Assessing Older Patients With Cancer
Development of a Geriatric Assessment Measure for Older Patients With Cancer
RATIONALE: Questionnaires that measure the ability of older patients to think, learn, remember, and make judgments and carry out daily activities may improve the ability to plan treatment for patients with cancer.
PURPOSE: This clinical trial is studying ways to assess older patients with cancer.
研究概览
详细说明
OBJECTIVES:
Primary
- Determine the feasibility of administration of the geriatric assessment in elderly patients with cancer.
- Determine the percentage of patients able to complete the self-administered portion of the geriatric assessment without assistance.
- Determine the length of time necessary to complete the geriatric assessment.
- Determine the variance and number of missing items.
- Assess patient satisfaction with the questionnaire by identifying items that are distressing or difficult to comprehend.
- Assess the percentage of geriatric assessments that contain all three of the following items: Timed Up and Go Assessment, Blessed Orientation-Memory-Concentration Test, and healthcare professional-rated Karnofsky performance status.
Secondary
- Determine the proportion of patients who are able to complete the self-report portion of the questionnaire without assistance and the length of time needed to complete the geriatric assessment within patients of various sociodemographic factors and educational status.
OUTLINE: This is a multicenter study. Patients are stratified according to age (65 to 69 years vs 70 years and over).
Patients undergo assessments of cognition using the Blessed Orientation-Memory-Concentration Test; functional status using the Timed Up and Go Assessment (measures physical mobility); and performance status using the healthcare professional-rated Karnofsky performance scale. These assessments are performed by healthcare personnel. Body mass index and the percentage of unintentional weight loss and the number of falls in the past 6 months are also assessed.
Patients also complete the following self-administered questionnaires: Instrumental Activities of Daily Living (measures level of functioning and need for services); Activities of Daily Living (measures higher levels of physical functioning); Karnofsky Self-Reported Performance Rating Scale (related to survival and clinically significant illness); Physical Health Section of the Older American Resources and Services Questionnaire (measures comorbidity and the impact on daily activities); Hospital Anxiety and Depression Scale; Medical Outcomes Study (MOS) Social Activity Limitations Measure (measures the impact of cancer on patients' social functioning); and MOS Social Support Survey Emotional/Information and Tangible Subscales (measures perceived availability of social support).
Patients then begin planned treatment.
研究类型
注册 (实际的)
联系人和位置
学习地点
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Indiana
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Elkhart、Indiana、美国、46515
- Elkhart General Hospital
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Kokomo、Indiana、美国、46904
- Howard Community Hospital
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La Porte、Indiana、美国、46350
- Center for Cancer Therapy at LaPorte Hospital and Health Services
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South Bend、Indiana、美国、46601
- Memorial Hospital of South Bend
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South Bend、Indiana、美国、46601
- CCOP - Northern Indiana CR Consortium
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South Bend、Indiana、美国、46617
- Saint Joseph Regional Medical Center
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South Bend、Indiana、美国、46601
- Michiana Hematology-Oncology, PC - South Bend
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Michigan
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St. Joseph、Michigan、美国、49085
- Lakeland Regional Cancer Care Center - St. Joseph
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Nevada
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Las Vegas、Nevada、美国、89102
- University Medical Center of Southern Nevada
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Las Vegas、Nevada、美国、89106
- CCOP - Nevada Cancer Research Foundation
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New York
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East Syracuse、New York、美国、13057
- CCOP - Hematology-Oncology Associates of Central New York
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North Carolina
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Durham、North Carolina、美国、27710
- Duke Comprehensive Cancer Center
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Ohio
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Columbus、Ohio、美国、43210-1240
- Arthur G. James Cancer Hospital and Richard J. Solove Research Institute at Ohio State University Comprehensive Cancer Center
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
DISEASE CHARACTERISTICS:
- Histologically confirmed malignancy at any stage
- Enrolled on any cooperative group-sponsored cancer treatment trial (treatment has not yet started), including trials on the Cancer Trials Support Unit
PATIENT CHARACTERISTICS:
- Any performance status allowed
- Must be able to follow directions in English
- Sufficient cognitive and psychological function to give consent
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
学习计划
研究是如何设计的？
设计细节
队列和干预
团体/队列 |
干预/治疗 |
|---|---|
|
Patient assessment
Patients undergo assessments of cognition and performance status using the healthcare professional-rated Karnofsky performance scale. These assessments are performed by healthcare personnel. Body mass index and the percentage of unintentional weight loss and the number of falls in the past 6 months are also assessed. Patients also complete self-administered questionnaires that measure level of functioning and need for services. It also includes questionnaires that measure higher levels of physical functioning, performance related to survival and clinically significant illness and measures of comorbidity and the impact on daily activities. Lastly, questionnaires are administered to measure the impact of cancer on patients' social functioning and perceived availability of social support. Patients then begin planned treatment. |
研究衡量的是什么？
主要结果指标
结果测量 |
大体时间 |
|---|---|
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Mean and median time to complete the entire geriatric assessment
大体时间：Up to 3 years
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Up to 3 years
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Mean number of missing items in each subscale and the distribution of missing items
大体时间：Up to 3 years
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Up to 3 years
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Percentage of patients who identify a scale to be upsetting or difficult to understand
大体时间：Up to 3 years
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Up to 3 years
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Percentage of Geriatric Assessments for which all three items (Timed Up and Go Assessment, Blessed Orientation-Memory-Concentration Test, and the healthcare professional-rated Karnofsky performance status) are completed
大体时间：Up to 3 years
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Up to 3 years
|
合作者和调查者
调查人员
- 学习椅：Alice B. Kornblith, PhD、Dana-Farber Cancer Institute
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
关键字
其他研究编号
- CALGB-360401
- CDR0000523527 (注册表标识符：NCI Physician Data Query)
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