Using a Geriatric Oncology Assessment to Link With Services

NCT02906592 | Completed

• 1 other identifier: Pro00073547
• Study Type: observational
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

The objective of this study is to implement a brief geriatric oncology assessment (GOA) in a community-based oncology clinic, the Scotland Cancer Treatment Center - a clinic within the Duke Cancer Network, located in the rural, low resource Scotland County community of North Carolina. Secondly, the investigators will evaluate the effectiveness of the brief GOA by comparing historical and post-GOA service referral patterns and adherence to planned cancer therapy. For this study, the investigators will prospectively enroll up to 60 patients who have been diagnosed and/or treated for cancer to complete the brief GOA. In addition to these 60 patients, the investigators will also conduct retrospective chart reviews on 120 patients that would be eligible for this study to evaluate past referral patterns. Eligible and consented patients will complete the brief GOA at the Scotland Cancer Treatment Center alongside their normal clinic appointment. The investigators will assess impact on the healthcare system by evaluating referral patterns (i.e., how many, what type of services) using the brief GOA data and EHR data. The study value includes the possibility for recognition and access to additional health care referrals if needed.

Conditions

Cancer

Outcome Measures

Primary Outcomes (4)

• Change in referral patterns

  Comparison of historical and post GOA service referral patterns

  retrospective data from 1/1/2013-7/7/2016

• Time to complete the brief GOA

  6 months

• Number of referrals completed

  6 months

• Number of patients who needed help completing the brief GOA

  6 months

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Geriatric (60 years or older) patients in a community-based cancer clinic at Scotland Memorial Hospital. They serve a racially diverse (e.g., 35% African American, 10% Native American), elderly (e.g., 65% \>65 years), rural, low resource community with over 20% of the population living in poverty.

You may qualify if:

• In order to be included in the project, patients must be:
• Diagnosed for a solid tumor cancer (breast, lung, colon, rectal, colorectal (unspecified), pancreas, esophageal)
• Diagnosis date within 12 months of identification
• Receiving care at Scotland Cancer Treatment Center
• Aged 60 years or older at the time of the visit
• Planned therapy in the medical oncology clinic at the Scotland Cancer Treatment Center

You may not qualify if:

• Diagnosis of metastatic cancer with \<12 months life expectancy
• Planned cancer therapy as surgery only
• Receiving palliative or hospice care services (i.e., proxy for \<12 months life expectancy)
• Language (not proficient in English)
• Nursing home/long-term care facility resident
• Active diagnosis of psychosis (has been hospitalized in the last 30 days), schizophrenia, severe intellectual or developmental disabilities, or dementia
• Patient deemed not fit/good candidate for study per provider recommendation

Sponsors & Collaborators

• Duke University: lead
• Duke Cancer Institute: collaborator

Study Sites (1)

Scotland Cancer Treatment Center

Laurinburg, North Carolina, 28352, United States

Location

Related Publications (1)

• Zullig LL, Kimmick G, Smith V, Little K, Bosworth HB, Gonzales S, Oakes MM, Shelby RA, Owen L, Altomare IP. Using a geriatric oncology assessment to link with services (GOAL). J Geriatr Oncol. 2019 Jan;10(1):164-168. doi: 10.1016/j.jgo.2018.06.004. Epub 2018 Jun 27.

  PMID: 29958815 DERIVED

MeSH Terms

Conditions

Neoplasms

Study Officials

• Leah Zullig, Ph.D.

  Duke University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 15, 2016
• First Posted: September 20, 2016
• Study Start: January 1, 2017
• Primary Completion: September 29, 2017
• Study Completion: September 29, 2017
• Last Updated: January 11, 2018

Record last verified: 2017-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)