Patient Perspectives on Advance Care Planning Discussions Prior to Cardiac Surgery

NCT04796233 | Unknown

• 1 other identifier: 19-5910
• Study Type: observational
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to explore patient perspectives on Advance Care Planning (ACP) prior to cardiac surgery, including perceptions of benefits, drawbacks, and barriers to ACP.

Conditions

Cardiac Surgery

Keywords

Advance Care Planning

Outcome Measures

Primary Outcomes (1)

• Interview

  Patient perspectives and attitudes regarding advance care planning (ACP) with a focus on patient values and goals prior to cardiac surgery.

  30-35 Minute interview

Eligibility Criteria

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

Study Population

We will enroll patients at Toronto General Hospital, a tertiary cardiac surgery centre in Toronto. We will include patients undergoing any cardiac surgery procedures that involve cardiopulmonary bypass, as well as patients undergoing off-pump coronary bypass procedures and any other high-risk cardiac surgery patients, for example, those undergoing ventricular assist device insertion or pericardectomy.

You may qualify if:

• Adult patients undergoing cardiac surgical procedures that involve a sternotomy, thoracotomy, or cardiopulmonary bypass for any indication.
• Age \> 18
• English-speaking

You may not qualify if:

• Emergency surgery, regardless of indication or procedure
• Minor/percutaneous cardiac procedure
• Lack of decisional capacity due to dementia or other neurocognitive dysfunction
• Previously decided upon advance care directives
• Still considering surgery or not yet booked for an operation

Sponsors & Collaborators

• University Health Network, Toronto: lead
• Sunnybrook Health Sciences Centre: collaborator

Study Sites (1)

Toronto General Hospital - University Health Network

Toronto, Ontario, M5G 2C4, Canada

Location

Study Officials

• Michael Tylee, MD

  University Health Network, Toronto

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Michael Tylee, MD

CONTACT

(416) 340-5164; michael.tylee@uhn.ca

Jo Carroll

CONTACT

416-340-4800; jo.carroll@uhn.ca

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 10, 2021
• First Posted: March 12, 2021
• Study Start: October 1, 2021
• Primary Completion: March 1, 2022
• Study Completion: March 1, 2023
• Last Updated: September 1, 2021

Record last verified: 2021-02

Locations

CA (1)