TY - JOUR
T1 - Pilot study of an interdisciplinary supportive care planning intervention in pancreatic cancer
AU - Sun, Virginia
AU - Ruel, Nora
AU - Chung, Vincent
AU - Singh, Gagandeep
AU - Leong, Lucille
AU - Fakih, Marwan
AU - Fong, Yuman
AU - Ferrell, Betty
N1 - Publisher Copyright:
© 2016, Springer-Verlag Berlin Heidelberg.
PY - 2016/8/1
Y1 - 2016/8/1
N2 - Purpose: A diagnosis of pancreatic cancer is often associated with higher symptom burden, lower functional status, and worse quality of life (QOL). To date, few interventions have focused on the unique QOL needs of patients with pancreatic cancer. The purpose of this pilot study is to determine the feasibility of an interdisciplinary supportive care planning intervention in patients with pancreatic cancer during disease-focused treatments. Methods: Patients enrolled in this prospective, pre- and post-intervention pilot study received a supportive care intervention that included the following three components: comprehensive QOL assessment, case presentation at interdisciplinary care meetings, and two nurse-administered educational sessions on QOL concerns. Patients completed outcome measures that included the FACT-Hep, FACIT-Sp-12, and self-report of finances and out-of-pocket costs since diagnosis. Measures were completed at baseline prior to receiving the intervention, and follow-up occurred at 1 and 2 months post-intervention. Results: A total of 10 patients were enrolled during a 4-month period who provided informed consent, received the intervention, and completed the study (58 % accrual). Examination of pre- and post-intervention QOL outcomes revealed changes across the three evaluation time points that were not statistically significant. Patients were highly satisfied with the intervention, with 80 % reporting that the intervention was “excellent.” Discussions during the interdisciplinary care meetings and educational sessions were largely focused on physical and psychosocial needs. Conclusions: An interdisciplinary supportive care planning intervention was potentially feasible and acceptable for pancreatic cancer patients in an ambulatory care setting.
AB - Purpose: A diagnosis of pancreatic cancer is often associated with higher symptom burden, lower functional status, and worse quality of life (QOL). To date, few interventions have focused on the unique QOL needs of patients with pancreatic cancer. The purpose of this pilot study is to determine the feasibility of an interdisciplinary supportive care planning intervention in patients with pancreatic cancer during disease-focused treatments. Methods: Patients enrolled in this prospective, pre- and post-intervention pilot study received a supportive care intervention that included the following three components: comprehensive QOL assessment, case presentation at interdisciplinary care meetings, and two nurse-administered educational sessions on QOL concerns. Patients completed outcome measures that included the FACT-Hep, FACIT-Sp-12, and self-report of finances and out-of-pocket costs since diagnosis. Measures were completed at baseline prior to receiving the intervention, and follow-up occurred at 1 and 2 months post-intervention. Results: A total of 10 patients were enrolled during a 4-month period who provided informed consent, received the intervention, and completed the study (58 % accrual). Examination of pre- and post-intervention QOL outcomes revealed changes across the three evaluation time points that were not statistically significant. Patients were highly satisfied with the intervention, with 80 % reporting that the intervention was “excellent.” Discussions during the interdisciplinary care meetings and educational sessions were largely focused on physical and psychosocial needs. Conclusions: An interdisciplinary supportive care planning intervention was potentially feasible and acceptable for pancreatic cancer patients in an ambulatory care setting.
KW - Pancreatic cancer
KW - Quality of life
KW - Supportive care
KW - Symptoms
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UR - http://www.scopus.com/inward/citedby.url?scp=84961212294&partnerID=8YFLogxK
U2 - 10.1007/s00520-016-3155-9
DO - 10.1007/s00520-016-3155-9
M3 - Article
C2 - 26984248
AN - SCOPUS:84961212294
SN - 0941-4355
VL - 24
SP - 3417
EP - 3424
JO - Supportive Care in Cancer
JF - Supportive Care in Cancer
IS - 8
ER -