Quality of Care in Relationship to Aborted Cancer Surgery

Study Overview
=================
Brief Summary
-----------------
Surgery is often a central curative treatment for gastrointestinal tumors. Surgical treatment of diagnosed cancer tumors is decided after a comprehensive assessment of the patient's physical status, radiological assessments and after careful evaluation at the multidisciplinary conference. Despite the careful preoperative assessment of patients for curative surgery, the planned operation may unexpectedly need to be canceled. Of the patients who were planned for curative resection for pancreatic cancer in 2021 in Sweden, 90% received the intended surgery, and 10% of planned surgery was canceled. The reason for this was disseminated cancer or locally advanced disease in which radical resection is considered impossible to carry out. A systematic review of knowledge reveals a significant lack of evidence regarding patient-centered research and aborted cancer surgery. The studies in the project have different study designs and methods, and include focus group interviews with staff, translation and validation of a questionnaire to measure care needs, estimation of supportive care needs and patient experiences. An improved understanding and knowledge of patients' preferences and needs is needed to design interventions that can improve health-related quality of life. This project is dedicated to studying patients undergoing aborted cancer surgery, with the aim of improving the quality of care and meeting patients' care needs.

Detailed Description
-----------------
The overall objective of this research project is to: describe the patients experiences and assess supportive care needs following aborted cancer gastrointestinal surgery increase knowledge of the healthcare professionals' experiences of aborted cancer surgery from a multi-professional and continuum of cancer care perspective increase our clinical knowledge of patient preferences and healthcare professionals' perspective to develop tailored patient-centered interventions with the goal to improve quality of cancer care

Official Title
-----------------
Developing Patient-centered Interventions to Improve the Quality of Care in Relationship to Aborted Cancer Surgery

Conditions
-----------------
Cancer, Gastrointestinal

Intervention / Treatment
-----------------
* Other: validation


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: >18 years cancer patients with different gastrointestinal cancer diagnosis Exclusion Criteria: - not able to answer the questionnarie SCNS-SF34 in Swedish.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Translation and validation design<br>To translate the English version of The Supportive Care Needs Survey-short form (SCNS-SF34) questionnaire into Swedish and to test the reliability and validity. Design: Translation and validation design A multicenter national validation study, in three university hospital in Sweden. Consecutive sampling procedure during a one-year period (2023), to evaluate internal consistency and test-retest reliability of the SCNS-SF34 in Swedish. Number is calculated to be 300 patients, and test-rest (reliability) in 50 patients. Inclusion criteria = >18 years, cancer patients with different gastrointestinal cancer diagnosis. Exclusion criteria= not able to answer a questionnaire in Swedish. Demographical and clinical data will be collected using a case report form. The survey will be distributed to patients via a web-based questionnaire or paper and pen questionnaire procedure. | Other: validation<br>* Translation and validation design<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| supportive care needs, questonnarie | psychometric properties in the swedish version of the questionnarie SCNS-SF34 | March 2023 - March 2024 | 
| Rate of supportive care needs in cancer | assessment of supportive care needs via the questionnarie SCNS-SF34 (in Swedish) | March 2023 - March 2024 | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
cancer nursing, patient preferences, patient-centered care