[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"quality-of-care\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:quality-of-care":30},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,8,0,[8,46,71,103,127,169,192,214],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":17,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":24,"briefSummary":26,"conditions":27,"keywords":4,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":34,"lastUpdatePostDateStruct":35,"startDateStruct":38,"completionDateStruct":40,"leadSponsor":42,"locationsCount":45},"100609620","knowledge-and-interpersonal-skills-to-develop-enhanced-relationships-kinder-100609620",false,"NCT07216950","Knowledge and Interpersonal Skills to Develop Enhanced Relationships (KINDER)","Knowledge and Interpersonal Skills to Develop Enhanced Relationships (KINDER): Testing the Efficacy of an Intervention to Prevent Psychological Elder Abuse in Family Caregiving","KINDER","Inclusion Criteria:\n\n* Family member, including family of choice, to an individual living with AD\u002FADRD\n* Is aged 18 years or older;\n* Provides assistance with at least two instrumental activities of daily living or one activity of daily living;\n* Provides at least 4 hours of caregiving per day\n* The care recipient is at least age 65 or older\n* The care recipient has an AD8 score of 2 or higher per caregiver\n\nExclusion Criteria:\n\n* Sees the care recipient in-person less than 2 times per week\n* Has plans to place the care recipient in a skilled nursing facility within the next 8 months\n* Previously participated in the Learning Skills Together clinical trial (NCT05846984)\n* Does not have reliable access to internet, email, and a computer, smartphone, or tablet to complete study activities",true,"ALL","18 Years",{"count":21,"type":22},260,"ESTIMATED","INTERVENTIONAL",[25],"NA","The Knowledge and Interpersonal Skills to Develop Enhanced Relationships (KINDER) intervention was developed to prevent psychological elder abuse (EA) and promote high-quality caregiving by lowering relationship strain and developing CG resourcefulness. The goal of this two-arm, randomized control trial is to determine the efficacy of KINDER at mitigating psychological EA by family caregivers to persons living with dementia and to describe how the intervention may work to reduce psychological EA.",[28,29,30,31,32],"Elder Mistreatment","Elder Abuse","Quality of Care","Dementia","Caregiving","NOT_YET_RECRUITING","2026-05-19",{"date":36,"type":37},"2026-05-20","ACTUAL",{"date":39,"type":22},"2026-07-31",{"date":41,"type":22},"2029-05-11",{"name":43,"class":44},"Case Western Reserve University","OTHER",1,{"id":47,"slug":48,"hasResults":11,"nctId":49,"briefTitle":50,"officialTitle":51,"acronym":4,"eligibilityCriteria":52,"healthyVolunteers":11,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":53,"targetDuration":4,"studyType":55,"phases":4,"briefSummary":56,"conditions":57,"keywords":4,"overallStatus":61,"whyStopped":4,"lastUpdateSubmitDate":62,"lastUpdatePostDateStruct":63,"startDateStruct":64,"completionDateStruct":66,"leadSponsor":68,"locationsCount":70},"100581174","evaluation-of-the-quality-of-care-in-the-emergency-department-by-studying-the-appropriateness-of-hospitalizations-100581174","NCT06846879","Evaluation of the Quality of Care in the Emergency Department by Studying the Appropriateness of Hospitalizations","Evaluation of the Quality of Care in the Emergency Department by Studying the Appropriateness of Hospitalizations: Validation of an Algorithm Based on Computerized Hospital Databases","Inclusion Criteria:\n\nAll patients aged 18 years and over who arrived at participating centres between 1 January 2023 and 31 December 2024.\n\nExclusion Criteria:\n\nAll patients under 18 years of age arriving at participating centers between January 1, 2023 and December 31, 2024 and all patients arriving at participating centers outside the time frame January 1, 2023 - December 31, 2024.",{"count":54,"type":22},240000,"OBSERVATIONAL","The aim of this study is to develop, study and validate a rigorous and sustainable method for assessing the clinical appropriateness of the decision taken in the Emergency Department to admit or not to admit patients.",[30,58,59,60],"Evaluation","Emergency Department","Appropriateness","RECRUITING","2026-05-18",{"date":34,"type":37},{"date":65,"type":37},"2026-01-05",{"date":67,"type":22},"2027-06",{"name":69,"class":44},"Mario Negri Institute for Pharmacological