Goals of Care Discussion for Patients With Advanced Lung and Gastrointestinal Cancer in the Emergency Department of a Comprehensive Cancer Center

Recruiting · NCT06420206 · Interventional (participants receive a specific treatment)

Interventions studied

Standard of Care (Acute Cancer Care Center)Standard of Care (Goals of Care)

To improve quality of life for participants with advanced cancer, support their families, and lower overall cost of care.

Age range

18 Years and older

Sex

All (male and female)

Healthy volunteers

No - a diagnosis or condition is required

Phase

Not applicable (e.g. observational or device study)

Study type

Interventional (participants receive a specific treatment)

Participant is at least 18 years old presenting to the triage area of the MDACC ACCC for treatment
Participant has advanced lung or GI cancer. Advanced cancer patient defined as: locally recurrent or metastatic for which there is no curative treatment available.
Participant screens positive for at least 2 of 3 triple threat conditions (dyspnea, altered mental status, or poor performance status)
Participant has the ability to speak and write in English
Participant has the ability to provide consent OR is accompanied by a LAR able to provide consent

Participant is already enrolled in hospice
Participant is comatose
Participant has severe intellectual disability
Participant has a history of dementia documented in the medical records
Participant has baseline communication barriers such as aphasia or deafness
Participant is new to MDACC, without established oncology care at our institution at time of ACCC arrival
Participant is 18 years or older, currently cared for by pediatrics service
Pregnant women
Prisoners

1 location listed across 1 US state.