[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"trial:NCT05095948":3,"trial-entities:NCT05095948":97,"trial-summary:NCT05095948":101},{"id":4,"nct_id":4,"org_study_id":5,"brief_title":6,"official_title":7,"overall_status":8,"completion_date":9,"status_verified_date":10,"last_update_date":11,"start_date":12,"sponsor_name":13,"lead_sponsor_class":14,"has_dmc":15,"brief_summary":16,"detailed_description":17,"conditions":18,"keywords":20,"study_type":21,"primary_purpose":22,"phases":23,"enrollment_info":24,"interventions":27,"primary_outcomes":44,"secondary_outcomes":49,"sex":50,"minimum_age":51,"maximum_age":22,"healthy_volunteers":15,"eligibility_criteria":52,"std_ages":65,"locations":68,"central_contacts":86,"overall_officials":89,"references":92,"see_also_links":93},"NCT05095948","2020-0246","Improving Processes of Cancer Care Delivery at a Comprehensive Cancer Center","Mapping the Processes of Cancer Care Delivery at a Comprehensive Cancer Center","NOT_YET_RECRUITING","2027-02-02","2026-09","2026-09-11","2027-01-30","M.D. Anderson Cancer Center","OTHER",false,"This study examines how cancer care is delivered in oncology and supportive care clinics. Collecting patient feedback may help doctors better understand the processes of cancer care in oncology and supportive care clinics.","PRIMARY OBJECTIVES:\n\nI. To compare the total amount of follow-up clinic time spent on discussing supportive\u002Fpalliative care issues between primary palliative care provided by the oncology team and specialist palliative care.\n\nSECONDARY OBJECTIVES:\n\nI. To compare between the specialist palliative care team and the oncology team the following aspects of supportive\u002Fpalliative care delivery: Ia. The number of supportive\u002Fpalliative care needs the patient reported before the clinic visit (SPARC).\n\nIb. The number of supportive\u002Fpalliative care needs the patient wanted to discuss with the clinical team before the clinic visit (SPARC).\n\nIc. The number of supportive\u002Fpalliative care needs that were actually raised by the patient during the clinic visit (audiotape).\n\nId. The number of supportive\u002Fpalliative care needs that were actually discussed by the clinical team during clinic visit (audiotape).\n\nIe. The number of supportive\u002Fpalliative care needs that were documented in progress note by the clinical team after each visit (electronic health record).\n\nIf. The number of supportive\u002Fpalliative care needs that the patient reported had been adequate addressed after the clinic visit (SPARC).\n\nII. To compare the amount of clinic time (both absolute and proportion) spent on discussing supportive\u002Fpalliative care issues by individual disciplines (e.g. medical doctor, registered nurse, counselor, pharmacist, psychologist, social worker, and priest) between the specialist palliative care team and the oncology team.\n\nIII. To examine the nature of topics discussed by the specialist palliative care team and the oncology team and compare the amount of clinic time (both absolute and proportion) spent on each supportive\u002Fpalliative care issue.\n\nIV. To compare the number of empathic statements between the specialist palliative care team and the oncology team.\n\nV. To compare the processes of supportive\u002Fpalliative care delivery between patients seeing the oncology team without specialist palliative care (Cohort A) and patients seeing the oncology team when specialist palliative care team is involved (Cohort B).\n\nOUTLINE:\n\nPatients complete questionnaires over 15-20 minutes and undergo audio recording of clinic conversations between the oncology team or the specialist palliative care team. Patients' medical records are also reviewed.",[19],"Metastatic Malignant Solid Neoplasm",[],"OBSERVATIONAL",null,[],{"count":25,"type":26},200,"ESTIMATED",[28,36,40],{"type":29,"name":30,"description":31,"armGroupLabels":32,"otherNames":34},"PROCEDURE","Discussion","Undergo audio recording of clinic conversations",[33],"Supportive Care (questionnaire, clinic conversation)",[35],"Discuss",{"type":14,"name":37,"description":38,"armGroupLabels":39},"Electronic Health Record Review","Review of medical