- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06427824
Comprehensive Geriatric Assessment (Tests) for Bladder Cancer Participants Undergoing Radical Cystectomy
Comprehensive Geriatric Assessment Utilization for Bladder Cancer Patients Undergoing Radical Cystectomy: A Randomized Controlled Trial
Study Overview
Status
Conditions
Detailed Description
This study focuses on providing an educational program for participants/people with bladder cancer who plan to have a cystectomy (surgery) as part of their standard care. Participants in this study will watch videos designed to teach them strategies to help lower their risk of experiencing negative side effects (such as mobility problems, issues with taking medication, and poor quality of life) before and after they have surgery. The goal of this study is to educate people with bladder cancer and ask them to also fill out questionnaires about the education program and if they used any of the strategies that learn during the study.
Participants in this study will be divided into two different study groups (one group that watches educational videos before surgery and one group that watches educational videos before surgery and also receives geriatric services and follow up visits after surgery). Each participant will be randomized (randomly assigned) to one of two study groups. That means that there is a 50/50 chance (like flipping a coin) that each participant will end up in either group.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Piyush K Agarwal, MD
- Phone Number: 773-702-3080
- Email: cancerclinicaltrials@bsd.uchicago.edu
Study Locations
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Illinois
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Chicago, Illinois, United States, 60615
- Recruiting
- University of Chicago Medicine Comprehensive Cancer Center
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Contact:
- Piyush Agarwal, MD
- Phone Number: 773-702-3080
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria
- Participants capable of giving consent
- Participants undergoing radical cystectomy (both for curative and palliative intent) for bladder cancer diagnosed by tissue pathology with urinary diversion at the University of Chicago
- Participants undergoing neoadjuvant chemotherapy will be included
- Participants will be included regardless of gender, race or ethnicity
- Participants greater than or equal to 65 years of age
Exclusion Criteria
- Radical cystectomy for non-oncologic indications
- Palliative cystectomy for cancers other than bladder cancer (i.e. prostate, rectal, cervical)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Participants Who Watch Educational Videos Before Surgery
Participants in this group will attend an educational session in a conference room that includes 4 learning modules on strategies to reduce mobility loss, improve medication management, prevent delirium, and to document what matters most before and after surgery (cystectomy).
These learning modules will be in video format.
Participants will watch videos to learn about pre/post surgical strategies and they will receive informational handouts after watching the videos.
The study team will also ask participants to fill out questionnaires/surveys before and after surgery.
|
An educational program designed by geriatricians, surgeons, anesthesiologists and palliative care physicians to help people with bladder cancer who plan to receive a cystectomy learn strategies to improve their mobility, medication management, mental clarity/delirium and how they document important side effects or health issues after surgery.
These questionnaires will ask about the participants' mobility, frailty, quality of life and additional health/risk factors before and after surgery.
|
|
Experimental: Participants Who Watch Educational Videos Before Surgery and Receive Geriatric Follow Up Services
Participants in this group will also attend an educational session in a conference room that includes 4 learning modules on strategies to reduce mobility loss, improve medication management, prevent delirium, and to document what matters most before and after surgery (cystectomy). These learning modules will be in video format. Participants will watch videos to learn about pre/post surgical strategies and they will receive informational handouts after watching the videos. The study team will also ask participants to fill out questionnaires/surveys before surgery. In addition to attending the educational program (via video) and receiving informational handouts, participants in this group will also meet with the study doctor and/or members of the study team after surgery to help plan their hospital discharge and reinforce/use the strategies they learned in the educational session after surgery. |
An educational program designed by geriatricians, surgeons, anesthesiologists and palliative care physicians to help people with bladder cancer who plan to receive a cystectomy learn strategies to improve their mobility, medication management, mental clarity/delirium and how they document important side effects or health issues after surgery.
These questionnaires will ask about the participants' mobility, frailty, quality of life and additional health/risk factors before and after surgery.
A geriatric team will meet with participants after surgery to help them reinforce the strategies they learned in the education video sessions.
As part of a geriatric service, this team will also help participants plan/coordinate their discharge from the hospital after surgery.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of Participants Referred to Educational Program
Time Frame: 90 days
|
Assess the feasibility of an educational program designed for participants undergoing radical cystectomy by measuring the number of participants referred to the study team/program.
|
90 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Survey responses from participants who completed some or all of educational program
Time Frame: 90 days
|
Assess the acceptability of an educational program designed for participants undergoing radical cystectomy by measuring/surveying the number of study participants who completed at least some of the intervention.
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90 days
|
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Number of self-reported interventions/strategies used among participants after watching educational videos
Time Frame: 90 days
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Assess the adoptability of an educational program designed for participants undergoing radical cystectomy by measuring the number of self-reported interventions that participants reported after the educational program
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90 days
|
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30-day Hospital Readmission Rates Among All Participants
Time Frame: 30 days
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Assess impact of educational program by comparing the differences between hospital readmission rate at 30 days between both study cohorts.
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30 days
|
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90-day Hospital Readmission Rates Among All Participants
Time Frame: 90 days
|
Assess impact of educational program by comparing the differences between hospital readmission rate at 90 days between both study cohorts.
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90 days
|
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Complication Rates Reported Among Participants
Time Frame: 90 days
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Assess impact of educational program by comparing the differences between complication rates reported among study participants in both groups.
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90 days
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Piyush Agarwal, University of Chicago
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Male Urogenital Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urologic Neoplasms
- Urinary Bladder Diseases
- Urinary Bladder Neoplasms
- Health Services Administration
- Health Care Quality, Access, and Evaluation
- Investigative Techniques
- Epidemiologic Methods
- Therapeutics
- Data Collection
- Health Care Evaluation Mechanisms
- Quality of Health Care
- Public Health
- Environment and Public Health
- Patient Care
- Health Services
- Health Care Facilities Workforce and Services
- Continuity of Patient Care
- Patient Care Management
- Comprehensive Health Care
- Primary Health Care
- Hospitalization
- Surveys and Questionnaires
- Surgical Procedures, Operative
- Patient Discharge
Other Study ID Numbers
- IRB23-0773
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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