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This study prospectively evaluates the impact of geriatric assessment reporting in real-time (GARRT) on key hospital based outcomes in a cohort of non-electively hospitalized older (> 70 years) adults with cancer.
This study evaluates the impact of geriatric assessment reporting in real-time (GARRT) on key hospital based outcomes in non-electively hospitalized older (> 70 years) adults with cancer. Participants will be randomly assigned to the GARRT group, or the control group. All participants will fill out user friendly questionnaire called the geriatric assessment. The results of the geriatric assessment will be given to the physicians of participants in the GARRT group in real-time. The physicians of participants in the control group will not receive real time results.
This study will compare the referral rates of participants in each group to determine if providing real-time results of the geriatric assessment impact referral rates.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GARRT Arm | Experimental | Participants in this arm complete an brief geriatric assessment, and the results of these assessments are given to providers with recommendations to address deficits identified by the geriatric assessment |
|
| Control Arm | Active Comparator | Providers of participants of this group will not receive the results of the brief geriatric assessments. These participants will receive standard of care treatment |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Results of the brief geriatric assessment | Other | Providers will receive results of the brief geriatric assessment with recommendations for address deficits identified through the results of the brief geriatric assessment |
| Measure | Description | Time Frame |
|---|---|---|
| Referral rate for GA-identified deficits in intervention and control groups | Number of participants with at least one referral for a GA-idenfied deficit | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Referral to Physical and Occupational therapy | Number of times physical and occupation therapy referral was given in Intervention and Control group | 2 years |
| Referral to Geriatic Consultation | Number of times a Geriatric Consultation referral was given in Intervention and Control group |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Trevor Jolly, MBBS | UNC Lineberger Comprehensive Cancer Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UNC Lineberger Comprehensive Cancer Center | Chapel Hill | North Carolina | 27599 | United States |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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This is an un-blinded, 2-arm randomized control trial of a brief, user friendly GA report in real time which summarizes GA-identified deficits and includes recommendations for evidence informed multidisciplinary interventions to address these deficits.
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| No results of brief geriatric assessments | Other | Providers will not receive results of the brief geriatric assessment. Participants will receive standard of care treatment |
|
| 2 years |
| Referral to Clinical Pharmacist | Number of times Clinical Pharmacist referral was given in Intervention and Control group | 2 years |
| Referral to Nutritionist | Number of times Nutritionist referral was given in Intervention and Control group | 2 years |
| Referral to psyhcosocial support team | Number of times psychosocial support referral was given in Intervention and Control group | 2 years |
| Physician Reported New information | Number of times physicians answer "yes" to the questions "did report provide new information about patient deficits that would warrant a referral" | 2 years |
| Physician Reported Satisfaction | Number of times physician indicate "yes" report was helpful when asked "Is this report useful" | 2 years |