Improving Cancer Survival and Reducing Treatment Variations With Protocols for Emergency Care
ICARE
2 other identifiers
observational
152
1 country
1
Brief Summary
Significant challenges and gaps remain in navigating transitions between acute care and outpatient care for many cancer survivors. This study underscores 1) implementation of Emergency Department (ED) risk-stratified treatments protocols that standardize patient care and would allow for rapid re-assessment and access to specialist care with well-coordinated cancer care plans, and 2) the significant numbers of minority cancer survivors seeking episodic care in the ED that are at increased risk of not receiving recommended post cancer treatment surveillance.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Aug 2020
1 active site
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
Study Start
First participant enrolled
August 6, 2020
CompletedFirst Submitted
Initial submission to the registry
November 30, 2020
CompletedFirst Posted
Study publicly available on registry
December 17, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 15, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
January 15, 2022
CompletedNovember 22, 2022
November 1, 2022
1.4 years
November 30, 2020
November 21, 2022
Conditions
Outcome Measures
Primary Outcomes (4)
ED utilization rate
Emergency department utilization over 6 month period
6 months from study entry
Mortality
Mortality due to deep vein thrombosis/pulmonary embolism, due to sepsis, and overall mortality
30 days from study entry
Mortality
Mortality due to deep vein thrombosis/pulmonary embolism, due to sepsis, and overall mortality
90 days from study entry
Mortality
Mortality due to deep vein thrombosis/pulmonary embolism, due to sepsis, and overall mortality
1 year from study entry
Secondary Outcomes (1)
Admission and Readmission rate
6 months from study entry
Eligibility Criteria
All patient recruitment will be completed in the UI Health ED with ED patients who have had a cancer in their lifetime.
You may qualify if:
- Cancer survivor (has had cancer in their lifetime, and is currently disease-free)
- Verbal fluency in English or Spanish
- Age 18-75 years
You may not qualify if:
- Unable to verbalize comprehension of study or impaired decision making (e.g., dementia)
- Plans to move from Chicago area within the next year
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Illinois at Chicago
Chicago, Illinois, 60612, United States
Related Publications (5)
Singh GK, Jemal A. Socioeconomic and Racial/Ethnic Disparities in Cancer Mortality, Incidence, and Survival in the United States, 1950-2014: Over Six Decades of Changing Patterns and Widening Inequalities. J Environ Public Health. 2017;2017:2819372. doi: 10.1155/2017/2819372. Epub 2017 Mar 20.
PMID: 28408935BACKGROUNDMoore JX, Akinyemiju T, Bartolucci A, Wang HE, Waterbor J, Griffin R. A prospective study of cancer survivors and risk of sepsis within the REGARDS cohort. Cancer Epidemiol. 2018 Aug;55:30-38. doi: 10.1016/j.canep.2018.05.001. Epub 2018 May 25.
PMID: 29763753BACKGROUNDConnolly GC, Francis CW. Cancer-associated thrombosis. Hematology Am Soc Hematol Educ Program. 2013;2013:684-91. doi: 10.1182/asheducation-2013.1.684.
PMID: 24319253BACKGROUNDNaess IA, Christiansen SC, Romundstad P, Cannegieter SC, Rosendaal FR, Hammerstrom J. Incidence and mortality of venous thrombosis: a population-based study. J Thromb Haemost. 2007 Apr;5(4):692-9. doi: 10.1111/j.1538-7836.2007.02450.x.
PMID: 17367492BACKGROUNDPrendergast HM, Khosla S. Lessons learned about policymaking: Moving an emergency department-initiated screening protocol to systemwide input in the development and implementation process. Acad Emerg Med. 2023 Jun;30(6):683-686. doi: 10.1111/acem.14672. Epub 2023 Feb 24. No abstract available.
PMID: 36707976DERIVED
MeSH Terms
Conditions
Study Officials
- PRINCIPAL INVESTIGATOR
Heather Prendergast
University of Illinois at Chicago
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
November 30, 2020
First Posted
December 17, 2020
Study Start
August 6, 2020
Primary Completion
January 15, 2022
Study Completion
January 15, 2022
Last Updated
November 22, 2022
Record last verified: 2022-11