- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03057639
Clinical Model in Evaluating Clinical, Psychosocial, and Health Economic Factors in Adolescent and Young Adult Patients With Cancer
Adolescent and Young Adult (AYA) Cancers Clinical Model: An Evaluation of the AYA Clinical Care Model by Assessment of Clinical, Psychosocial, and Health Economic Factors Related to AYA Patient Outcomes
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
PRIMARY OBJECTIVES:
I. To provide economic understanding of the AYA at University of Southern California (USC) model of care. (Norris)
II. To evaluate the existing AYA at USC program to determine the direct and indirect impact on cost of care. (Norris)
III. To utilize the results of objective (i) to identify cost effectiveness and efficiencies to patient and institution. (Norris)
IV. To identify specific processes within our model of care that can be improved. (Norris)
V. To improve healthcare access to AYA-specific cancer care for patients ages 15-39 served by the Los Angeles County (LAC)+USC oncology pilot clinics. (LAC+USC)
VI. To improve the psychosocial outcome of AYA-specific cancer care patients. (LAC+USC)
VII. To provide AYA specific elements of care routinely and proactively to AYA cancer patients. (LAC+USC)
VIII. To improve care quality through patient satisfaction. (LAC+USC)
IX. To improve resource utilization and care coordination through improved patient navigation through efficiency and patient navigation. (LAC+USC)
OUTLINE:
Patients complete questionnaires at referral, week 4-8, week 10-12, and at the completion of systemic therapy.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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California
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Los Angeles, California, United States, 90033
- USC / Norris Comprehensive Cancer Center
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patients diagnosed with cancer
- ADDITIONAL GRANT SPECIFIC INCLUSION CRITERIA - UNIHEALTH (NORRIS):
- Patients who were diagnosed at USC Norris Comprehensive Cancer Center and Hospital
- Patients who are currently receiving treatment for a primary or secondary tumor at USC Norris Comprehensive Cancer Center and Hospital
- ADDITIONAL GRANT SPECIFIC INCLUSION CRITERIA - QUEENSCARE (LAC + USC):
- Patients who are being seen in sarcoma, gynecologic oncology, or genitourinary clinic at LAC + USC (clinics A2C or 4P1)
- Patients who are currently receiving treatment for a primary or secondary tumor at LAC + USC and who receive oncology care from one of the clinics above
- Patients who are at or below the poverty level
Exclusion Criteria:
- Inability to sign informed assent and/or consent
- Patients who are not receiving chemotherapy and/or radiation therapy for a primary or secondary tumor
- Primary oncology treatment team believes that participation in AYA at USC would not benefit their patient
- ADDITIONAL GRANT SPECIFIC EXCLUSION CRITERIA - UNIHEALTH (NORRIS):
- Patients who are not receiving treatment for a primary or secondary tumor at USC Norris Comprehensive Cancer Center and Hospital
- ADDITIONAL GRANT SPECIFIC EXCLUSION CRITERIA - QUEENSCARE (LAC+USC):
- Patients who are not receiving oncology care for a primary or secondary tumor in sarcoma, gynecologic oncology, or genitourinary clinic at LAC + USC (clinics A2C or 4P1)
- Patients who are above the poverty level
Study Plan
How is the study designed?
Design Details
- Observational Models: Case-Only
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Observational (questionnaires)
Patients complete questionnaires at referral, week 4-8, week 10-12, and at the completion of systemic therapy.
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Ancillary studies
Other Names:
Ancillary studies
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Clinical care model impact on patient access to AYA specific supportive care as assessed by questionnaires (Norris)
Time Frame: Up to 2 years
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Questionnaire scores will be expressed as median values with 95% confidence intervals.
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Up to 2 years
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Clinical care model impact on patient's/health care professional's satisfaction with the AYA at USC program as assessed by questionnaires (LAC+USC)
Time Frame: Up to 2 years
|
Questionnaire scores will be expressed as median values with 95% confidence intervals.
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Up to 2 years
|
Cost of care (Norris)
Time Frame: Up to 2 years
|
Direct health care costs analyses will be performed from the Total Costs of Care payer perspective.
Direct cost will be estimated from paid claims in the extracted electronic medical records, which will include costs for all health care utilization such as outpatient, procedures, laboratory, emergency room visits, hospitalization, and pharmacy.
As the healthcare utilization and costs will likely be extremely skewed, healthcare utilization and cost measures will be estimated by using an econometric model (e.g., a negative binomial regression model for utilization count data [number of services
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Up to 2 years
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Incremental cost (Norris)
Time Frame: Up to 2 years
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The incremental cost between AYA enrolled and non-enrolled will be calculated.
In addition to estimation the magnitude of the variability attributed to the different sources of variation, we will also generate an influence diagram (also known as tornado diagram) to display which variables exert the most influence on cost driver.
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Up to 2 years
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Processes that can be improved (Norris)
Time Frame: Up to 2 years
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Will utilize the prospective data to estimate key aspects of the AYA at USC service.
Any variances in the services over time will be utilized to improve quality and reliability care delivery.
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Up to 2 years
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Care coordination as assessed by the mean number of supportive care referrals, telephone or email encounters for additional information, educational materials, and or additional interventions provided by the nurse navigator and/or social worker (LAC+USC)
Time Frame: Up to 2 years
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Will be measured using an implementation guide.
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Up to 2 years
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Patient continuity of care as assessed by the mean number of visits per patient with the assigned clinic lead physician (LAC+USC)
Time Frame: Up to 2 years
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Will be measured using an implementation guide.
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Up to 2 years
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Resource allocation as assessed by the mean number of supportive care referrals and per patient follow-up conducted by the nurse navigator and/or social worker (LAC+USC)
Time Frame: Up to 2 years
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Will be measured using an implementation guide.
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Up to 2 years
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Satisfaction of health care staff as assessed by questionnaires (LAC+USC)
Time Frame: Up to 2 years
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Questionnaire scores will be expressed as median values with 95% confidence intervals.
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Up to 2 years
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Satisfaction of services as assessed by questionnaires (LAC+USC)
Time Frame: Up to 2 years
|
Questionnaire scores will be expressed as median values with 95% confidence intervals.
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Up to 2 years
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: James Hu, MD, University of Southern California
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 0S-16-6 (Other Identifier: USC / Norris Comprehensive Cancer Center)
- P30CA014089 (U.S. NIH Grant/Contract)
- NCI-2017-00210 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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