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| Name | Class |
|---|---|
| Johannes Gutenberg University Mainz | OTHER |
| Radboud University Medical Center | OTHER |
| University of Bern | OTHER |
| Imperial College London |
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This study investigates the use of the Surprise Question [SQ] (would you be surprised if this patient were to die in the next 12 months?) in routine practice. In particular, the study will investigate the consistency of the responses to the SQ and the relationship with the subsequent course of action decided upon.
Whilst the original use of the Surprise Question was to identify people who might be in the last year of life and benefit from palliative care, the prognostic capability of the Surprise Question has been shown to be variable. What is unclear, is the extent to which a doctor should be "surprised" before a patient is suitable for palliative care, how consistently doctors respond to this question, and how the subsequent treatment decision relates to the SQ response.
The study will recruit 600 General Practitioners (GPs) from 6 participating countries (100 per country; UK, Germany, Switzerland, Italy, Belgium, the Netherlands). Each participant will asked to complete a series of 20 hypothetical patient summaries in an online task.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| General Practitioners | Registered General Practitioners in one of the six participating countries. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Online study | Other | 20 hypothetical patient summaries |
|
| Measure | Description | Time Frame |
|---|---|---|
| Probability estimate | The continuous estimate of probability of dying within the next 12 months for the SQ (0-100%). | Participants will have up to 8 months (until the study closes) to provide an estimate for each vignette (n=20) |
| Measure | Description | Time Frame |
|---|---|---|
| The Surprise Question | Dichotomous response to the SQ (Yes/No) | up to 8 months (until the study closes)Participants will have up to 8 months (until the study closes) to provide a response for each vignette (n=20) |
| The alternative Surprise Question |
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Inclusion Criteria:
Exclusion Criteria:
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A convenience sample of registered General Practitioners (GPs) with a variety of years of experience and seniority across six European countries will be approached to participate
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| Name | Affiliation | Role |
|---|---|---|
| Patrick Stone, MA, MD, FRCP | University College, London | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Antwerp | Antwerp | Belgium | ||||
| University of Mainz |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34596445 | Derived | White N, Oostendorp LJ, Vickerstaff V, Gerlach C, Engels Y, Maessen M, Tomlinson C, Wens J, Leysen B, Biasco G, Zambrano S, Eychmuller S, Avgerinou C, Chattat R, Ottoboni G, Veldhoven C, Stone P. An online international comparison of palliative care identification in primary care using the Surprise Question. Palliat Med. 2022 Jan;36(1):142-151. doi: 10.1177/02692163211048340. Epub 2021 Oct 1. | |
| 30979361 |
| Label | URL |
|---|---|
| The Study Protocol | View source |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Apr 9, 2019 | Mar 12, 2020 | Prot_000.pdf |
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| OTHER |
| Universiteit Antwerpen | OTHER |
| University of Bologna | OTHER |
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Dichotomous response to the alternative SQ (Yes/No)
| up to 8 months (until the study closes)Participants will have up to 8 months (until the study closes) to provide a response for each vignette (n=20) |
| Treatment options | The options for the course of action selected by the participants in each vignette | up to 8 months (until the study closes)Participants will have up to 8 months (until the study closes) to provide a response for each vignette (n=20) |
| Mainz |
| Germany |
| University of Bologna | Bologna | Italy |
| Radboud University Medical Centre | Nijmegen | Netherlands |
| University Hospital of Bern | Bern | Switzerland |
| Marie Curie Palliative Care Research Department | London | W1W 7EJ | United Kingdom |
| Derived |
| White N, Oostendorp L, Vickerstaff V, Gerlach C, Engels Y, Maessen M, Tomlinson C, Wens J, Leysen B, Biasco G, Zambrano S, Eychmuller S, Avgerinou C, Chattat R, Ottoboni G, Veldhoven C, Stone P. An online international comparison of thresholds for triggering a negative response to the "Surprise Question": a study protocol. BMC Palliat Care. 2019 Apr 9;18(1):36. doi: 10.1186/s12904-019-0413-x. |