Automated Geriatric Co-Management Program in Older Patients With Solid Mass or Nodule Suspicious for Cancer

Sponsor

Memorial Sloan Kettering Cancer Center (Other)

Overall Status

Recruiting

CT.gov ID

NCT03885908

Collaborator

(none)

200

Enrollment

Location

Arms

47.4

Anticipated Duration (Months)

4.2

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The purpose of this study is to find out if it is possible to use the automated geriatric co-management program to manage the participants care before, during and after surgery.

Condition or Disease	Intervention/Treatment	Phase
Cancer	Other: in-person geriatric co-management Other: automated geriatric co-management	N/A

Study Design

Study Type:

Interventional

Anticipated Enrollment :

200 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

The proposed study is a randomized controlled trial study.The proposed study is a randomized controlled trial study.

Masking:

None (Open Label)

Primary Purpose:

Supportive Care

Official Title:

Feasibility and Effectiveness of Automated Geriatric Co-Management Program on Improving the Perioperative Care of Older Patients With Solid Mass or Nodule Suspicious for Cancer

Actual Study Start Date :

Mar 19, 2019

Anticipated Primary Completion Date :

Mar 1, 2023

Anticipated Study Completion Date :

Mar 1, 2023

Arms and Interventions

Arm	Intervention/Treatment
Active Comparator: In-person geriatric co-management group "In-person" geriatric consults to be done via telemedicine due to the current pandemic and consideration for patient safety.	Other: in-person geriatric co-management The geriatrics service sees these patients for at least 2 postoperative days, if deemed clinically necessary by the geriatrician. During the inpatient hospital course, the geriatrics service will ensure the execution of preoperative recommendations and will discuss with the surgical team, who will act as a primary team, any additional recommendation in order to improve postoperative care. "In-person" geriatric consults to be done via telemedicine due to the current pandemic and consideration for patient safety.
Experimental: Automated geriatric co-management program group	Other: automated geriatric co-management Following completion of the eRFA, the summary of impairments as well as the recommendations generated by the study team (hard-copy or email) will be provided in real-time to the surgery team for their attention.

Arm

Intervention/Treatment

Active Comparator: In-person geriatric co-management group

"In-person" geriatric consults to be done via telemedicine due to the current pandemic and consideration for patient safety.

Other: in-person geriatric co-management

The geriatrics service sees these patients for at least 2 postoperative days, if deemed clinically necessary by the geriatrician. During the inpatient hospital course, the geriatrics service will ensure the execution of preoperative recommendations and will discuss with the surgical team, who will act as a primary team, any additional recommendation in order to improve postoperative care. "In-person" geriatric consults to be done via telemedicine due to the current pandemic and consideration for patient safety.

Experimental: Automated geriatric co-management program group

Other: automated geriatric co-management

Following completion of the eRFA, the summary of impairments as well as the recommendations generated by the study team (hard-copy or email) will be provided in real-time to the surgery team for their attention.

Outcome Measures

Primary Outcome Measures

feasibility of automated geriatric co-management program [2 years]
percentage of recommendations that were followed by the surgery team

Eligibility Criteria

Criteria

Ages Eligible for Study:

65 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Solid mass or nodule suspicious for cancer
Aged 65 or older
Being considered for surgical resection of the solid mass or nodule, with anticipated hospital length of stay of at least two days,
Completed the eRFA per routine care

Exclusion Criteria:

Unable to read or comprehend English
Not having a completed electronic Rapid Fitness Assessment within 2 months of surgery**Note) To avoid excluding patients based this item, patients have to complete another eRFA within two months of surgery.
Being discharged in one day or earlier from the hospital.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Memorial Sloan Kettering Cancer Center	New York	New York	United States	10065

Sponsors and Collaborators

Memorial Sloan Kettering Cancer Center

Investigators

Principal Investigator: Armin Shahrokni, MD, MPH, Memorial Sloan Kettering Cancer Center

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Memorial Sloan Kettering Cancer Center

Publications

None provided.

Responsible Party:

Memorial Sloan Kettering Cancer Center

ClinicalTrials.gov Identifier:

NCT03885908

Other Study ID Numbers:

19-066

First Posted:

Mar 22, 2019

Last Update Posted:

Dec 16, 2021

Last Verified:

Dec 1, 2021

Individual Participant Data (IPD) Sharing Statement:

Yes

Plan to Share IPD:

Yes

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by Memorial Sloan Kettering Cancer Center

Automated Geriatric Co-Management Program

Study Results

No Results Posted as of Dec 16, 2021