Aim of the study is to increase the proportion of indicated patients with colorectal cancer undergoing adjuvant chemotherapy following surgical resection through an optimized symptom management and logistical support.
Patients with colorectal cancer in Germany today are exposed to several Problems related to care continuity and access to health care professionals. In order to increase the utilization of adjuvant therapies, patients in the intervention group are offered an additional nursing intervention in the period between discharge after inpatient treatment and the beginning of adjuvant therapy. This includes a telephone follow-up conducted according to guidelines serving to disclose patients' current supportive needs in order to determine potential intervention approaches as early as possible. Hence, the intervention aims to motivate patients not to discontinue the treatment. An early detection of therapy-related physical and psychological impairments aims at optimizing treatment management. Patients in the intervention group therefore are visited by nursing staff specialized in cancer care (Supportive Cancer Care Networkers, SCAN) during their in-patient stay and are informed about the intervention. An assignment for the SCAN is to support patients in getting access to health care services (e.g. specialists). Patients are given certain information, as for example contact to specialists, voluntary services and the next steps and appointments of the treatment plan are discussed. Within a consultation at the day before hospital discharge, the SCAN takes up the contact information and appoints weekly telephone consultations for the time up to the adjuvant therapy. The SCAN hands out information materials and explains the study documents, as for example patient-held records (PHR) in order to improve therapy compliance.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
261
The Supportive Cancer Care Networkers intervention (SCAN) consists of an additional telephone support and symptom-related out-patient care management through Oncology Nursing. The SCAN intervention assesses patients' resources and barriers in utilizing health care services in order to meet their individual needs adequately and supports maintenance of therapy compliance. Thus, the SCAN offers a comprehensive mirroring the patients' medical and psychosocial care needs across changing sectors of health care.
Diakonissen-Krankhenhaus Leipzig
Leipzig, Saxony, Germany
AMEOS Klinikum Aschersleben-Staßfurt GmbH
Aschersleben, Saxony-Anhalt, Germany
Diakonissenkrankenhaus Dessau gGmbH
Dessau, Saxony-Anhalt, Germany
proportion of eligible patients undergoing adjuvant chemo therapy
Time frame: 8 weeks after hospital discharge/ chrirurgical resection
disease-free survival
Time frame: 8 month after hospital discharge/ chrirurgical resection
Health-related Quality of Life
using the EORTC QLQ-C30 \& CR-29
Time frame: 8 weeks & 8 month after hospital discharge/ chrirurgical resection
symptom burden
using the M.D. Anderson Symptom inventory
Time frame: 8 weeks & 8 month after hospital discharge/ chrirurgical resection
Distress
using the Distress-Thermometer
Time frame: 8 weeks & 8 month after hospital discharge/ chrirurgical resection
supportive care needs
using the Supportive Needs Questionnaire-37 (FU-T)
Time frame: 8 weeks & 8 month after hospital discharge/ chrirurgical resection
Quality of inpatient care
using the EORTC INPATSAT-32
Time frame: at Baseline
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HELIOS Klinik Lutherstadt Eisleben
Eisleben Lutherstadt, Saxony-Anhalt, Germany
University Hospital Halle
Halle, Saxony-Anhalt, Germany
Klinikum Magdeburg gGmbH
Magdeburg, Saxony-Anhalt, Germany
HELIOS Klinik Sangerhausen
Sangerhausen, Saxony-Anhalt, Germany
AMEOS Klinikum Schönebeck GmbH
Schönebeck, Saxony-Anhalt, Germany
Carl-von-Basedow-Klinikum Merseburg
Merseburg, Saxony-Anhat, Germany