Evaluation of Preoperative Acceptance of Proactive Palliative Care Intervention

NCT05575791 | Unknown

• 1 other identifier: EA1/292/20
• Study Type: observational
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Advances in medicine have led to an increased life expectancy even with complex disease courses of malignant diseases. This leads to frequent critical situations for patients and high risk surgical interventions. The majority of patients and their practitioners are not prepared for the consequences of a complex and possibly fatal course. Palliative medicine makes it possible to anticipate the further course of the disease. As a result, palliative medicine has become increasingly important. The beginning of palliative medical interventions has extended from accompaniment limited to the dying phase to earlier phases of the disease. An early integration of palliative medicine showed a positive effect on the quality of life, the degree of depression and survival in patients suffering from cancer, for example. Furthermore, patients were more able to accept a change in therapy goal at the end of life. Similar results were shown for patients with a non-malignant severe disease such as COPD or heart failure. What needs further investigating is how to adequately screen and identify the patient populations who could benefit from early palliative care, so that they are prepared for potentially critical and life-threatening situations. The investigator's objective is therefore whether the Anesthesiology Outpatient Clinic is a suitable screening location for initiating early integrated palliative care for patients with a serious, life-shortening illness and a high perioperative risk.

Conditions

Cancer; Heart Failure; Chronic Obstructive Pulmonary Disease; Postoperative Complications

Outcome Measures

Primary Outcomes (1)

• Acceptance of the preoperative palliative counseling offer

  Percentage of patients who accept the palliative counseling offer in relation to the total number of patients identified in the screening of the anesthesia outpatient clinic

  through study completion, an average of 1 year

Secondary Outcomes (6)

• Advance planning documents

  through study completion, an average of 1 year

• Postoperative palliative counseling

  through study completion, an average of 1 year

• Acceptance of the preoperative palliative counseling offer depending on the underlying disease

  through study completion, an average of 1 year

• Therapy target decision-making situations

  through study completion, an average of 1 year

• Gender difference

  through study completion, an average of 1 year

Eligibility Criteria

• Age: 19 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The participants will be selected out of the population consulted at the anesthesiology outpatient clinic of the University hospital Berlin - Charite.

You may qualify if:

• over 18 years
• one elective operation with medium or high cardiac risk
• And in addition at least one of the following criteria:
• serious comorbidity pulmonary: Emphysema and / or COPD \>= 2 after GOLD cardiac: NYHA \> = 2
• and / or a metastatic malignancy
• ASA physical status classification \>= 3 and pre-frail or frail

You may not qualify if:

• legal care
• Emergency operation
• Pregnant / breastfeeding women

Sponsors & Collaborators

• Charite University, Berlin, Germany: lead

Study Sites (1)

Department of Anesthesia and operative intensive Care, Campus Benjamin Franklin, Charité - University Hospital Berlin

Steglitz, State of Berlin, 12203, Germany

RECRUITING

Related Publications (24)

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MeSH Terms

Conditions

Neoplasms; Heart Failure; Pulmonary Disease, Chronic Obstructive; Postoperative Complications

Condition Hierarchy (Ancestors)

Heart Diseases; Cardiovascular Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Tract Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Week
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Univ.-Prof. Dr. med.

Study Record Dates

• First Submitted: February 21, 2022
• First Posted: October 12, 2022
• Study Start: December 1, 2022
• Primary Completion: November 30, 2023
• Study Completion: November 30, 2023
• Last Updated: February 14, 2023

Record last verified: 2023-02

Locations

DE (1)