Inclusion Criteria:

- Patients diagnosed with a stage IV malignancy or end-stage disease documented in
patient's chart.

- Patients referred to interventional radiology for treatment of refractory ascites
with the placement of a permanent catheter including, but not limited to, a Tenckhoff
catheter, a PleurX catheter, or a Denver Shunt.

- Fluency in English to enable instrument and interview completion.

- Patients must be at least 18 years of age.

- Patients must be physically capable of completing instruments and/or interview.

- Patients must be able to comprehend and execute informed consent.

Exclusion Criteria:

- Unable to complete questionnaire due to a significant physical or mental deficits as
assessed by the consenting professional.

- Proxy completion is not accepted

- Medical or psychiatric condition that, in the judgment of the investigator, prevents
appropriate comprehension and execution of either the informed consent or the study
instrument