Clinical trial NCT05808712: Quality of Care in Relationship to Aborted Cancer Surgery
Official title: Developing Patient-centered Interventions to Improve the Quality of Care in Relationship to Aborted Cancer Surgery
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Cancer
Gastrointestinal Cancer
Keywords: cancer nursing,
patient preferences
patient-centered care
Lead sponsor: Linkoeping University
Sponsor class: OTHER_GOV
First posted: 2023-04-11
Enrollment: 350
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Cancer patients with different gastrointestinal cancer diagnosis

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

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.

Primary outcomes:
measure: supportive care needs, questonnarie
timeFrame: March 2023 - March 2024
measure: Rate of supportive care needs in cancer
timeFrame: March 2023 - March 2024
Secondary outcomes:
Other outcomes:
Locations:
city: Linköping
country: Sweden
facility: Jenny Drott
city: Linköping
country: Sweden
facility: Department of Surgery
Study officials:
affiliation: Kirurgiska kliniken, Region Östergötland
name: Jenny Drott
role: PRINCIPAL_INVESTIGATOR
References: