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Critical Negotiations: Narrative Agreement, Negotiation, and Register Use in Encounters Between Patients With Metastatic Colorectal Carcinoma and Their Oncologists


N/A
18 Years
N/A
Not Enrolling
Both
Colorectal Cancer

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Trial Information

Critical Negotiations: Narrative Agreement, Negotiation, and Register Use in Encounters Between Patients With Metastatic Colorectal Carcinoma and Their Oncologists


The purpose of this study is to investigate the co-created therapeutic narrative in
scheduled office visits between adult patients with metastatic colorectal carcinoma and
their medical oncologists in a community practice setting. The study will focus on the
negotiation of the illness narrative and the semiotic (primarily linguistic) tools employed.
The study will involve patients from a large community cancer center from Northeastern
Pennsylvania (this center sees about 3,000 new patients each year). About 85% of patients
with cancer in the United States are treated in this type of setting (National Cancer
Institute, 2007), and so many results from this population are applicable to most cancer
patients in the United States. The location of this study makes it very different from the
majority of medical anthropological studies that are usually performed in urban academic
medical centers or in sites outside of the United States or Western Europe. Although
community cancer centers are the location of most of the treatment of patients with cancer
in the United States, there are few to no studies published studying this patient
population.


Inclusion Criteria:



- Patients and Physicians at Hematology and Oncology Associates of NE Pennsylvania

- Patients must have metastatic (stage IV) colorectal carcinoma

- Patients must be on treatment for their disease

- Patients must be scheduled for re-staging CT scans

- Patients must be older than 18 years old

Exclusion Criteria:

- Patients with a diagnosis other than metastatic colorectal carcinoma

- Patients not receiving active treatment or not having re-staging CT scans

- Patients younger than 18 years old

Type of Study:

Observational

Study Design:

Observational Model: Cohort, Time Perspective: Prospective

Outcome Measure:

Correlation of degree of "narrative agreement" with validated quality of life measures

Outcome Time Frame:

6-8 weeks

Safety Issue:

No

Principal Investigator

Christian S Adonizio, MD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Hematology and Oncology Associates of NE Pennsylvania

Authority:

United States: Institutional Review Board

Study ID:

808231

NCT ID:

NCT00711672

Start Date:

July 2008

Completion Date:

October 2009

Related Keywords:

  • Colorectal Cancer
  • Personal Communication
  • Doctor Patient Relations
  • Narrative Medicine
  • Colorectal Neoplasms

Name

Location

Hematology and Oncology Associates of Northeastern Pennsylvania, PCDunmore, Pennsylvania  18512