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Clinical Trials Search at Vanderbilt-Ingram Cancer Center

Early Palliative Care in Improving Recovery and Quality of Life in Patients with Cancer Undergoing Abdominal Surgery, the SCOPE Trial

This trial studies early palliative care in improving recovery and quality of life in patients with cancer undergoing abdominal surgery. Frequently people diagnosed with cancer experience physical and emotional symptoms during the course of their disease. Introduction to a team of clinicians that specialize in the lessening of many of these distressing symptoms may improve overall care. This team of clinicians is called the palliative care team and they focus on ways to improve pain and other symptom management (i.e. shortness of breath, fatigue, anxiety, etc.) and to assist patients and their families in coping with the emotional, social, and spiritual issues associated with a cancer diagnosis. This study is being done to see if receiving palliative care earlier is more useful compared to receiving palliative care late in the course of illness.
Bladder, Colon, Gastrointestinal, Gynecologic, Liver, Ovarian, Pancreatic, Supportive Care, Urologic
N/A
Adults
Not Available
Not Available
Shinall, Ricky
Local
Vanderbilt University
02-16-2018
Treatment
VICCSUPP1971
NCT03436290

Eligibility

18 Years
BOTH
NO
Inclusion Criteria:

Scheduled for one of the following abdominal operations with intent to provide cure or durable oncologic control of malignancy: * Total or partial gastrectomy requiring anastomosis. * Total or partial pancreatectomy. * Partial hepatectomy. * Colectomy or proctectomy if one of the following 3 conditions is also met: ** Patient age is 65 years or older. ** Disease is metastatic. ** Disease is locally invasive requiring extensive resection. * Radical cystectomy. * Pelvic exenteration. * Abdominal debulking for ovarian or endometrial carcinoma. * Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy.



Exclusion Criteria:

Non-English speaking patient.

Residence > 150 miles away from Vanderbilt and do not visit the Nashville area regularly.

No telephone or otherwise unwilling/unable to complete follow-ups.

Prisoner.

Current enrollment in a study that does not allow co-enrollment or that uses a non-pharmacologic, non-procedural intervention directed at surgical or cancer care.

Deaf.

Severe prior cognitive or neurodegenerative disorder that prevents a patient from living independently at baseline

Inability to obtain informed consent from patient meeting all inclusion criteria for the following reasons: * Attending surgeon refusal. * Patient refusal. * Period of time between screening patient and time of operation does not allow preoperative outpatient palliative care visit.

Currently participating in palliative care or seeing a palliative care provider.

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