Clinical trial NCT05102500: Second Opinions in Oncology
Official title: Examining the Decision-Making Process and Characteristics of Cancer Patients Who Sought Second Opinions at the University of Colorado
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Breast Cancer
Pancreatic Cancer
Colorectal Cancer
Lead sponsor: University of Colorado, Denver
Sponsor class: OTHER
First posted: 2021-11-01
Enrollment: 236
Sex: ALL
Minimum age (years): 18
Maximum age (years): 100
Standard ages: ADULT
OLDER_ADULT
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Cancer patients who are 18 years of age or older who received a second opinion at the University of Colorado will be included in the retrospective chart review and analysis. A subset of these patients will be invited to participate in semi-structured interviews

Brief summary: The long-time goal is to understand what decision-making process and patient characteristics factor into a patient deciding to stay with their initial physician versus seeking treatment with a second opinion.

Detailed description: The long-time goal is to understand what decision-making process and patient characteristics factor into a patient deciding to stay with their initial physician versus seeking treatment with a second opinion. To do this, the PI will examine the second opinion retention rates and patient characteristics of three distinct populations: breast cancer patients, pancreatic cancer patients and colorectal cancer patients. The study team hypothesize the majority of breast cancer and colorectal cancer patients who seek a second opinion at the University of Colorado, will preferentially choose to return to their first provider, whereas patients with pancreatic cancer who seek a second opinion at the sponsor's institution will be more likely to go on to receive care at the University of Colorado. The PI predicts the difference in second opinion retention rates between these three populations is due to the ability of the second opinion pancreatic cancer provider's ability to offer more treatment or a different treatment plan at the sponsor institution relative to the patient's first provider. The study team also predict that socioeconomic status and education will have a positive correlation with changing to with a second opinion physician whereas geographic distance and treatment plan similarity will have a negative correlation. The study team will assess this hypothesis by conducting a retrospective cohort study of breast, pancreatic, and colorectal cancer patients who received a second opinion at the University of Colorado. From this cohort, the study team will identify patients who both received their care at the sponsor institution and patients who returned to their initial provider to receive care. The study team will invite these patients to participate in semi-structured interviews to better understand how and why the patient made their treatment decisions.

Eligibility criteria: Inclusion Criteria:

* Cancer patients who are 18 years of age or older who received a second opinion at the University of Colorado.
* A subset of these patients will be invited to participate in semi-structured interviews

Exclusion Criteria:

* Patients under the age of 18.
* Patients who did not receive a second opinion at the University of Colorado.

Primary outcomes:
measure: Second opinion retention rates for cancer patients at University of Colorado
timeFrame: 12 months
Secondary outcomes:
measure: Univariate statistical analysis affecting second opinion retention rates
timeFrame: 12 months
Other outcomes:
measure: Patient opinions on decision making process through semi-structure interviews
timeFrame: 12 months
Locations:
city: Aurora
country: United States
facility: University of Colorado Hospital
state: Colorado
Study officials:
affiliation: Colorado Research Center
name: Sarah Tevis
role: PRINCIPAL_INVESTIGATOR
References: