The Surprise Study
An Online International Comparison of Thresholds for Triggering a Negative Response to the "Surprise Question"
1 other identifier
observational
250
6 countries
6
Brief Summary
This study investigates the use of the Surprise Question \[SQ\] (would you be surprised if this patient were to die in the next 12 months?) in routine practice. In particular, the study will investigate the consistency of the responses to the SQ and the relationship with the subsequent course of action decided upon.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Mar 2019
Shorter than P25 for all trials
6 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 25, 2018
CompletedFirst Posted
Study publicly available on registry
October 5, 2018
CompletedStudy Start
First participant enrolled
March 25, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2020
CompletedMarch 27, 2020
March 1, 2020
11 months
September 25, 2018
March 25, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Probability estimate
The continuous estimate of probability of dying within the next 12 months for the SQ (0-100%).
Participants will have up to 8 months (until the study closes) to provide an estimate for each vignette (n=20)
Secondary Outcomes (3)
The Surprise Question
up to 8 months (until the study closes)Participants will have up to 8 months (until the study closes) to provide a response for each vignette (n=20)
The alternative Surprise Question
up to 8 months (until the study closes)Participants will have up to 8 months (until the study closes) to provide a response for each vignette (n=20)
Treatment options
up to 8 months (until the study closes)Participants will have up to 8 months (until the study closes) to provide a response for each vignette (n=20)
Study Arms (1)
General Practitioners
Registered General Practitioners in one of the six participating countries.
Interventions
Eligibility Criteria
A convenience sample of registered General Practitioners (GPs) with a variety of years of experience and seniority across six European countries will be approached to participate
You may qualify if:
- Registered General Practitioner in one of the six participating countries
- Able to read and understand the language in which the questionnaire is presented to them
You may not qualify if:
- None
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University College, Londonlead
- Johannes Gutenberg University Mainzcollaborator
- Radboud University Medical Centercollaborator
- University of Berncollaborator
- Imperial College Londoncollaborator
- Universiteit Antwerpencollaborator
- University of Bolognacollaborator
Study Sites (6)
University of Antwerp
Antwerp, Belgium
University of Mainz
Mainz, Germany
University of Bologna
Bologna, Italy
Radboud University Medical Centre
Nijmegen, Netherlands
University Hospital of Bern
Bern, Switzerland
Marie Curie Palliative Care Research Department
London, W1W 7EJ, United Kingdom
Related Publications (2)
White N, Oostendorp LJ, Vickerstaff V, Gerlach C, Engels Y, Maessen M, Tomlinson C, Wens J, Leysen B, Biasco G, Zambrano S, Eychmuller S, Avgerinou C, Chattat R, Ottoboni G, Veldhoven C, Stone P. An online international comparison of palliative care identification in primary care using the Surprise Question. Palliat Med. 2022 Jan;36(1):142-151. doi: 10.1177/02692163211048340. Epub 2021 Oct 1.
PMID: 34596445DERIVEDWhite N, Oostendorp L, Vickerstaff V, Gerlach C, Engels Y, Maessen M, Tomlinson C, Wens J, Leysen B, Biasco G, Zambrano S, Eychmuller S, Avgerinou C, Chattat R, Ottoboni G, Veldhoven C, Stone P. An online international comparison of thresholds for triggering a negative response to the "Surprise Question": a study protocol. BMC Palliat Care. 2019 Apr 9;18(1):36. doi: 10.1186/s12904-019-0413-x.
PMID: 30979361DERIVED
Related Links
Study Officials
- PRINCIPAL INVESTIGATOR
Patrick Stone, MA, MD, FRCP
University College, London
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 25, 2018
First Posted
October 5, 2018
Study Start
March 25, 2019
Primary Completion
March 1, 2020
Study Completion
March 1, 2020
Last Updated
March 27, 2020
Record last verified: 2020-03