dc.contributor.author | Shinall, Myrick C., Jr | |
dc.contributor.author | Hoskins, Aimee | |
dc.contributor.author | Hawkins, Alexander T. | |
dc.contributor.author | Bailey, Christina | |
dc.contributor.author | Brown, Alaina | |
dc.contributor.author | Agarwal, Rajiv | |
dc.contributor.author | Duggan, Maria C. | |
dc.contributor.author | Beskow, Laura M. | |
dc.contributor.author | Periyakoil, Vyjeyanthi S. | |
dc.contributor.author | Penson, David F. | |
dc.contributor.author | Jarrett, Ryan T. | |
dc.contributor.author | Chandrasekhar, Rameela | |
dc.contributor.author | Ely, E. Wesley | |
dc.date.accessioned | 2020-09-04T18:50:34Z | |
dc.date.available | 2020-09-04T18:50:34Z | |
dc.date.issued | 2019-12-11 | |
dc.identifier.citation | Shinall, M. C., Jr, Hoskins, A., Hawkins, A. T., Bailey, C., Brown, A., Agarwal, R., Duggan, M. C., Beskow, L. M., Periyakoil, V. S., Penson, D. F., Jarrett, R. T., Chandrasekhar, R., & Ely, E. W. (2019). A randomized trial of a specialist palliative care intervention for patients undergoing surgery for cancer: rationale and design of the Surgery for Cancer with Option of Palliative Care Expert (SCOPE) Trial. Trials, 20(1), 713. https://doi.org/10.1186/s13063-019-3754-0 | en_US |
dc.identifier.other | eISSN: 1745-6215 | |
dc.identifier.uri | http://hdl.handle.net/1803/15606 | |
dc.description.abstract | Background: In medical oncology settings, early specialist palliative care interventions have demonstrated improvements in patient quality of life and survival compared with usual oncologic care. However, the effect of early specialist palliative care interventions in surgical oncology settings is not we
Methods: The Surgery for Cancer with Option for Palliative Care Expert (SCOPE) Trial is a single-center, prospective, single-blind, randomized controlled trial of a specialist palliative care intervention for cancer patients undergoing non-palliative surgery. It will enroll 236 patients scheduled for major abdominal operations for malignancy, who will be randomized 1:1 at enrollment to receive usual care (control arm) or specialist palliative care consultation (intervention arm). Intervention arm patients will receive consultations from a palliative care specialist (physician or nurse practitioner) preoperatively and postoperatively. The primary outcome is physical and functional wellbeing at 90 days postoperatively. Secondary outcomes are quality of life at 90 days postoperatively, posttraumatic stress disorder symptoms at 180 days postoperatively, days alive at home without an emergency room visit in the first 90 postoperative days, and overall survival at 1 year postoperatively. Participants will be followed for 3 years after surgery for exploratory analyses of their ongoing quality of life, healthcare utilization, and mortality.
Discussion: SCOPE is an ongoing randomized controlled trial evaluating specialist palliative care interventions for cancer patients undergoing non-palliative oncologic surgery. Findings from the study will inform ways to identify and improve care of surgical patients who will likely benefit from specialist palliative care services. | en_US |
dc.description.sponsorship | The SCOPE Trial has received funding from the National Cancer Institute (K12CA090625) and the National Institute on Aging (R03AG060085). Funding agencies had no role in the design of the study or the writing of this manuscript. | en_US |
dc.language.iso | en_US | en_US |
dc.rights | Copyright © The Author(s). 2019
Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | |
dc.source.uri | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6907134/ | |
dc.subject | Palliative care | en_US |
dc.subject | Surgical oncology | en_US |
dc.subject | Cancer | en_US |
dc.subject | Randomized controlled trials | en_US |
dc.subject | Trial protocol | en_US |
dc.title | A randomized trial of a specialist palliative care intervention for patients undergoing surgery for cancer: rationale and design of the Surgery for Cancer with Option of Palliative Care Expert (SCOPE) Trial | en_US |
dc.type | Article | en_US |
dc.identifier.doi | 10.1186/s13063-019-3754-0 | |