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Patient Perspectives on Advance Care Planning Discussions Prior to Cardiac Surgery

Sponsor
University Health Network, Toronto (Other)
Overall Status
Not yet recruiting
CT.gov ID
NCT04796233
Collaborator
Sunnybrook Health Sciences Centre (Other)
40
Enrollment
1
Location
17
Anticipated Duration (Months)
2.4
Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The purpose of this study is to explore patient perspectives on Advance Care Planning (ACP) prior to cardiac surgery, including perceptions of benefits, drawbacks, and barriers to ACP.

Condition or Disease Intervention/Treatment Phase

    Detailed Description

    In this study, we plan to interview 40 patients who are scheduled to undergo cardiac surgery about their perspectives on preoperative ACP and discussion of their values, goals of care, and preferences for prolonged care in hospital prior to having surgery. We plan to conduct and audio record one-on-one interviews that are structured around standard questions about ACP. After recordings are completed, we plan to conduct an analysis of the interviews to find common themes and ideas that participants have about preoperative advance care planning. These results will help us understand whether patients value and wish to participate in advance care planning prior to major surgery, and will help to guide the structure and content of preoperative advance care plan programs in the future.

    Study Design

    Study Type:
    Observational
    Anticipated Enrollment :
    40 participants
    Observational Model:
    Cohort
    Time Perspective:
    Cross-Sectional
    Official Title:
    Patient Perspectives on Advance Care Planning Discussions Prior to Cardiac Surgery
    Anticipated Study Start Date :
    Oct 1, 2021
    Anticipated Primary Completion Date :
    Mar 1, 2022
    Anticipated Study Completion Date :
    Mar 1, 2023

    Outcome Measures

    Primary Outcome Measures

    1. Interview [30-35 Minute interview]

      Patient perspectives and attitudes regarding advance care planning (ACP) with a focus on patient values and goals prior to cardiac surgery.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:

    • Adult patients undergoing cardiac surgical procedures that involve a sternotomy, thoracotomy, or cardiopulmonary bypass for any indication.

    • Age > 18

    • English-speaking

    Exclusion Criteria:

    • Emergency surgery, regardless of indication or procedure

    • Minor/percutaneous cardiac procedure

    • Lack of decisional capacity due to dementia or other neurocognitive dysfunction

    • Previously decided upon advance care directives

    • Still considering surgery or not yet booked for an operation

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Toronto General Hospital - University Health Network Toronto Ontario Canada M5G 2C4

    Sponsors and Collaborators

    • University Health Network, Toronto
    • Sunnybrook Health Sciences Centre

    Investigators

    • Principal Investigator: Michael Tylee, MD, University Health Network, Toronto

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    University Health Network, Toronto
    ClinicalTrials.gov Identifier:
    NCT04796233
    Other Study ID Numbers:
    • 19-5910
    First Posted:
    Mar 12, 2021
    Last Update Posted:
    Sep 1, 2021
    Last Verified:
    Feb 1, 2021
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by University Health Network, Toronto
    Advance Care Planning

    Study Results

    No Results Posted as of Sep 1, 2021