Palliative Care Clinical Trial
— ESRFOfficial title:
Effects of a Transitional Palliative Care Model on Patients With ESRF
Verified date | March 2019 |
Source | The Hong Kong Polytechnic University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Primary aim:
1. To compare the effects of customary care and an interventional Home-based Palliative
Renal Program (HBPRP) for ESRF patients
2. To compare the effects of customary care and Home-based Palliative Program (HBPP) for
ESRF patients
Secondary aim:
3. To explore the lived experiences of patients with ESRF. Hypothesis The transitional
renal palliative care model is associated with decreased in unscheduled hospital
readmission, reduce length of stay as well as improved quality of life for patients with
end-stage renal failure.
Status | Completed |
Enrollment | 76 |
Est. completion date | November 2018 |
Est. primary completion date | September 2017 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Patient with chronic kidney disease and diabetic mellitus with Creatinine =350 milli mole (uM) or those without diabetic mellitus with Creatinine =450 milli mole (uM) who refused renal replacement therapy (RRT); - Patient not suitable for long term renal replacement therapy (RRT) after assessment by renal team (e.g. multiple co morbidities, poor functional status and social support) - Identified as ESRF patient eligible for palliative care without prior renal replacement therapy - Ability to speak Cantonese - Living within the hospital service area - Ability to be contacted by phone Exclusion Criteria: - Discharged to nursing home or other institution - Inability to communicate - Cognitive impairment, mini mental stage examination (MMSE) < 20 - Diagnosed with severe psychiatric disorders such as schizophrenia and bipolar disorder |
Country | Name | City | State |
---|---|---|---|
Hong Kong | Queen Elizabeth Hospital | Hong Kong | Hong Kong SAR |
Lead Sponsor | Collaborator |
---|---|
The Hong Kong Polytechnic University | Hospital Authority, Hong Kong |
Hong Kong,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Perceived outcomes composite (quality of life, caregiver burden, satisfaction with care) | Quality of life will be measured by an ESRF-specific quality of life measure. The caregiver burden will be measured by the Zarit Caregiver Burden Scale (ZCBS). Satisfaction with care will be measured by the 15-item questionnaire | 12 months | |
Primary | Healthcare utilization composite - The dates of re-hospitalizations, length of stay, and number of other hospital services used, including clinics and emergency room visits, will be extracted from the hospital administrative systems. | for 12 months | ||
Secondary | Evaluated health outcomes composite (functional status, symptom intensity) - The functional status will be measured by the Palliative Performance Scale (PPS )(appendix 6). | The PPS is a clinical tool commonly used in the local settings. The level of physical performance is rated on a scale of 100 (normal) to 0 (death), measured in 10 % decrement levels. The scale has been validated and the inter-rater reliability between doctors and nurses maintained at .85 with strong kappa values of .97 (Myers J, Gardiner K, Harris K et al., 2010). | 12 months |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT04673760 -
The PROAKTIV Study
|
N/A | |
Completed |
NCT03520023 -
Critical Care and Palliative Care Medicine Together in the ICU
|
N/A | |
Completed |
NCT01990742 -
Improving Palliative Care Through Teamwork
|
N/A | |
Not yet recruiting |
NCT05434208 -
Effects of Nurse-led Telephone Based Service for Early Palliative Care (PALTEL)
|
N/A | |
Not yet recruiting |
NCT03267706 -
Introducing the Palliative Care Comprehensive Tool in Family Medicine
|
N/A | |
Completed |
NCT02845817 -
Requests for Euthanasia and Assisted Suicide
|
N/A | |
Recruiting |
NCT02778347 -
Development and Validation of a Comprehensive Standardised Clinical Assessment Tool for Patient Needs
|
N/A | |
Completed |
NCT01934413 -
Technology-enhanced Transitional Care for Rural Palliative Care Patients: A Pilot Study
|
N/A | |
Completed |
NCT01933789 -
Improving Communication About Serious Illness
|
N/A | |
Recruiting |
NCT01170000 -
Timely End-of-Life Communication to Parents of Children With Brain Tumors
|
N/A | |
Recruiting |
NCT04052074 -
Complementary Therapy in Home Palliative Care Patients and Their Caregivers
|
N/A | |
Recruiting |
NCT05935540 -
ACP-Family Programme for Palliative Care Patients and Their Family Member
|
N/A | |
Active, not recruiting |
NCT02689375 -
A Prospective, Open Label, Pilot Study of Patient OutcoMes Following Successful TriAl of High Frequency SpInal CorD Stimulation at 10kHz (HF10™) Leading to Permanent Implant Compared to Trial Failure and Standard CarE for the TreatmeNt of Persistent Low BACK Pain of Neuropathic Origin
|
N/A | |
Recruiting |
NCT05520281 -
Short-term Psychodynamic Psychotherapy in Serious Physical Illness
|
N/A | |
Completed |
NCT06140004 -
Home-Based Palliative Care Impact on Providers
|
||
Completed |
NCT04333719 -
Prevalence of Deep Sedation in Terminal Palliative Phase
|
||
Recruiting |
NCT03286127 -
Palliative Outcome Evaluation Muenster I
|
||
Completed |
NCT06211816 -
Efficacy of End-of-life Communication Strategies on Nurses in the Intensive Care Unit
|
N/A | |
Completed |
NCT04857060 -
Palliative Care Educator
|
N/A | |
Completed |
NCT04491110 -
Intervention to Improve Quality of Sleep of Palliative Patient Carers in the Community: Clinical Trial
|
N/A |