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| ID | Type | Description | Link |
|---|---|---|---|
| WFBCCC 03419 | Other Identifier | Wake Forest Baptist Comprehensive Cancer Center |
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PI decision, technical events unrelated to study slowing down the process and ability to accrue
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The proposed study represents a quality improvement study of a recently-developed dedicated radiation oncology subspecialty clinic with the goal of improving timeliness of palliative radiation therapy and improving resident training in palliative care topics. The aim of this study is to evaluate the impact of this clinic on time to palliative radiation therapy following referral.
Primary Objective:
• Determine whether interval between palliative radiation therapy referral and palliative radiation therapy initiation is shorter for participants treated in a dedicated palliative radiation oncology clinic compared to the same interval for participants treated in a general radiation oncology clinic (historical control). The investigators' hypothesis is that this interval will be significantly shorter among the Palliative Radiation Oncology Chief's Clinic participants compared to historical control.
Secondary Objectives:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Data collection/questionnaire | Data collection for patient medical charts and patient fill out questionnaires first visit and post-treatment visits |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Data collection and analysis | Other | Only radiation oncology patients data from medical records regarding treatment, demographics and follow-up visits will be collected and logged by investigators. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Days Between Referral and Start of Treatment | Number of days between referral to palliative radiation therapy interval and start of palliative radiation therapy compared to historical control. Mean time from referral to the start of RT (measured in days) will be computed for our sample and compared to the historical control mean of 13.4 days using a two-sided one-sample t-test. | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Time from Referral for Consultation | Mean time from referral to consultation will be computed for our sample and compared to the historical control mean of 3.6 days. | 3 months |
| Mean Time from Consultation to CT Simulation |
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Inclusion Criteria:
Exclusion Criteria:
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The study population will be comprised of patients referred to radiation oncology for consideration of palliative radiation therapy
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| Name | Affiliation | Role |
|---|---|---|
| Doris Brown, MD, PhD | Wake Forest University Health Sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Wake Forest Baptist Comprehensive Cancer Center | Winston-Salem | North Carolina | 27157 | United States |
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| ID | Term |
|---|---|
| D009362 | Neoplasm Metastasis |
| ID | Term |
|---|---|
| D009385 | Neoplastic Processes |
| D009369 | Neoplasms |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D003625 | Data Collection |
| ID | Term |
|---|---|
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
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| Quality of Life Questionnaire | Other | Participants will be asked to complete a set of short forms at first visit and post-treatment visits. If participant has a routine visit about 3 months after treatment, participant will be asked to complete a final form that is optional. |
|
Mean time from consultation to CT simulation will be computed for our sample and compared to the historical control mean of 3.8 days.
| 3 months |
| Mean Time from CT Simulation to Palliative Radiation Start | Mean time from CT simulation to start of PRT will be computed for our sample and compared to the historical control mean of 6.1 days. | 3 months |
| Quality of Life Changes | Levels of and changes in patient-reported overall quality of life as measured by the EORTC QLQ-C15-PAL (14 questions) at baseline and at 1-month and 3-month intervals after end of palliative radiation therapy. Quality of life score scale consists of 1 = not at all to 4 = very much. The higher the QOL score the greater change in the participant's quality of life. | 1 and 3 months after treatment completion |
| Overall Survival | Median overall survival (number of days between start of radiation therapy and death from any cause) will be estimated using the Kaplan-Meier method and compared (with a one-sample logrank test and assuming a Weibull distribution parameter of 1.0) to the median overall survival of n=134 days in our historical control. | 6 months after treatment completion |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |