Cancer Clinical Trial
Official title:
Assessment of Palliative Care in Inpatient and Outpatient Settings Using the Integrated Palliative Care Outcome Scale: a Multi-centric Observational Study
For patients with an advanced disease and their families an excellent and compassionate care
is essential. However, in hospitals optimal end-of-life care is not yet fully realized and
patient's needs are often not met. Palliative care is able to increase patients' quality of
life and to carefully meet their and their families' needs.
To improve the awareness of unmet needs patient-reported outcome measurement has been the
pivot of latest palliative care research. Besides the improvement of care outcome measurement
allows the evaluation of the quality of palliative care and comparisons on a national and
international level.
The aim of the present study is to evaluate the quality of palliative care in different
settings (palliative care unit, inpatient and outpatient consultation teams) using the
Integrated Palliative Care Outcome Scale (IPOS). The IPOS has been lately developed as
improved follow-up version of the Palliative Care Outcome Scale (POS) integrating most
important questions and simultaneously being brief and comprehensive. The study is planned as
a multi-centric observational study. Primary endpoint is the reduction of symptom burden of
patients.
The clinical study hypothesis bases on the assumption that palliative care can change the
symptom burden, measured by a change in the IPOS overall profile score, and that there might
be a difference in the size of the effect depending on the caring setting.
After the enrolment and consent of participation the patient receive a questionnaire
consisting of three independent assessments: To assess the symptom burden and specific
palliative care needs the Integrated Palliative Outcome Scale (IPOS) is used. To measure the
generic health-related quality of life the patient has to answer the EuroQoL Group
5-Dimension 5-Level Self Report Questionnaire (EQ-5D-5L). To get an opinion of the general
condition the patient is to complete the NCCN Distress Thermometer which includes a visual
analogue scale (with values from 0 to 10).
Meanwhile, a professional palliative caregiver completes a questionnaire about the main
demographic aspects of the patients and assess the palliative care needs and the symptom
burden using the IPOS.
After one week both, patient and professional palliative caregiver, will receive the same
questionnaires again to assess the change from baseline.
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