Palliative Care During Intraperitoneal Chemotherapy in Patients With Ovarian Cancer

Study Overview
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Brief Summary
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RATIONALE: Palliative care may help improve the quality of life of patients with ovarian cancer who are undergoing intraperitoneal chemotherapy. PURPOSE: This clinical trial is studying palliative care in patients with ovarian cancer who are undergoing intraperitoneal chemotherapy.

Detailed Description
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OBJECTIVES: Describe symptoms/concerns before, during, and after intraperitoneal (IP) chemotherapy and the impact of these symptoms/concerns on the quality of life (QOL) of patients with ovarian cancer undergoing IP chemotherapy. (Part I) Analyze care received and resource utilization of these patients, including length of hospitalization, ICU admission rates, clinic visits, phone calls, urgent care visits, and other heath system encounters. (Part I) Develop palliative care assessment measures and interventions that apply to IP chemotherapy. (Part II) Implement a palliative care intervention in a pilot of 6 patients. (Part II) Describe the impact of implementing palliative care interventions on resource utilization, improved QOL and symptoms, and number of chemotherapy courses completed. (Part II) OUTLINE: This is a two-part study. Part I (retrospective portion): Patients who have undergone intraperitoneal (IP) chemotherapy within the past 6-12 months undergo a retrospective interview and chart audit to identify their needs and experiences. Part I (prospective portion): Patients are followed monthly for up to 6 months during IP chemotherapy to provide information about usual care and to identify needs and palliative care concerns. Patients also complete a quality-of-life (QOL) questionnaire (COH QOL Ovarian tool) and undergo a prospective interview. Part II (intervention): Patients undergo comprehensive palliative care assessment, a patient teaching session prior to the initiation of IP chemotherapy, and a palliative care intervention during IP chemotherapy. Patients also complete a QOL questionnaire and undergo an interview. Patients are followed monthly for up to 6 months during IP chemotherapy.

Official Title
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Integration of Palliative Care in Use of Intra-Peritoneal Chemotherapy for Ovarian Cancer

Conditions
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Ovarian Cancer

Intervention / Treatment
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* Drug: intraperitoneal chemotherapy
* Other: educational intervention
* Other: medical chart review
* Other: questionnaire administration
* Procedure: assessment of therapy complications
* Procedure: end-of-life treatment/management
* Procedure: psychosocial assessment and care
* Procedure: quality-of-life assessment


Participation Criteria
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Eligibility Criteria
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DISEASE CHARACTERISTICS: Diagnosis of ovarian cancer Under the care of the Medical Oncology Department at the City of Hope National Medical Center Undergoing intraperitoneal chemotherapy PATIENT CHARACTERISTICS: Life expectancy > 6 months Speaks English or Spanish PRIOR CONCURRENT THERAPY: See Disease Characteristics

Ages Eligible for Study
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Minimum Age: 18 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

| Intervention/Treatment |
| --- |
|Drug: intraperitoneal chemotherapy|nan|
|Other: educational intervention|nan|
|Other: medical chart review|nan|
|Other: questionnaire administration|nan|
|Procedure: assessment of therapy complications|nan|
|Procedure: end-of-life treatment/management|nan|
|Procedure: psychosocial assessment and care|nan|
|Procedure: quality-of-life assessment|nan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Symptoms/concerns before, during, and after intraperitoneal (IP) chemotherapy and their impact on quality of life (QOL) |  | 6 months from study entry | 
| Length of hospitalization, ICU admission rates, clinic visits, phone calls, urgent care visits, and other heath system encounters |  | 6 months from study entry | 
| Development of palliative care assessment measures and interventions that apply to IP chemotherapy |  | 6 months from study start | 
| Implementation of a palliative care intervention |  | 6 months from study entry | 
| Impact of implementing palliative care interventions on resource utilization, improved QOL and symptoms, and number of chemotherapy courses completed |  | 6 months from study entry | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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recurrent ovarian epithelial cancer, recurrent ovarian germ cell tumor, stage I ovarian epithelial cancer, stage I ovarian germ cell tumor, stage II ovarian epithelial cancer, stage II ovarian germ cell tumor, stage III ovarian epithelial cancer, stage III ovarian germ cell tumor, stage IV ovarian epithelial cancer, stage IV ovarian germ cell tumor