Research",7,{"id":72,"slug":73,"hasResults":11,"nctId":74,"briefTitle":75,"officialTitle":76,"acronym":4,"eligibilityCriteria":77,"healthyVolunteers":17,"sex":78,"minAge":19,"maxAge":79,"enrollmentInfo":80,"targetDuration":4,"studyType":23,"phases":82,"briefSummary":83,"conditions":84,"keywords":91,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":94,"lastUpdatePostDateStruct":95,"startDateStruct":97,"completionDateStruct":99,"leadSponsor":101,"locationsCount":45},"100614469","effect-of-a-respectful-maternity-care-based-action-plan-in-postpartum-care-on-maternal-and-neonatal-outcomes-100614469","NCT07280000","Effect of a Respectful Maternity Care-Based Action Plan in Postpartum Care on Maternal and Neonatal Outcomes","The Effect of the Action Plan Developed Within the Framework of Respectful Maternity Care in Postpartum Care on Maternal and Neonatal Outcomes","Inclusion Criteria:\n\n* Postpartum women aged 18 years and older\n* Gave birth at 37-42 gestational weeks (vaginal or cesarean)\n* Have a single, healthy newborn\n* No chronic medical conditions\n* No history of high-risk pregnancy or fetal complications\n* No communication barriers (e.g., visual or hearing impairment)\n* Able to speak and understand Turkish\n* Literate and able to read and write in Turkish\n\nExclusion Criteria:\n\n* Development of maternal or neonatal complications during the postpartum follow-up period\n* Inability to reach the mother at the 8-week postpartum follow-up","FEMALE","49 Years",{"count":81,"type":22},500,[25],"This study will examine whether a Respectful Maternity Care-based action plan can improve the quality of postpartum care and maternal and newborn outcomes. Nurses and midwives will receive a three-day interactive training about respectful, evidence-based postpartum care. After training, a unit-level action plan will be implemented, including supportive visits, educational materials, and feedback meetings. Women receiving routine postpartum care before the intervention will be compared with women receiving care after implementation. Outcomes will include respectful maternity care experiences, maternal satisfaction, exclusive breastfeeding at 6-8 weeks, maternal mental health, mother-infant bonding, and postpartum complications. The goal of this study is to promote respectful, high-quality postpartum care and improve the health and well-being of mothers and newborns.",[85,86,87,88,89,30,90],"Postpartum Care","Maternal Health Care","Newborn Health","Postpartum Depression (PPD)","Breastfeeding","Maternal Satisfaction",[92,85,93,87],"Respectful Maternity Care","Maternal Health","2025-12-01",{"date":96,"type":37},"2025-12-12",{"date":98,"type":22},"2025-12-10",{"date":100,"type":22},"2026-12-01",{"name":102,"class":44},"ilayda sel",{"id":104,"slug":105,"hasResults":11,"nctId":106,"briefTitle":107,"officialTitle":108,"acronym":4,"eligibilityCriteria":109,"healthyVolunteers":11,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":110,"targetDuration":4,"studyType":23,"phases":112,"briefSummary":113,"conditions":114,"keywords":4,"overallStatus":61,"whyStopped":4,"lastUpdateSubmitDate":118,"lastUpdatePostDateStruct":119,"startDateStruct":121,"completionDateStruct":123,"leadSponsor":125,"locationsCount":45},"100400089","comprehensive-care-community-and-culture-study-100400089","NCT04489693","Comprehensive Care Community and Culture Study","Care in the Comprehensive Care Physician (CCP) Program vs. Care in the Comprehensive Care Community and Culture Program (C4P) vs. Care in the Traditional Care","Inclusion Criteria:\n\n* Must have Medicare Part A and Part B\n* Must have been hospitalized once in the past 2 years or be in emergency department at time recruitment is initiated\n\nExclusion Criteria:\n\n\\- None",{"count":111,"type":22},3000,[25],"This randomized trial is evaluating whether socioeconomically disadvantaged Medicare patients at increased risk of hospitalization experience fewer hospitalization if those patients are offered care in: 1) ACCT, where patients receive care from different physicians in the hospital and the clinic settings and have access to nurse and social worker care coordination services, 2) CCP where patients receive care from one physician in the inpatient and outpatient settings or 3) C4P which adds screening of unmet social needs, community health worker support and arts and culture programming to CCP. The study will determine how these programs affect patient activation and engagement in care, satisfaction with care, general health and mental health, and goal attainment.",[115,30,116,117],"Comprehensive Care","Medicare","Cost of Care","2025-04-08",{"date":120,"type":37},"2025-04-09",{"date":122,"type":37},"2019-03-06",{"date":124,"type":22},"2029-07-31",{"name":126,"class":44},"University of