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Integration of Palliative Care in Use of Intra-Peritoneal Chemotherapy for Ovarian Cancer


N/A
18 Years
N/A
Not Enrolling
Female
Ovarian Cancer

Thank you

Trial Information

Integration of Palliative Care in Use of Intra-Peritoneal Chemotherapy for Ovarian Cancer


OBJECTIVES:

- Describe symptoms/concerns before, during, and after intraperitoneal (IP) chemotherapy
and the impact of these symptoms/concerns on the quality of life (QOL) of patients with
ovarian cancer undergoing IP chemotherapy. (Part I)

- Analyze care received and resource utilization of these patients, including length of
hospitalization, ICU admission rates, clinic visits, phone calls, urgent care visits,
and other heath system encounters. (Part I)

- Develop palliative care assessment measures and interventions that apply to IP
chemotherapy. (Part II)

- Implement a palliative care intervention in a pilot of 6 patients. (Part II)

- Describe the impact of implementing palliative care interventions on resource
utilization, improved QOL and symptoms, and number of chemotherapy courses completed.
(Part II)

OUTLINE: This is a two-part study.

- Part I (retrospective portion): Patients who have undergone intraperitoneal (IP)
chemotherapy within the past 6-12 months undergo a retrospective interview and chart
audit to identify their needs and experiences.

- Part I (prospective portion): Patients are followed monthly for up to 6 months during
IP chemotherapy to provide information about usual care and to identify needs and
palliative care concerns. Patients also complete a quality-of-life (QOL) questionnaire
(COH QOL Ovarian tool) and undergo a prospective interview.

- Part II (intervention): Patients undergo comprehensive palliative care assessment, a
patient teaching session prior to the initiation of IP chemotherapy, and a palliative
care intervention during IP chemotherapy. Patients also complete a QOL questionnaire
and undergo an interview. Patients are followed monthly for up to 6 months during IP
chemotherapy.

Inclusion Criteria


DISEASE CHARACTERISTICS:

- Diagnosis of ovarian cancer

- Under the care of the Medical Oncology Department at the City of Hope National
Medical Center

- Undergoing intraperitoneal chemotherapy

PATIENT CHARACTERISTICS:

- Life expectancy > 6 months

- Speaks English or Spanish

PRIOR CONCURRENT THERAPY:

- See Disease Characteristics

Type of Study:

Observational

Study Design:

Observational Model: Case-Only, Time Perspective: Prospective

Outcome Measure:

Symptoms/concerns before, during, and after intraperitoneal (IP) chemotherapy and their impact on quality of life (QOL)

Outcome Time Frame:

6 months from study entry

Safety Issue:

No

Principal Investigator

Marcia Grant, RN, DNSc, FAAN

Investigator Role:

Principal Investigator

Investigator Affiliation:

Beckman Research Institute

Authority:

United States: Institutional Review Board

Study ID:

07007

NCT ID:

NCT00804258

Start Date:

August 2007

Completion Date:

Related Keywords:

  • Ovarian Cancer
  • recurrent ovarian epithelial cancer
  • recurrent ovarian germ cell tumor
  • stage I ovarian epithelial cancer
  • stage I ovarian germ cell tumor
  • stage II ovarian epithelial cancer
  • stage II ovarian germ cell tumor
  • stage III ovarian epithelial cancer
  • stage III ovarian germ cell tumor
  • stage IV ovarian epithelial cancer
  • stage IV ovarian germ cell tumor
  • Ovarian Neoplasms

Name

Location

City of Hope Comprehensive Cancer CenterDuarte, California  91010