Solid Tumor Clinical Trial
Official title:
Randomized Controlled Trial of Integrated Early Palliative Care for Advanced Cancer Patients
This study verifies whether integrated Early Palliative Care for advanced cancer patients diagnosed due to a solid tumor improve quality of life and enhances the ability to overcome the current crisis.
Previous reports suggest that starting palliative care early in cancer patients appears to
improve patient's quality of life, symptom management, depression, and anxiety.
This study aims to evaluate the effect of the introduction of early palliative care services
to advanced cancer patients. Eligible patients are 20 years or older, and has an advanced
cancer diagnosis (histologically or cytologically confirmed) due to a solid tumor, a European
Cooperative Oncology Group performance status of 0-2, an estimated life expectancy of 12
months or less. The primary goal of an integrated early palliative care program is to improve
the overall quality of life of patients and their families. Secondarily, it is to help
understand the disease, resolving conflicts in the decision-making process, improving the
crisis coping capacity, and further determining the patient's and family's advanced care
planning. At last, it is desired to evaluate the effect of the program on overall medical
cost savings and 1 year survival.
Participants of the study will be allocated in the intervention group and the control group
equally. Within three weeks from the time of randomization, the first meeting with a
palliative care team will be held. In the time of baseline questionnaire, patients will be
provided with self-study education materials and videos on the early palliative care and
advance care planning. Once in every three weeks for six months, which is the duration for
one treatment course, palliative care for advance care planning, symptom control, and other
mental, social and spiritual problems will be provided. After the first meeting with the
palliative care team, telephone coaching will be performed once a week for the first 12 weeks
and then every two weeks until the end of the study.
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