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| Name | Class |
|---|---|
| Chung-Ang University Hospital | OTHER |
| DongGuk University | OTHER |
| Kyung Hee University Hospital | OTHER |
| Bundang CHA Hospital |
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To test the effects of home-based care on unplanned hospitalization within 6 months among advanced cancer patients with decreased performance status. Home-based care includes education for patients and their family caregivers, home visits by specialized home-based medical staff, and regular status check-ups.
This study is a cluster, non-randomized controlled trial to test the effects of home-based care on unplanned hospitalization in 6 months among advanced cancer patients with decreased performance status. Home-based care includes education for patients and their family caregivers, home visits by specialized home-based medical staff, and regular status check-up. We are recruiting the study participants from 6 institutions, aiming for 396 cancer patients.
Participants for the intervention group will be recruited from Seoul National University Hospital, Chung-ang University Hospital, and Dongguk University Ilsan Hospital. Participants for the control group will be recruited from Kyung Hee University Medical Center, CHA Bundang Medical Center, and Seoul National University Bundang Hospital.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | Patients enrolled in the intervention cluster (institution) are given specialized home-based medical care based on a specialized home-based medical team approach. |
|
| Control | No Intervention | Patients enrolled in the control cluster (institution) are only given the educational materials. Except for the home-based care intervention, usual care for advanced cancer patients was not restricted for these patients. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Home-based care | Other | Home-based medical care is based on a specialized home-based medical team approach, including following:
|
| Measure | Description | Time Frame |
|---|---|---|
| Unplanned hospitalization |
| within 6 months following enrollment |
| Measure | Description | Time Frame |
|---|---|---|
| Patient medical utilization | The total number of hospital utilization, including hospitalization, emergency room visit, and clinic visits | within 6 months following enrollment |
| Hospitalization |
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Inclusion Criteria:
Both the patient and their family caregiver must meet the criteria to be considered for this research.
Patient
A person who has an advanced-stage solid cancer diagnosis (ICD-10 code C00-C70); A person who is receiving or planning to receive cancer treatment
A person who meets one of the following conditions
A person who wishes to stay at home
A person whose family caregiver resides at home
A person who wishes to participate in the research
Family Caregiver
A family* member of the patient
* Family: refers to the patient's spouse (including a common-law partner), descendants and their spouses up to the second degree, siblings and their spouses, and relatives and their spouses up to the eighth degree.
A person who meets one of the following conditions:
A person who wants the patient to stay at home
A person who can communicate easily with medical staff
A person who wishes to participate in the research
Exclusion Criteria:
If either the patient or the family caregiver meets any one of these criteria, they are excluded from the study.
Patient
A person who cannot speak, hear, or read Korean
A person who is judged by a medical doctor to be unable to take part in this research due to extremely poor health
A person residing outside the range that can be visited by the respective medical institution (the conditions for distance are to be specified by each medical institution)*
* This condition is not applicable for the control group.
A person who has used hospital- or home-type hospice and palliative care services
A person who is under the age of 19
Family Caregiver
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ga-Young Lee | Contact | 82-10-6527-3066 | yoyo4284@snu.ac.kr | |
| So-Hee Kim | Contact | sh6487@snu.ac.kr |
| Name | Affiliation | Role |
|---|---|---|
| Belong Cho, MD, MPH, PhD | Seoul National University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dongguk University Medical Center | Recruiting | Goyang-si | Gyeonggi-do | South Korea |
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| OTHER |
| Seoul National University Bundang Hospital | OTHER |
A cluster, non-randomized controlled trial
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|
the number of hospitalization
| within 6 months following enrollment |
| ER visits | the number of emergency room visits | within 6 months following enrollment |
| Healthcare use | the number of healthcare use for severe diseases | within 6 months following enrollment |
| Patient end-of-life care: ICU admission | ICU admission one month before death | within 1 month before death |
| Patient end-of-life care: ventilator treatment | Mechanical ventilator apply one month before death | within 1 month before death |
| Patient end-of-life care: an advance directive | Completion of advance medical directives within 1 month before death | within 1 month before death |
| Quality of life of patient - ESAS | Modified Edmonton Symptom Assessment System (ESAS) of patient | within 6 months following enrollment |
| Quality of life of patient - EQ-5D | Euro-Quality of Life-5 Dimension (EQ-5D) of patient | within 6 months following enrollment |
| Depressive symptom of patient | Patient Health Questionnaire-9 (PHQ-9) of patient | within 6 months following enrollment |
| Satisfaction with services (patient) | Satisfaction of the study participant (patient) with the service in this study, evaluated by questionnaire | within 6 months following enrollment |
| Quality of life of family caregiver | Euro-Quality of Life-5 Dimension (EQ-5D) of family caregiver | within 6 months following enrollment |
| Care burden of family caregiver | The Korean version of Caregiver Reaction Assessment (CRA-K) of family caregiver | within 6 months following enrollment |
| Depressive symptom of family caregiver | Patient Health Questionnaire-9 (PHQ-9) of family caregiver | within 6 months following enrollment |
| Caring competency of family caregiver | Caring competency of family caregiver, measured by questionnaire | within 6 months following enrollment |
| Satisfaction with services (family caregiver) | Satisfaction of the study participant (family caregiver) with the service in this study, evaluated by questionnaire | within 6 months following enrollment |
| Expenses | medical expenses, care expenses | within 6 months following enrollment |
| Bundang CHA Hospital | Recruiting | Seongnam-si | Gyeonggi-do | South Korea |
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| Seoul National University Bundang Hospital | Recruiting | Seongnam-si | Gyeonggi-do | South Korea |
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| Seoul National University Hospital | Recruiting | Seoul | 03080 | South Korea |
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| Chung-Ang University Hosptial | Recruiting | Seoul | South Korea |
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| Kyung Hee University Hospital | Recruiting | Seoul | South Korea |
|
| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D018575 | Home Care Services, Hospital-Based |
| ID | Term |
|---|---|
| D006699 | Home Care Services |
| D003153 | Community Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
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