Palliative Care Clinical Trial
Official title:
An Online International Comparison of Thresholds for Triggering a Negative Response to the "Surprise Question"
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.
Whilst the original use of the Surprise Question was to identify people who might be in the
last year of life and benefit from palliative care, the prognostic capability of the Surprise
Question has been shown to be variable. What is unclear, is the extent to which a doctor
should be "surprised" before a patient is suitable for palliative care, how consistently
doctors respond to this question, and how the subsequent treatment decision relates to the SQ
response.
The study will recruit 600 General Practitioners (GPs) from 6 participating countries (100
per country; UK, Germany, Switzerland, Italy, Belgium, the Netherlands). Each participant
will asked to complete a series of 20 hypothetical patient summaries in an online task.
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