records",[33],{"type":14,"name":41,"description":42,"armGroupLabels":43},"Questionnaire Administration","Complete questionnaires",[33],[45],{"measure":46,"description":47,"timeFrame":48},"Minutes spent in discussion","Will be examined using linear mixed models (LMMs) with physician as the unit of analysis.","through study completion, an average of 1 year",[],"ALL","18 Years",{"inclusion":53,"exclusion":61,"raw_text":64},[54,55,56,57,58,59,60],"Within 6 months of diagnosis of metastatic (or stage IV) solid malignancies","Age 18 or greater","English speaking","Follow-up clinic visit (Supportive Care and Medical Oncology Outpatient Clinics at MD Anderson Cancer Center)","Medical oncologist listed as the attending physician","COHORT A (Oncology team only cohort): Patients should not have been referred to palliative care services at MD Anderson Cancer Center","COHORT B (Oncology team and specialist palliative care cohort): Patients should have an upcoming specialist palliative care follow-up visit within 1 week of a medical oncology visit",[62,63],"Delirium (Memorial Delirium Assessment Scale \\[MDAS\\] \\>= 13\u002F30)","Significant hearing impairment requiring multiple repetitions during the screening process (that may prolong clinic time)","Inclusion Criteria:\n\n* Within 6 months of diagnosis of metastatic (or stage IV) solid malignancies\n* Age 18 or greater\n* English speaking\n* Follow-up clinic visit (Supportive Care and Medical Oncology Outpatient Clinics at MD Anderson Cancer Center)\n* Medical oncologist listed as the attending physician\n* COHORT A (Oncology team only cohort): Patients should not have been referred to palliative care services at MD Anderson Cancer Center\n* COHORT B (Oncology team and specialist palliative care cohort): Patients should have an upcoming specialist palliative care follow-up visit within 1 week of a medical oncology visit\n\nExclusion Criteria:\n\n* Delirium (Memorial Delirium Assessment Scale \\[MDAS\\] \\>= 13\u002F30)\n* Significant hearing impairment requiring multiple repetitions during the screening process (that may prolong clinic time)",[66,67],"ADULT","OLDER_ADULT",[69],{"facility":70,"city":71,"state":72,"zip":73,"country":74,"contacts":75,"geoPoint":83},"M D Anderson Cancer Center","Houston","Texas","77030","United States",[76,81],{"name":77,"role":78,"phone":79,"email":80},"David Hui, MD","CONTACT","713-792-6258","dhui@mdanderson.org",{"name":77,"role":82},"PRINCIPAL_INVESTIGATOR",{"lat":84,"lon":85},29.76328,-95.36327,[87],{"name":77,"role":78,"phone":88,"email":80},"(713) 792-6258",[90],{"name":91,"affiliation":13,"role":82},"David Hui",[],[94],{"label":95,"url":96},"MD Anderson Cancer Center","http:\u002F\u002Fwww.mdanderson.org",{"nct_id":4,"conditions":98,"biomarkers":100},[99],"Solid Neoplasm",[],{"nct_id":4,"found":102,"summary":103,"prompt_version":113},true,{"design":104,"status":105,"heading":106,"summary":107,"follow_up":108,"word_count":109,"commitments":110,"compensation":111,"drugs_mentioned":112},"This is an observational study with a planned enrollment of 200 participants. It is not a drug trial, but rather looks at current care practices.","completed","Improving Cancer Care Delivery at MD Anderson Cancer Center","This study is looking at how cancer care is provided in oncology and supportive care clinics for people with metastatic (cancer that has spread) solid tumors. Researchers want to understand how much time is spent discussing supportive and palliative care (care focused on comfort and quality of life) with patients. To do this, they will audio record clinic conversations, review medical records, and have patients complete questionnaires. The study aims to see if there are differences in how these discussions happen between oncology teams and specialist palliative care teams. This information could help doctors better understand and improve cancer care processes.","Your discussions will be measured through study completion, which is an average of one year.",101,"You would have your clinic conversations audio recorded, your medical records reviewed, and complete questionnaires. This would occur during your follow-up clinic visits at MD Anderson Cancer Center for about one year.","Not stated in the trial record.",[30],"v2"]