Quality of the End of Life Care

NCT02775825 | Completed

• 1 other identifier: C15/003/R
• Study Type: observational
• Target: 180
• Locations: 1 country
• Sites: 1

Brief Summary

End-of life care is one of the principle components of cancer care. Measurement of the quality of care provided for end-of-life cancer patients is an important issue. Recently there has been an increased emphasis on measuring and monitoring the quality of cancer care for the purpose of improving clinical practice. Despite increasing attention paid to end-of-life care in recent years, many studies have described difficulties in the final phase of life, including problems with access to hospice, inadequate symptom management, care giving burdens, care mismatched with patient preferences, and inappropriate resource use. Measuring quality of life is an important issue for monitoring clinical practice and improving outcome. Although patient assessment is the best quality measure, it is impractical to measure the quality of end-of-life care because of the difficulties of accurate prognostication for end-of-life and many patients are too ill to provide assessments. In contrast, several recent studies developed quality indicators (QIs) of palliative and end-of-life care, which assess the quality from existing sources such as administrative data or medical chart data.

Conditions

Cancer

Outcome Measures

Primary Outcomes (1)

• To measure the quality of care provided by oncology department to adult patients with advanced cancer in the last month of their life using The Cancer Quality-ASSIST QI (Assessing Symptoms Side Effects and Indicators of Supportive Treatment

  6 months

Interventions

survey OTHER

Eligibility Criteria

• Age: 18 Years - 90 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Adult patients with advanced cancer defined as patients who are 18 years or older with stage IV or metastatic disease at the last month of their life.

You may qualify if:

• Documented confirmed cancer diagnosis.
• year or older.
• Patients with advanced cancer (stage IV or with metastasis).
• Any hospital admission within the last 30 days.

You may not qualify if:

• Cancer patients admitted under care of other specialties other than oncology.
• Patients who had a major surgery within one month of death, which required admission for more than 1 day under general anesthesia.
• Patients who were following with other hospitals transferred and died within 3 days of admission.
• Cancer diagnosis was made only on death certificate with no prior cancer diagnosis.
• Patient died outside hospital.

Sponsors & Collaborators

• National Guard Health Affairs: lead

Study Sites (1)

King Abdul Aziz Medical City for National Guard

Riyadh, Saudi Arabia

Location

MeSH Terms

Conditions

Neoplasms

Interventions

Surveys and Questionnaires

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 12, 2016
• First Posted: May 18, 2016
• Study Start: October 1, 2015
• Primary Completion: March 1, 2016
• Study Completion: March 1, 2016
• Last Updated: May 19, 2016

Record last verified: 2016-05

Data Sharing

• IPD Sharing: Will not share

Locations

SA (1)