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Nurse-Provided Care or Standard Care in Treating Patients With Pancreatic Cancer


2008-07


2010-02


2010-02


125

Study Overview

Nurse-Provided Care or Standard Care in Treating Patients With Pancreatic Cancer

RATIONALE: Meeting with a nurse to assess symptoms and quality of life may be more effective than standard care in treating patients with pancreatic cancer. PURPOSE: This clinical trial is studying nurse-provided care to see how well it works compared with standard care in treating patients with pancreatic cancer.

OBJECTIVES: * To test the effects of an advanced practice nurse (APN) standardized nursing-intervention protocol (SNIP) model vs usual care on overall quality of life (QOL) and psychological distress from initial treatment to 6 months post diagnosis for patients with pancreatic cancer. * To compare symptom control in these patients. * To compare geriatric assessment outcomes in these patients. * To test the effects of the SNIP intervention as compared to the usual care group on resource use by these patients. * To test the effects of SNIP on patients' and clinicians' satisfaction with care. * To describe the effects of SNIP on patients' management of transitions from one phase of chronic illness to another. * To identify subgroups of these patients who benefit most from the SNIP in relation to sociodemographic characteristics, disease/treatment factors, and geriatric assessment predictors. * To obtain feedback from clinicians regarding interpretation of findings and application to the routine care of pancreatic cancer patients. OUTLINE: Patients are sequentially enrolled to 1 of 2 groups. Group 1 is enrolled during months 4-21 and group 2 during months 25-54. * Group 1 (usual care): Patient questionnaires are administered at baseline and at 3 and 6 months. The clinicians' satisfaction with care is also evaluated. * Group 2 (advanced practice nurse [APN] intervention): Patients are accrued by an APN. Patients meet with the APN periodically to assess their physical well-being including ambulatory care needed, care of physical symptoms (i.e., pain, fatigue, nausea and vomiting), and psychological well-being. Questionnaires are administered at baseline and at 3 and 6 months. In both groups, questionnaires include the FACT-Hep, Memorial Symptom Assessment Scale, Psychological Distress Thermometer, Comprehensive Geriatric Assessment, and Patient Satisfaction with Intervention. Clinicians also complete questionnaires. Patients' medical charts are also reviewed.

  • Fatigue
  • Nausea and Vomiting
  • Pain
  • Pancreatic Cancer
  • OTHER: medical chart review
  • OTHER: questionnaire administration
  • PROCEDURE: fatigue assessment and management
  • PROCEDURE: psychosocial assessment and care
  • PROCEDURE: quality-of-life assessment
  • 08033
  • P30CA033572 (U.S. NIH Grant/Contract)
  • CHNMC-08033
  • CDR0000629414 (REGISTRY Identifier) (REGISTRY: NCI PDQ)

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2009-05-14  

N/A  

2010-09-29  

2009-05-14  

N/A  

2010-10-01  

2009-05-15  

N/A  

2010-09  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Health Services Research


Allocation:
N/A


Interventional Model:
N/A


Masking:
N/A


Arms and Interventions

Participant Group/ArmIntervention/Treatment
Primary Outcome MeasuresMeasure DescriptionTime Frame
Quality of life, psychological distress, symptom relief, geriatric assessment outcome, and resource use at 3 months
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Long-term impact at 6 months

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    DISEASE CHARACTERISTICS:

  • Diagnosis of pancreatic cancer (all stages)

  • PATIENT CHARACTERISTICS:

  • Admitted to City of Hope National Medical Center


  • Resides within a 30-mile radius of the medical center
  • No prior cancer

  • PRIOR CONCURRENT THERAPY:

  • No prior therapy

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

  • National Cancer Institute (NCI)

  • PRINCIPAL_INVESTIGATOR: Marcia Grant, RN, DNSc, FAAN, City of Hope Comprehensive Cancer Center

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

No publications available