The Impact of SPC on Advanced Breast Cancer Patients

Study Overview
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Brief Summary
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The aim of this prospective, observational study is the evaluation of the effectiveness of a 14-day Specialist Palliative Care therapy in participants with advanced breast cancer carried out in a stationary palliative care unit in Poland. The length of the entire study will be 36 months.

Official Title
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The Influence of Specialist Palliative Care on the Exacerbation of Negative Symptoms, Life Quality and Performance Status of Patients With Advanced Breast Cancer

Conditions
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Breast Cancer, Palliative Care, Quality of Life, Cancer, Breast

Intervention / Treatment
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* Procedure: Specialist Palliative Care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: the patient's conscious consent for examination and the ability to fill in the form by the patient herself. - Exclusion Criteria: patients with cognitive disturbances disabling credible answers in the questionnaire, deceased patients or those discharged from the ward before 14 days of hospitalisation.

Ages Eligible for Study
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Minimum Age: 33 Years
Maximum Age: 91 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| patients under the age of 65 years<br>patients under the age of 65 years | Procedure: Specialist Palliative Care<br>* In the research, Specialist Palliative Care was provided according to the guidelines established by Mid-Western Health Board in a Report of the National Advisory Committee on Palliative Care as well as according to recommendations of Polish Society of Palliative Medicine and Polish National Healthcare Fund. In order to ensure interdisciplinary and integrated palliative care, a team of specialists was appointed. Team members were engaged in the process of treatment of each patient during the time of the study and applied their specialist skills according to the needs of the patients<br>|
| patients at the age of 65 years and over<br>patients at the age of 65 years and over | Procedure: Specialist Palliative Care<br>* In the research, Specialist Palliative Care was provided according to the guidelines established by Mid-Western Health Board in a Report of the National Advisory Committee on Palliative Care as well as according to recommendations of Polish Society of Palliative Medicine and Polish National Healthcare Fund. In order to ensure interdisciplinary and integrated palliative care, a team of specialists was appointed. Team members were engaged in the process of treatment of each patient during the time of the study and applied their specialist skills according to the needs of the patients<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Variation of intensification of patients negative symptoms before and after SPC | intensification of patients negative symptoms was assessed by Edmonton Symptom Assessment System (esas) | 14 days | 
| Variation of performance status of patients before and after SPC | performance status of patients was assessed by ECOG scale (Eastern Cooperative Oncology Group) | 14 days | 
| Variation of quality of life of patients before and after SPC | quality of life of patients of patients was assessed by quality of life uniscale (QoLU) | 14 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Breast Cancer, palliative care, life quality, performance status, esas