[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100414257":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":24,"centralContacts":28,"locations":33,"responsibleParty":50,"collaborators":18,"id":53,"slug":54,"hasResults":55,"nctId":56,"briefTitle":57,"officialTitle":58,"acronym":59,"eligibilityCriteria":60,"healthyVolunteers":55,"sex":61,"minAge":62,"maxAge":18,"enrollmentInfo":63,"targetDuration":18,"studyType":66,"phases":67,"briefSummary":69,"conditions":70,"keywords":77,"overallStatus":35,"whyStopped":18,"lastUpdateSubmitDate":79,"lastUpdatePostDateStruct":80,"startDateStruct":83,"completionDateStruct":85,"leadSponsor":87,"locationsCount":88},{"fullName":5,"class":6},"Dana-Farber Cancer Institute","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Intervention Phase - Geriatric Co-Management","EXPERIMENTAL","Eligible older adults age 70 and older who score \"Pre-Frail\" or \"Frail\" will be randomized 2:1 to be offered to meet with a study geriatrician for geriatric co-management in addition to their standard oncology care. Study geriatrician will assist with management of symptoms, additional comorbidities, polypharmacy, and social\u002Femotional concerns in addition to physical care. Geriatrician can make referrals and recommendations for additional supportive services that may be beneficial for more vulnerable older adult patients.",[13],"Other: Phase 2 Intervention - Geriatric Co-Management",{"label":15,"type":16,"description":17,"interventionNames":18},"Intervention Phase - Standard Oncology Care","NO_INTERVENTION","This arm is for those older adult patients (age 70+) who score as \"Pre-Frail\" or \"Frail\" in the fitness assessment questionnaire and are NOT randomized to meet with the study geriatrician. These patients will be followed for the duration of the study as they proceed with their usual oncology care. Study team will evaluate a number of different measures and outcomes, the primary one being unplanned emergency and hospital visits during the course of the study.",null,[20],{"type":6,"name":21,"description":22,"armGroupLabels":23,"otherNames":18},"Phase 2 Intervention - Geriatric Co-Management","Participants will complete an electronic fitness assessment questionnaire - once completed, they will receive a score of \"Robust\", \"Pre-Frail\" or \"Frail\". Those who are \"Pre-frail\" or \"Frail\" will be randomized to meet with a study geriatrician for geriatric co-management in addition to usual oncology care. All participants will be followed for a duration of 1 year.",[9],[25],{"name":26,"affiliation":5,"role":27},"Nadine J McCleary, MD, MPH","PRINCIPAL_INVESTIGATOR",[29],{"name":26,"role":30,"phone":31,"phoneExt":18,"email":32},"CONTACT","877-442-3324","NJ_McCleary@dfci.harvard.edu",[34],{"facility":5,"status":35,"city":36,"state":37,"zip":38,"country":39,"countryCode":40,"cosmosGeoPoint":41,"geoPoint":46,"contacts":47},"RECRUITING","Boston","Massachusetts","02215","United States","US",{"type":42,"coordinates":43},"Point",[44,45],-71.05977,42.35843,{"lat":45,"lon":44},[48,49],{"name":26,"role":30,"phone":31,"phoneExt":18,"email":32},{"name":26,"role":27,"phone":18,"phoneExt":18,"email":18},{"type":27,"investigatorFullName":51,"investigatorTitle":52,"investigatorAffiliation":5,"oldNameTitle":18,"oldOrganization":18},"Nadine Jackson, MD, MPH","Principal Investigator","100414257","resilience-and-equity-in-aging-cancer-and-health-reach-100414257",false,"NCT04674267","Resilience and Equity in Aging, Cancer, and Health (REACH)","Resilience and Equity in Aging, Cancer, and Health (REACH): Promoting Physical Resilience and Cancer Care Equity for Adults Age 70 and Older Diagnosed With Gastrointestinal Malignancy","REACH","Inclusion Criteria:\n\n* Patients who are age 70+ at time of initial consult at DF\u002FBWCC\n* Diagnosed with a gastrointestinal cancer, including: cancers of the esophagus, stomach, pancreas, liver, bile duct, ampulla, colon, rectum, or anus, as well as neuroendocrine tumors.\n* Continuing care at DF\u002FBWCC beyond initial consult visit\n* English and Spanish-speaking\n\nExclusion Criteria:\n\n* Patients less than age 70 at time of initial consultation appointment with DF\u002FBWCC.\n* Patients who are not continuing care at DF\u002FBWCC beyond first consult visit.\n* Not proficient in English or Spanish\n* Patient who are not considered appropriate for enrollment due to complex medical, social, or other situation as determined by their primary oncology team.\n* Participants with psychiatric illness\u002Fsocial situations that would limit compliance with study requirements.","ALL","70 Years",{"count":64,"type":65},257,"ESTIMATED","INTERVENTIONAL",[68],"NA","The purpose of this multi-phase research study is to understand how consultation of cancer care with a geriatrician can best improve outcomes for older adults with gastrointestinal malignancies.",[71,72,73,74,75,76],"Gastric Cancer","Colon Cancer","Esophageal Cancer","Rectal Cancer","Pancreatic Cancer","Gastrointestinal Cancer",[78],"Gastrointestinal cancer","2026-03-16",{"date":81,"type":82},"2026-03-18","ACTUAL",{"date":84,"type":82},"2022-01-18",{"date":86,"type":65},"2026-12-31",{"name":5,"class":6},1]