P337 Feasibility of Measuring Change in Quality of Life in Advanced Cancer Patients in the Acute Hospital Inpatient Setting

Xu, Susan; Pan, Fang Ting; Ho, Shirlynn; Yang, Grace Meijuan

doi:10.1016/j.jpainsymman.2016.10.343

Cited by 1 publication

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“…7,[27][28][29] In a pilot study, we found it infeasible to measure patient-reported outcomes in an inpatient setting, with a low recruitment rate and low completion rate for measurements. 30 The study was conducted in four oncology clusters over 20 months from December 2017 to July 2019, with each cluster crossing over from the 'consult model' to the 'co-rounding model' at 4-month intervals (Figure 1).…”

Section: Methodsmentioning

confidence: 99%

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Comparing the effect of a consult model versus an integrated palliative care and medical oncology co-rounding model on health care utilization in an acute hospital – an open-label stepped-wedge cluster-randomized trial

Yang

Zhou

et al. 2021

Palliat Med

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Background: The benefit of specialist palliative care for cancer inpatients is established, but the best method to deliver specialist palliative care is unknown. Aim: To compare a consult model versus a co-rounding model; both provide the same content of specialist palliative care to individual patients but differ in the level of integration between palliative care and oncology clinicians. Design: An open-label, cluster-randomized trial with stepped-wedge design. The primary outcome was hospital length of stay; secondary outcomes were 30-day readmissions and access to specialist palliative care. ClinicalTrials.gov number NCT03330509. Setting/participants: Cancer patients admitted to the oncology inpatient service of an acute hospital in Singapore. Results: A total of 5681 admissions from December 2017 to July 2019 were included, of which 5295 involved stage 3-4 cancer and 1221 received specialist palliative care review. Admissions in the co-rounding model had a shorter hospital length of stay than those in the consult model by 0.70 days (95%CI −0.04 to 1.45, p = 0.065) for all admissions. In the sub-group of stage 3-4 cancer patients, the length of stay was 0.85 days shorter (95%CI 0.05–1.65, p = 0.038). In the sub-group of admissions that received specialist palliative care review, the length of stay was 2.62 days shorter (95%CI 0.63–4.61, p = 0.010). Hospital readmission within 30 days (OR1.03, 95%CI 0.79–1.35, p = 0.822) and access to specialist palliative care (OR1.19, 95%CI 0.90–1.58, p = 0.215) were similar between the consult and co-rounding models. Conclusions: The co-rounding model was associated with a shorter hospital length of stay. Readmissions within 30 days and access to specialist palliative care were similar.

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Section: Methodsmentioning

confidence: 99%

“…7,27–29 In a pilot study, we found it infeasible to measure patient-reported outcomes in an inpatient setting, with a low recruitment rate and low completion rate for measurements. 30…”

Section: Methodsmentioning

confidence: 99%

Comparing the effect of a consult model versus an integrated palliative care and medical oncology co-rounding model on health care utilization in an acute hospital – an open-label stepped-wedge cluster-randomized trial

Yang

Zhou

et al. 2021

Palliat Med

View full text Add to dashboard Cite

show abstract

P337 Feasibility of Measuring Change in Quality of Life in Advanced Cancer Patients in the Acute Hospital Inpatient Setting

Cited by 1 publication

References 0 publications

Comparing the effect of a consult model versus an integrated palliative care and medical oncology co-rounding model on health care utilization in an acute hospital – an open-label stepped-wedge cluster-randomized trial

Comparing the effect of a consult model versus an integrated palliative care and medical oncology co-rounding model on health care utilization in an acute hospital – an open-label stepped-wedge cluster-randomized trial

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