Default Options in Advance Directives
Completed · Not applicable
Conditions studied: This Study Will Focus on Advance Care Planning Among Patients With Life-limiting Illnesses
In brief
In a multicenter, randomized clinical trial of default options in advance directives among patients with incurable diseases, we will determine whether this simple and readily scalable intervention can improve patients quality of life and reduce resource utilization without reducing the number of days that patients are alive and living outside of an acute-care hospital.
Key facts
- Study ID
- NCT02017548
- Run by
- University of Pennsylvania
- People needed
- 270
- Starts
- 2014-01-01
- Expected to finish
- 2016-11-01
- Last updated by the study team
- 2019-04-01
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Age 18 or older
- Fluent in English
- Has seen current physician at least once prior to current visit
- Resident of Pennsylvania or New Jersey
- One or more of the following diagnoses:
- Amyotrophic lateral sclerosis
- Stage IIIB or IV non-small cell lung cancer, pancreatic cancer, or cholangiocarcinoma
- Stage IV breast, colon, esophageal, gastric, pancreatic, prostate, uterine, cervical, ovarian, or urothelial cancer; paraganglioma, or pheochromocytoma
- Stage C or D hepatocellular carcinoma
- Stage IV renal cell carcinoma
- Stage IV or V chronic kidney disease
- Mesothelioma or any malignancy metastatic to the pleura
- Other incurable interstitial lung diseases with at least severe restriction on most recent pulmonary function tests or eligible for long-term oxygen therapy
- Chronic obstructive pulmonary disease with at least severe airflow obstruction on most recent spirometry or eligible for long-term oxygen therapy
- Congestive heart failure with NYHA Class IV status or Class III plus 1 heart failure related hospitalization in the past 12 months or ACC stage D or C classification with 1 heart failure related hospitalization in the past 12 months
You may not qualify if…
- Currently listed for or being considered for solid organ transplant
- Patients with a previously signed advance directive or living will.
Where it is running
- Penn Presbyterian Medical Center — Philadelphia, Pennsylvania, United States
- The Perelman Center for Advance Medicine — Philadelphia, Pennsylvania, United States
- Pennsylvania Hospital — Philadelphia, Pennsylvania, United States
- University of Pittsburgh Medical Center — Pittsburgh, Pennsylvania, United States
Full record on ClinicalTrials.gov
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