Chicago",{"id":128,"slug":129,"hasResults":11,"nctId":130,"briefTitle":131,"officialTitle":132,"acronym":133,"eligibilityCriteria":134,"healthyVolunteers":11,"sex":18,"minAge":135,"maxAge":4,"enrollmentInfo":136,"targetDuration":4,"studyType":55,"phases":4,"briefSummary":138,"conditions":139,"keywords":146,"overallStatus":61,"whyStopped":4,"lastUpdateSubmitDate":159,"lastUpdatePostDateStruct":160,"startDateStruct":162,"completionDateStruct":164,"leadSponsor":166,"locationsCount":168},"100584246","parental-well-being-after-childbirth-in-switzerland-100584246","NCT06886841","Parental Well-being After Childbirth in Switzerland","Stress Of Co-parents Related to A Traumatic Experience of Birth Across Switzerland","SOCRATES","Inclusion criteria:\n\n* Women who give birth in a participating maternity unit or birth center during the study period.\n* Partner of a participating women: the partner must be designated by the mother, live with her at the time of birth, and only one partner can be included per mother.\n* Gestational age at birth: ≥22+0 weeks and\u002For birthweight ≥500 grams\n* Age: Participants must be 14 years or older.\n* Language Proficiency: Participants must have sufficient proficiency in one of Switzerland's main official languages (German, French, Italian) or English to ensure accurate communication and comprehension of study materials.\n\nExclusion Criteria:\n\n* Refusal to participate\n* Inability to provide informed consent","14 Years",{"count":137,"type":22},4200,"Improving maternal and child health is a global priority, with increasing emphasis on ensuring women and their families not only survive but also thrive after childbirth. While high-income countries like Switzerland provide strong antenatal and intrapartum care, the quality of postnatal care often lags behind, despite the critical physical, mental, and social needs of the postpartum period. Studies indicate high rates of mental distress, physical pain, and sexual discomfort among mothers, alongside a lack of research on the well-being of co-parents.\n\nThe main question this cohort study aims to answer is: how do the health and well-being of mothers and co-parents evolve during the first year after childbirth? Participants will complete four online questionnaires: the first within the first few days after birth, followed by additional assessments at 2, 6, and 12 months postpartum.\n\nThis comprehensive approach seeks to inform policy and improve evidence-based postnatal care practices, benefiting approximately 80,000 families annually in Switzerland.",[140,141,142,143,144,30,145],"Mental Health","Physical Health","Postpartum","Parents","Quality of Life","Stress Disorder, Post Traumatic",[147,148,149,150,151,152,153,154,155,156,157,158],"childbirth-related post-traumatic stress disorder","mental health","postpartum","parental wellbeing","physical health","sexual health","social support","quality of life","quality of care","postpartum depression","mothers","coparents","2025-03-19",{"date":161,"type":37},"2025-03-20",{"date":163,"type":37},"2025-03-17",{"date":165,"type":22},"2026-06",{"name":167,"class":44},"Laurent Gaucher",2,{"id":170,"slug":171,"hasResults":11,"nctId":172,"briefTitle":173,"officialTitle":173,"acronym":174,"eligibilityCriteria":175,"healthyVolunteers":11,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":176,"targetDuration":4,"studyType":55,"phases":4,"briefSummary":178,"conditions":179,"keywords":4,"overallStatus":61,"whyStopped":4,"lastUpdateSubmitDate":183,"lastUpdatePostDateStruct":184,"startDateStruct":186,"completionDateStruct":188,"leadSponsor":190,"locationsCount":45},"100561988","trends-of-patient-reported-outcome-measures-proms-in-multimorbid-medical-patients-hospitalized-for-an-acute-illness-100561988","NCT06597318","Trends of Patient-reported Outcome Measures (PROMs) in Multimorbid Medical Patients Hospitalized for an Acute Illness","TRADUCE","Inclusion Criteria:\n\n* eligible for the LUCID registry (CER-VD AO\\_2023-00029) \\[Age ≥ 18 years, hospitalized in one of the five participating university hospitals (Geneva, Lausanne, Bern, Zürich, Basel), after 01.01.2014, and admitted to general internal medicine wards\n* Multimorbid patients (2 or more chronic diseases, defined as chronic conditions defined by international classification of diseases, 10th revision, codes with an estimated expected duration of at least 6 months or based on a clinical decision.