ADJUST: A Study on MDT Prognostication

University College London (UCL)

Status: Completed

Conditions: Terminal Illness

Treatments: Other: Advice from the PiPS-B14 prognostic tool; Other: Advice from another clinician

Study type: Interventional

Funder types: Other

Identifiers

NCT04568629

17031/001

Details and patient eligibility

About

This study investigates how clinicians form intuitive judgements about the prognoses of palliative care patients after receiving advice perceived as coming from either a team member or an algorithm.

Full description

Using the Judge-Advisor System, the investigators will recruit clinicians working in palliative care for adults. Participants will be asked to complete an online survey and review five patient summaries ("vignettes") based on real cases derived from a previous study. Clinicians will be presented with key prognostic information and will be asked to provide an estimate of the probability that the patient will survive for two weeks (0-100%). After providing this initial estimate, participants will receive prognostic advice. While in reality all participants will receive the same advice, participants will be randomised into two groups and these groups will be informed that the advice is either: (1) provided by an algorithm; or (2) provided by a team colleague. Participants will then be given the opportunity to give a second, possibly revised estimate in the light of the advice received.

Enrollment: 323 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Clinicians working in an adult palliative care service
• Willing and able to provide written informed consent

Exclusion criteria

• None

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

323 participants in 2 patient groups

Algorithm Arm

Experimental group

Description:

Participants received prognostic advice from a prognostic algorihm.

Treatment:

Other: Advice from the PiPS-B14 prognostic tool

Clinician arm

Experimental group

Description:

Participants recieved prognostic advice from another clinician.

Treatment:

Other: Advice from another clinician