A Pilot Randomized Trial of a Comprehensive Transitional Care Program for Colorectal Cancer Patients
Status
Withdrawn
Conditions
Comprehensive Transitional Care Program
Colorectal Cancer
Treatments
Other: Medication reconciliation: Patient medication review
Other: Timely follow-up: Barriers to clinic follow-up visits will be discussed
Other: Patient hotline: 24 hour follow-up following call to Ask My Nurse number
Other: Discharge planning: Assessment of barriers to discharge
Other: Timely PCP communication
Other: Appointment before discharge: Additional measure to ensure awareness of next clinic visit
Other: Transition coach
Other: Provider continuity: Specific surgeons responsible for coordinating care with medical/radiation oncology
Other: Patient education: One-on-one visit
Other: Follow-up telephone call
Other: Patient-centered discharge instructions: Enhanced
Details and patient eligibility
About
The primary hypothesis is that a comprehensive transitional care program based on the premise of a patient-centered medical home versus routine care reduces emergency room visits and hospital readmissions without increasing costs among cancer patients undergoing surgery at a large safety-net hospital.
Sex
All
Ages
18+ years old
Volunteers
No Healthy Volunteers
Inclusion criteria
- Diagnosis of colorectal cancer
- Adults, Age 18 years or older
- Undergoing surgery for either palliative cure or palliation
Exclusion criteria
- Patients not expected to survive hospital based on the operating surgeon's opinion
- Children under the age of 18 years
Trial design
0 participants in 2 patient groups
Intervention (plus usual care)
Experimental group
Description:
Patient education: One-on-one visit Discharge planning: Assessment of barriers to discharge Medication reconciliation: Patient medication review Appointment before discharge: Additional measure to ensure awareness of next clinic visit Transition coach Patient-centered discharge instructions: Enhanced Provider continuity: Specific surgeons responsible for coordinating care with medical/radiation oncology Timely follow-up: Barriers to clinic follow-up visits will be discussed Timely PCP communication Follow-up telephone call Patient hotline: 24 hour follow-up following call to Ask My Nurse number
Treatment:
Other: Patient-centered discharge instructions: Enhanced
Other: Follow-up telephone call
Other: Transition coach
Other: Provider continuity: Specific surgeons responsible for coordinating care with medical/radiation oncology
Other: Patient education: One-on-one visit
Other: Timely PCP communication
Other: Appointment before discharge: Additional measure to ensure awareness of next clinic visit
Other: Patient hotline: 24 hour follow-up following call to Ask My Nurse number
Other: Discharge planning: Assessment of barriers to discharge
Other: Medication reconciliation: Patient medication review
Other: Timely follow-up: Barriers to clinic follow-up visits will be discussed
Usual Care
No Intervention group
Description:
Usual care-Standard of care that all colorectal cancer patients normally receive
Trial contacts and locations
1
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Data sourced from clinicaltrials.gov
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