[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"palliative-care-health-services\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:palliative-care-health-services":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,50],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":13,"acronym":14,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":18,"targetDuration":4,"studyType":21,"phases":22,"briefSummary":24,"conditions":25,"keywords":33,"overallStatus":37,"whyStopped":4,"lastUpdateSubmitDate":38,"lastUpdatePostDateStruct":39,"startDateStruct":42,"completionDateStruct":44,"leadSponsor":46,"locationsCount":49},"100629062","multidisciplinary-care-pathway-tailored-on-frailty-in-cancer-patients-referred-to-outpatient-palliative-care-100629062",false,"NCT07469761","MultidISciplinary Care paThway tailoRed on frAilty in Cancer Patients Referred to Outpatient paLliative Care","MISTRAL","Inclusion Criteria:\n\n* diagnosis of advanced\u002Fmetastatic cancer\n* age \\> 18\n* Eastern Cooperative Oncology Group (ECOG) performance status ≥2\n* prognostic clinical prediction \\>1 month.\n\nExclusion Criteria:\n\n* Serious medical or psychiatric illness that can interfere with informed consent and participation in this clinical study\n* any condition that is unstable or could jeopardize the safety of the patient and their compliance in the study.","ALL","18 Years",{"count":19,"type":20},120,"ESTIMATED","INTERVENTIONAL",[23],"NA","The goal of this clinical trial is to learn whether a structured, Patient-Reported Outcome Measures (PROMs)-tailored palliative care pathway improves clinical outcomes and care experience in adults with advanced cancer referred to outpatient palliative care.\n\nPatients with advanced cancer often experience multiple symptoms and complex needs. Standard outpatient palliative care is usually guided by clinical judgment on patient-reported questionnaires. In this study, researchers aim to test whether a more structured approach, based on predefined cut-offs from PROMs, can improve symptom control, satisfaction with care, and use of healthcare resources. The main questions the study aims to answer are:\n\nDoes a structured, PROM-driven palliative care pathway reduce symptom burden and psychological distress compared with usual care? And through this, to improve patients' and caregivers' satisfaction with care or reduce emergency room visits, hospital admissions, healthcare costs, and aggressive treatments near the end of life?\n\nResearchers will compare two groups:\n\nControl group: Participants will receive standard outpatient palliative care. PROMs are collected as usual, but without predefined cut-offs or structured intervention checklists.\n\nExperimental group: Participants will receive a structured palliative care pathway tailored to symptoms\u002Fneeds identified at baseline using PROM cut-offs. Specific multidisciplinary interventions are activated according to identified needs.",[26,27,28,29,30,31,32],"Palliative Care","Palliative Care, Health Services","Patient Reported Outcome (PRO)","Patient Reported Outcome Measurements","Frailty","Cancer","Outpatient",[34,32,26,35,30,36],"Patient Reported Outcome Measurements (PROMs)","Advanced cancer","Palliative Care intervention","RECRUITING","2026-03-09",{"date":40,"type":41},"2026-03-13","ACTUAL",{"date":43,"type":41},"2025-11-02",{"date":45,"type":20},"2027-02-28",{"name":47,"class":48},"Augusto Caraceni","OTHER",1,{"id":51,"slug":52,"hasResults":11,"nctId":53,"briefTitle":54,"officialTitle":55,"acronym":56,"eligibilityCriteria":57,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":58,"targetDuration":4,"studyType":21,"phases":60,"briefSummary":61,"conditions":62,"keywords":66,"overallStatus":37,"whyStopped":4,"lastUpdateSubmitDate":71,"lastUpdatePostDateStruct":72,"startDateStruct":74,"completionDateStruct":76,"leadSponsor":78,"locationsCount":49},"100607973","electronic-patient-reporting-of-symptoms-and-unmet-needs-to-connect-patients-with-advanced-cancer-to-palliative-care-services-100607973","NCT07195513","Electronic Patient Reporting of Symptoms and Unmet Needs to Connect Patients With Advanced Cancer to Palliative Care Services","\"PRO-CONNECT\" Patient-Reported Outcomes to Coordinate Supportive Care for Unmet Needs During Cancer Treatment","PRO-CONNECT","Inclusion Criteria\n\n1. Age ≥18 years.\n2. Diagnosis of unresectable or metastatic, incurable thoracic, gastrointestinal, or breast solid tumor.\n3. Receiving active cancer-directed therapy longitudinally in the outpatient oncology clinic and expected to continue treatment.\n\nExclusion Criteria\n\n1. Members of vulnerable populations, including infants, minors, individuals unable to provide informed consent, and those who are incarcerated or imprisoned at the time of enrollment.\n2. Already established with palliative care, defined as having a scheduled future palliative care appointment, a pending referral, or a visit with palliative care within the past 90 days.\n3. Unable to provide informed consent in English.\n4. Cognitive impairment that, in the judgment of the treating clinician, would preclude study participation.",{"count":59,"type":20},90,[23],"This study is testing whether electronic surveys can help patients with advanced cancer report their symptoms and care needs so their doctors can connect them to palliative\u002Fsupportive care services sooner. The goal is to see if this approach can make it easier for patients to get support for symptoms, quality of life, and other needs during cancer treatment.",[63,64,27,65],"Palliative Care Referral","Advanced Cancer","Metastatic Cancer (Different Solid Tumour Types)",[67,68,26,69,64,70],"ePROs","Patient Reported Outcomes","Supportive Care","Metastatic Cancer","2026-03-06",{"date":73,"type":41},"2026-03-10",{"date":75,"type":41},"2026-02-25",{"date":77,"type":20},"2028-12",{"name":79,"class":48},"Dartmouth-Hitchcock Medical Center"]