Clinical trial NCT02266069: PROject - Supportive and Palliative Care and INnOvation - Antwerp (Pro-Spinoza)
Official title: Implementation of the Care Pathway for Primary Palliative Care in Five Research Clusters in Belgium
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Palliative Care
Primary Health Care
Keywords: implementation
anticipatory care planning
symptom assessment
interdisciplinary collaboration
Lead sponsor: Universiteit Antwerpen
Sponsor class: OTHER
Collaborators: name: Intermutualistic Agency
name: National Institute for Health and Disability Insurance, Belgium
First posted: 2014-10-16
Enrollment: 24
Sex: ALL
Minimum age (years): 45
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: It is important to provide high quality palliative care to all patients with a non-curable and life-limiting condition. The Care Pathway for Primary Palliative Care (CPPPC) provides tools for health care professionals to help them delivering palliative care timely and accurately.This study investigates whether the implementation of the CPPPC really helps to improve patients' lifes.


Eligibility criteria: Inclusion Criteria:

* identified as a palliative care patient using the Surprise Question "Would you, as a family doctor, be surprised if this patient would die in the next 12 months?". If the answer is 'no', the patient is eligible for the study.

Exclusion Criteria:

* not having signed the informed consent.

Primary outcomes:
measure: percentage of deaths occurred in the hospital (of patients per family doctor/per research cluster)
timeFrame: 6 months
Secondary outcomes:
measure: cost of health care consumption in the last year of life (of patients per family doctor/per research cluster)
timeFrame: 6 months
measure: consumption of antibiotics in the last year of life (of patients per family doctor/per research cluster)
timeFrame: 6 months
measure: consumption of pain killers in the last year of life (of patients per family doctor/per research cluster)
timeFrame: 6 months
measure: consumption of (invasive) diagnostic and therapeutic procedures in the last year of life (of patients per family doctor/per research cluster)
timeFrame: 6 months
Other outcomes:
Locations:
city: Mons
country: Belgium
facility: Reliance
state: Hainaut
city: Hasselt
country: Belgium
facility: Netwerk Palliatieve Zorg Limburg
state: Limburg
city: Antwerp
country: Belgium
facility: Palliatieve Hulpverlening Antwerpen
city: Brussels-Capital Region
country: Belgium
facility: Palliabru
Study officials:
affiliation: Universiteit Antwerpen
name: Bart Van den Eynden, MD, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Universiteit Antwerpen
name: Johan Wens, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Leysen B, Van den Eynden B, Janssens A, Wens J. Recruiting general practitioners for palliative care research in primary care: real-life barriers explained. BMC Fam Pract. 2019 Mar 5;20(1):40. doi: 10.1186/s12875-019-0930-y.
citation: Leysen B, Van den Eynden B, Gielen B, Bastiaens H, Wens J. Implementation of a Care Pathway for Primary Palliative Care in 5 research clusters in Belgium: quasi-experimental study protocol and innovations in data collection (pro-SPINOZA). BMC Palliat Care. 2015 Sep 28;14:46. doi: 10.1186/s12904-015-0043-x.