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
Multiple Cancer Types
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
Covered Metal Stents versus Uncovered Metal Stents for the Treatment of Jaundice due to Pancreatic Cancer, Cholangiocarcinoma, or Other Metastatic Malignancies
Multiple Cancer Types
This trial studies how well covered metal stents versus uncovered metal stents work in treating patients with jaundice due to pancreatic cancer, cholangiocarcinoma (bile duct), or other malignancies that have spread to other places in the body (metastatic). Jaundice can make the skin and urine appear very yellow and cause itching throughout the body. Pancreatic cancer, cholangiocarcinoma, or other metastatic malignancies can cause jaundice by blocking the bile duct. The bile duct is a tube-like structure that drains the liver. To maintain an opening in the bile duct, a stent is placed. Uncovered self-expanding metal biliary stents have a bare metal scaffold that the tissue tends to grow into and thus blocks the stent from draining, while covered self-expanding metal biliary stents have a polyurethane coating that may prevent the tissue from growing into the stent and thus blocking the stent. It is not yet known whether covered or uncovered metal stents may work better in treating patients with jaundice.