Geriatric Assessment Reporting in Real Time (GARRT) in Non-electively Hospitalized Older Cancer Patients

UNC Lineberger Comprehensive Cancer Center148 enrolled

Overview

This study prospectively evaluates the impact of geriatric assessment reporting in real-time (GARRT) on key hospital based outcomes in a cohort of non-electively hospitalized older (\> 70 years) adults with cancer.

This study evaluates the impact of geriatric assessment reporting in real-time (GARRT) on key hospital based outcomes in non-electively hospitalized older (\> 70 years) adults with cancer. Participants will be randomly assigned to the GARRT group, or the control group. All participants will fill out user friendly questionnaire called the geriatric assessment. The results of the geriatric assessment will be given to the physicians of participants in the GARRT group in real-time. The physicians of participants in the control group will not receive real time results. This study will compare the referral rates of participants in each group to determine if providing real-time results of the geriatric assessment impact referral rates.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

148

Conditions

Oncology

Interventions

Results of the brief geriatric assessmentOTHER

Providers will receive results of the brief geriatric assessment with recommendations for address deficits identified through the results of the brief geriatric assessment

No results of brief geriatric assessmentsOTHER

Providers will not receive results of the brief geriatric assessment. Participants will receive standard of care treatment

Eligibility

Sex: ALLMin age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age 70 years or older. * English speaking. * Admitted to UNC Hospitals non-electively within 72 hours. * Biopsy proven solid tumor or myeloma or lymphoma. * Newly diagnosed cancer patients for whom active cancer directed therapy is planned within the next six months or patients on active cancer directed therapy either currently or within the previous 6 months. * Signed written IRB-approved informed consent. Exclusion Criteria: * Patients meeting any of the following exclusion criteria at baseline will be excluded from study participation. Patients with a life expectancy \<6 weeks * Patients who are \<48 hours post-surgery. * Patients who are admitted to an intensive care setting. * Patients with acute myeloma lymphoma (AML) or other high grade hematologic malignancies. * Patients undergoing bone marrow transplant or admitted to the bone marrow transplant unit.

Locations (1)

UNC Lineberger Comprehensive Cancer Center

Chapel Hill, North Carolina, United States

Outcomes

Primary Outcomes

Referral rate for GA-identified deficits in intervention and control groups

Number of participants with at least one referral for a GA-idenfied deficit

Time frame: 2 years

Secondary Outcomes

Referral to Physical and Occupational therapy

Number of times physical and occupation therapy referral was given in Intervention and Control group

Time frame: 2 years

Referral to Geriatic Consultation

Number of times a Geriatric Consultation referral was given in Intervention and Control group

Time frame: 2 years

Referral to Clinical Pharmacist

Number of times Clinical Pharmacist referral was given in Intervention and Control group

Time frame: 2 years

Referral to Nutritionist

Number of times Nutritionist referral was given in Intervention and Control group

Time frame: 2 years

Referral to psyhcosocial support team

Number of times psychosocial support referral was given in Intervention and Control group

Time frame: 2 years

Physician Reported New information

Number of times physicians answer "yes" to the questions "did report provide new information about patient deficits that would warrant a referral"

Time frame: 2 years

Physician Reported Satisfaction

Number of times physician indicate "yes" report was helpful when asked "Is this report useful"

Data from ClinicalTrials.gov

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