\n* Acute illness\n* Signature of study specific informed consent\n\nExclusion Criteria:\n\n* Not able to speak French, German or English\n* Foreseen length of stay of less than 4 days (estimated by study collaborators)\n* Prior inclusion in the TRADUCE study\n* Incapacity of discernment, i.e. cognitive impairment which could interfere with the ability to fill in PROMs tools",{"count":177,"type":22},1000,"currently, PROMs and PREMs are not routinely collected and compared among medical inpatients of Swiss university hospitals, nor is a standard set of PROMs and PREMs available for use in Swiss hospitals. The project aims to examine trends in patient-reported outcomes (PROMs), including symptoms, quality of life, and distress, in multimorbid hospitalized patients from admission to 30 days post-discharge. It will also investigate whether PROMs at discharge are linked to the risk of readmission or emergency visits and explore how these outcomes differ in patients who receive low-value care. Additionally, the project will assess the relationship between patient-reported experiences (PREMs) and the provision of low-value care during the hospital stay.",[180,181,30,182],"PROM","PREM","Internal Medicine","2024-09-12",{"date":185,"type":37},"2024-09-19",{"date":187,"type":37},"2023-07-01",{"date":189,"type":22},"2025-10-01",{"name":191,"class":44},"University of Lausanne Hospitals",{"id":193,"slug":194,"hasResults":11,"nctId":195,"briefTitle":196,"officialTitle":196,"acronym":4,"eligibilityCriteria":197,"healthyVolunteers":11,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":198,"targetDuration":4,"studyType":55,"phases":4,"briefSummary":200,"conditions":201,"keywords":4,"overallStatus":61,"whyStopped":4,"lastUpdateSubmitDate":205,"lastUpdatePostDateStruct":206,"startDateStruct":208,"completionDateStruct":210,"leadSponsor":212,"locationsCount":70},"100507844","the-right-care-for-the-right-patient-at-the-right-time-by-the-right-provider-a-value-based-comparison-of-the-management-of-ambulatory-patients-with-acute-health-concerns-in-walk-in-clinics-primary-care-physician-practices-and-emergency-departments-100507844","NCT05892666","The Right Care, for the Right Patient, at the Right Time, by the Right Provider: A Value-based Comparison of the Management of Ambulatory Patients With Acute Health Concerns in walk-in Clinics, Primary Care Physician Practices and Emergency Departments","We shall include patients:\n\n1. aged 18 years and over;\n2. seen in person or via telemedicine in an ED, a walk-in clinic, or the primary care practice where they are registered;\n3. ambulatory during the entire visit or consultation;\n4. with one of the following presenting complaints:\n\n   1. acute diarrheas, defined as at least one day (24h) reported with three or more loose or liquid stools in the last seven days;\n   2. Sore throat;\n   3. Nasal congestion;\n   4. Increased or purulent nasal discharge;\n   5. Earache or ear discharge;\n   6. Shortness of breath;\n   7. Cough;\n   8. Increased or purulent sputum;\n   9. Muscle aches;\n   10. Anosmia;\n   11. Dysgeusia;\n   12. Burning urine;\n   13. Urinary frequency and urgency;\n   14. Dysuria;\n   15. Limb traumatic injury;\n   16. Cervical, thoracic or lumbar back pain;\n   17. Fever.\n\nWe shall exclude patients:\n\n1. transported by ambulance;\n2. not covered by the provincial health insurance plan;\n3. having consulted for a similar problem in the previous 30 days since patients with refractory disease represent a population with different care needs.;\n4. living in a long-term healthcare facility or incarcerated;\n5. with cognitive impairment that prevents reliable answers to the research questions;\n6. receiving palliative care.",{"count":199,"type":22},4000,"INTRODUCTION Whereas low-acuity ambulatory patients have been cited as a source of emergency department (ED) overuse or misuse, it is argued that patient evaluation in the ED may end up being more cost-effective. The COVID-19 pandemic has complicated the debate by shifting primary care practices (PCP) and walk-in clinics (WIC) towards telemedicine, a consultation modality presumed to be more efficient under the circumstances.\n\nOBJECTIVES To compare, from patient and healthcare system perspectives, the value of the care received in person or by telemedicine in EDs, WICs and PCPs by ambulatory patients presenting with one the following complaints: 1) Acute diarrheas; 2) Sore throat; 3) Nasal congestion; 4) Increased or purulent nasal discharge; 5) Earache or ear discharge; 6) Shortness of breath; 7) Cough; 8) Increased or purulent sputum; 9) Muscle aches; 10) Anosmia; 11) Dysgeusia; 12) Burning urine; 13) Urinary frequency and urgency; 14) Dysuria; 15) Limb traumatic injury; 16) Cervical, thoracic or lumbar back pain; and 17) Fever\n\nMETHODS The investigators shall perform a multicenter prospective cohort study in Québec and Ontario. In phase 1, a