- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05193474
Evaluate Serious Illness Treatment Preferences and Outcomes in the Patients Receiving Peritoneal Dialysis
The goal of this clinical research study is to study the cardiopulmonary resuscitation (CPR) preferences of patients receiving peritoneal dialysis and how these preferences are associated with their responses to questions about aspects of end-of-life care.
This prospective cohort clinical trial aims to provide evidence on the preferences of end of life care in patients receiving peritoneal dialysis, thereby provide optimal care according to patients' preferences and choices through effective communication and clear goals of care.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Pei-Ni Chuang, M.D.
- Phone Number: +886-987-650-338
- Email: peinichuang@gmail.com
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- [Patients] Diagnosis of ESRD
- [Patients] Under treatment of peritoneal dialysis
- [Patients] Age 20 years or older
- [Caregivers] Age20 years or older
Exclusion Criteria:
- [Patients] unable to understand or fill in the questionnaire
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Screening
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Refuse to integrate palliative care into usual care.
Usual ESRD care team
|
|
Experimental: Agree to integrate palliative care into usual care.
Usual ESRD care + combined palliative care team
|
shared decision making with patient, and timely integrated palliative care according to patient's preference
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
the preferences of end of life care in patients receiving peritoneal dialysis
Time Frame: up to 24 weeks
|
Participants were asked to respond to the questions(POLST questionnaire) associated to life-sustaining treatment preference including CPR preference and other treatment preferences, and life values,
|
up to 24 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
compare the quality of life after receiving timely integrated palliative care to the other group
Time Frame: 3 moths,6 months and 12months after receiving timely integrated palliative care
|
Quality of life(The EuroQol-5 Dimension 5-level (EQ-5D-5L)) The EQ-5D instrument is the most widely used generic preference-based measure of health. The descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state. |
3 moths,6 months and 12months after receiving timely integrated palliative care
|
compare the quality of death after receiving timely integrated palliative care to the other group
Time Frame: 3 moths,6 months and 12months after receiving timely integrated palliative care
|
Quality of death(Good Death Scale (GDS)) Good Death Scale (GDS) is a provider assessment scale of the quality of dying of terminally ill patients.
It contains 5 items including the awareness that one is dying (0 = complete ignorance, 3 = complete awareness), accepting death peacefully (0 = complete unacceptance, 3 = complete acceptance), propriety (0 = no reference to the patient's will, 1 = following the family's will alone, 2 = following the patient's will alone, 3 = following the will of both the patient and their family), death timing (0 = no preparation, 1 = the family alone had prepared, 2 = the patient alone had prepared, 3 = both the patient and their family had prepared), and degree of physical comfort (0 = a lot of suffering, 1 = suffering, 2 = a little suffering, 3 = no suffering).
The score ranges from 0 to 15.
|
3 moths,6 months and 12months after receiving timely integrated palliative care
|
compare the symptoms burden after receiving timely integrated palliative care to the other group
Time Frame: 3 moths,6 months and 12months after receiving timely integrated palliative care
|
Symptoms burden(Edmonton Symptom Assessment System. Revised Renal (ESAS-r:Renal)) The ESAS-r helps to assess nine common symptoms in palliative care patients. The ESAS-r is one valuable part of a holistic clinical assessment. It is not a complete assessment in itself. The patient should be instructed to rate the severity of each symptom on a 0 to 10 scale, where 0 represents absence (or best possible intensity) of the symptom and 10 represents the worst possible severity. The number should be circled on the scale. The circled numbers can be transcribed onto the ESAS-r graph. The patient should be instructed to rate each symptom according to how s/he feels now. The health care professional may choose to ask additional questions about the severity of symptoms at other time points (e.g. symptom severity at best and at worst over the past 24 hours) |
3 moths,6 months and 12months after receiving timely integrated palliative care
|
compare the ICU admission frequency after receiving timely integrated palliative care to the other group
Time Frame: 3 moths,6 months and 12months after receiving timely integrated palliative care
|
ICU admission frequency
|
3 moths,6 months and 12months after receiving timely integrated palliative care
|
Collaborators and Investigators
Investigators
- Principal Investigator: Chun-Fu Lai, M.d., National Taiwan University Hospital
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
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
Other Study ID Numbers
- 202106064RINB
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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