and patient friendly materials for high risk oncology patients. The investigators primary clinical endpoint will be health related quality of life, specifically focusing on measures of anxiety, depression, and well-being. Secondary personalized palliative care outcomes are expected to include: * Reduced deviations from care plan as captured in the medical record compared to the group who did not receive early, integrated palliative care services * Reduced hospital utilization compared to the group who did not receive early, integrated palliative care services
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Vanderbilt University, Nashville, Tennessee, United States
Name: Gordon Bernard, MD
Affiliation: Vanderbilt University Medical Center
Role: PRINCIPAL_INVESTIGATOR