Goals of Care Discussions for Hospitalized Patients With Advanced Cancer

Metastatic Cancer Clinical Trial

Official title:

Gender Differences in Inpatient Goals of Care Discussions in Patients With Advanced Cancer

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01991015
• Other study ID #: NU_STU00077507
• Secondary ID: K12HD055884
• Status: Completed
• Phase: N/A
• First received: November 18, 2013
• Last updated: February 6, 2015
• Start date: November 2013
• Est. completion date: December 2014

Study information

• Verified date: February 2015
• Source: Northwestern University
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Observational

Clinical Trial Summary

The goal of this study is to better understand gender differences in end-of-life communication between physicians and patients with advanced cancer in the hospital.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 43
• Est. completion date: December 2014
• Est. primary completion date: December 2014
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• English speaking, have metastatic cancer that has progressed despite treatment

Exclusion Criteria:

• Cognitive impairment

Study Design

Time Perspective: Cross-Sectional

Related Conditions & MeSH terms

• Metastatic Cancer
• Neoplasm Metastasis

Locations

Country	Name	City	State
United States	Northwestern Memorial Hospital	Chicago	Illinois

Sponsors (2)

Lead Sponsor	Collaborator
Northwestern University	Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Quality of end-of-life communication	This is a qualitative study and the outcome will be assessed by coding the transcripts of the goals of care discussions. We will use the Roter Interaction Analysis System (RIAS) in which coders assign 1 of 37 mutually exclusive and exhaustive categories to each complete thought expressed (referred to as an utterance). Utterances are combined to reflect "instrumental" (e.g., biomedical exchange, psychosocial exchange, and partnership building) and "affective" behaviors (e.g., social conversation, positive and negative statements, and emotional statements). Additional global measures include patient-centeredness, verbal dominance, and tone.	15 months	No