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Care Coach-led Integrated Palliative Surgical Oncology and Rehabilitation Care Model for Advanced Cancer Patients

RecruitingNAAges 21 Years - 99 YearsAllSingapore General Hospital
NCT07133269 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Advanced cancer is a life-limiting condition that can negatively impact quality of life and function. Patients often suffer from physical, emotional, social, spiritual, and decision-making issues. As such, most would benefit from basic palliative care (PC) which includes establishing goals of care through serious illness conversations (SIC), managing basic pain and other symptoms and addressing psychosocial needs, among others. Patients with advanced cancer are also at higher risk of functional decline due to receiving multiple concurrent treatments. Yet, among patients with advanced cancer undergoing major surgery, there has been little consideration of PC and functional needs. The palliative surgical care model is a care model in which PC educated surgical oncology teams deliver basic PC, allowing sustainable PC provision to an increasing number of patients living with advanced cancer

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📋 Eligibility rules (as published)
Inclusion Criteria: (i) Patients: 1. Aged 21 and above, 2. Diagnosis of advanced cancer, i.e. stage 3 or 4 solid organ cancer or diagnosed with cancer that requires complex surgery, 3. Planned for elective major surgery (Table of Surgical Procedures (TOSP) table code 4 or more or surgery involves more than one surgical discipline, 4. Able to speak and read English or Chinese (ii) Caregivers: 1. Age 21 and above, 2. Unpaid family or informal caregiver who takes direct care of the patient's day-to-day and healthcare needs, or ensures provision of care to meet the needs, or who is the decision maker with regard to the patient's needs and healthcare, 3. Able to speak and read English or Chinese. (iii) Healthcare Providers (Qualitative interview only): 1. Age 21 and above, 2. Currently working as a Healthcare professional at SGH or NCCS and involved in this study. Exclusion Criteria: (i) Patients: 1. Patient refusal, 2. Have complex PC needs requiring specialty palliative care (SPC) intervention before surgery, 3. Active mental illness or severe dementia and certified unfit to make medical decision by a specialist physician, 4. Scheduled for Emergency surgery. (ii) Caregivers: 1\. Unwilling to participate in the study. (iii) Healthcare Providers (Qualitative interview only): 1\. Unwilling to participate in the Qualitative interview.
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What it tests

  • Care Coach-led Palliative Surgical Oncology (PSO)
  • Rehabilitation
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Where

2 sites
National Cancer Centre Singapore
Singapore, Singapore
Singapore General Hospital
Singapore, Singapore
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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