Palliative Radiation Oncology Chief's Clinic (PROCC)

Wake Forest University (WFU)

Status: Terminated

Conditions: Malignant Disease; Metastasis

Treatments: Other: Quality of Life Questionnaire; Other: Data collection and analysis

Study type: Observational

Funder types: Other

Identifiers

NCT03995927

WFBCCC 03419 (Other Identifier)

IRB00058996

Details and patient eligibility

About

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.

Full description

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:

• Determine whether each of the three component intervals within the overall interval from referral to treatment initiation (i.e., referral to consultation; consultation to simulation; simulation to treatment) is shorter for participants treated in a dedicated palliative radiation oncology clinic compared to the length of the same intervals for participants treated in a general radiation oncology clinic (historical control). The investigators' hypothesis is that each of these component intervals will be significantly shorter among the Palliative Radiation Oncology Chief's Clinic participants compared to historical control.
• Describe levels of and changes over time in patient-reported quality of life after palliative radiation therapy in the full sample, and in subgroups stratified by various radiation regimens. The investigators' hypothesis is that participants who receive a shorter course of palliative radiation (one day or five days) will have greater improvements in overall quality of life than participants who receive a ten-day course of palliative radiation.
• Determine median overall survival after palliative radiation therapy.

Enrollment: 15 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 18 years or older
• Clinically or pathologically-defined malignant disease amenable to palliative radiotherapy.

Exclusion criteria

• Pregnancy. A verbal pregnancy denial will suffice.
• No intention to treat with palliative radiation therapy following initial referral and consult.

Trial design

15 participants in 1 patient group

Data collection/questionnaire

Description:

Data collection for patient medical charts and patient fill out questionnaires first visit and post-treatment visits

Treatment:

Other: Quality of Life Questionnaire

Other: Data collection and analysis