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NCT04796233 Clinical Trial

Patient Perspectives on Advance Care Planning Discussions Prior to Cardiac Surgery

Cardiac Surgery Clinical Trial

Official title:
Patient Perspectives on Advance Care Planning Discussions Prior to Cardiac Surgery

Clinical Trial Details — Status: Not yet recruiting

Administrative data
NCT number NCT04796233
Other study ID # 19-5910
Secondary ID
Status Not yet recruiting
Phase
First received
Last updated
Start date October 2021
Est. completion date March 2023

Study information
Verified date February 2021
Source University Health Network, Toronto
Contact Michael Tylee, MD
Phone (416) 340-5164
Email michael.tylee@uhn.ca
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial 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.

Description:

In this study, we plan to interview 40 patients who are scheduled to undergo cardiac surgery about their perspectives on preoperative ACP and discussion of their values, goals of care, and preferences for prolonged care in hospital prior to having surgery. We plan to conduct and audio record one-on-one interviews that are structured around standard questions about ACP. After recordings are completed, we plan to conduct an analysis of the interviews to find common themes and ideas that participants have about preoperative advance care planning. These results will help us understand whether patients value and wish to participate in advance care planning prior to major surgery, and will help to guide the structure and content of preoperative advance care plan programs in the future.

Recruitment information / eligibility
Status Not yet recruiting
Enrollment 40
Est. completion date March 2023
Est. primary completion date March 2022
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Adult patients undergoing cardiac surgical procedures that involve a sternotomy, thoracotomy, or cardiopulmonary bypass for any indication. - Age > 18 - English-speaking Exclusion Criteria: - 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

Study Design

Related Conditions & MeSH terms

Locations
Country Name City State
Canada Toronto General Hospital - University Health Network Toronto Ontario

Sponsors (2)
Lead Sponsor Collaborator
University Health Network, Toronto Sunnybrook Health Sciences Centre

Country where clinical trial is conducted

Canada, 

Outcome
Type Measure Description Time frame Safety issue
Primary 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
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