time-driven activity-based costing method will be applied at each of 14 study sites. This method uses time as a cost driver to allocate direct costs (e.g. medication), consumable expenditures (e.g. needles, office supplies), overhead (e.g. building maintenance) and physician charges to patient care. The cost of a care episode thus will be proportional to the time spent receiving the care. At the end of this phase, a list of care process costs (e.g. triage, virtual medical assessment) will be generated and used to calculate the cost of each consultation during phase 2, in which a prospective cohort of patients will be monitored in order to compare the care received in EDs, WICs and PCPs. Research assistants will recruit eligible participants during the initial in-person or virtual visit. They will complete the collection using local medical records and provincial databases. Participants will be contacted by phone for follow-up questionnaires 1-3 and 8-14 days after their visit. Patients shall be aged 18 years and over, ambulatory throughout the care episode and have one of the targeted presenting complaints mentioned above. The estimated sample size is 3,906 patients. The primary outcome measurement for comparing the three types of care setting will be patient-reported outcome scores. The secondary outcome measurements will be: 1) patient-reported experience scores; 2) mean costs borne wholly by patients; 3) the proportion of return visits to any site 3 and 7 days after the initial visit; 4) the mean cost of care; 5) the incidences of mortality, hospital admissions and placement in intensive care within 30 days following the initial visit; 6) adherence to practice guidelines. Multilevel generalized linear models will be used to compare the care setting types and an overlap weights approach will be applied to adjust for confounding due to age, sex, gender, ethnicity, comorbidities, registration with a family physician, socioeconomic status and perceived severity of illness.\n\nEXPERTISE This research project brings together a strong team with expertise in emergency and primary care, pneumonology, performance assessment, biostatistics, health economics, patient-oriented research, knowledge translation, administration and policymaking.\n\nIMPORTANCE The endpoint of our program will be for policymakers, patients and care providers to be able to determine the most appropriate care setting for the management of ambulatory emergency conditions, based on the value of care associated with each alternative.",[202,203,30,204],"Ambulatory Care","Emergency Services, Hospital","Costs","2024-08-09",{"date":207,"type":37},"2024-08-12",{"date":209,"type":37},"2023-06-15",{"date":211,"type":22},"2025-12-31",{"name":213,"class":44},"Simon Berthelot",{"id":215,"slug":216,"hasResults":11,"nctId":217,"briefTitle":218,"officialTitle":219,"acronym":220,"eligibilityCriteria":221,"healthyVolunteers":11,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":222,"targetDuration":4,"studyType":55,"phases":4,"briefSummary":224,"conditions":225,"keywords":236,"overallStatus":61,"whyStopped":4,"lastUpdateSubmitDate":239,"lastUpdatePostDateStruct":240,"startDateStruct":242,"completionDateStruct":244,"leadSponsor":246,"locationsCount":5},"100551962","evaluation-of-intra-operative-photographs-for-the-assessment-of-a-proper-lymphadenectomy-in-minimally-invasive-gastrectomies-for-gastric-cancer-photonodes-100551962","NCT06466902","Evaluation of Intra-operative Photographs for the Assessment of a Proper Lymphadenectomy in Minimally-invasive Gastrectomies for Gastric Cancer (PhotoNodes)","Evaluation of Intra-operative Photographs for the Assessment of a Proper Lymphadenectomy in Minimally-invasive Gastric Cancer Surgery (PhotoNodes)","PhotoNodes","Inclusion Criteria:\n\n* All patients undergoing minimally invasive curative-intent surgery for gastric adenocarcinoma with D2 lymphadenectomy\n* Patients undergoing upfront surgery or treated with a neoadjuvant\u002Fperioperative chemotherapy\n* Total or Subtotal Gastrectomy\n* Laparoscopic or Robotic approach\n\nExclusion Criteria:\n\n* Age less than 18 year old\n* Esophago-gastric junction cancer Siewert type I, II or III\n* Metastatic disease\n* Lymphadenectomy less than D2\n* Open surgery\n* Conversion to open surgery\n* Palliative gastrectomy\n* R1 or R2 resection\n* Multivisceral resection except for cholecystectomy\n* Surgical procedures other than subtotal or total gastrectomy\n* A single node station rated as unevaluable by more than one reviewer",{"count":223,"type":22},326,"Even after the wide introduction of chemo\u002Fradiotherapy in the treatment algorithm, adequate surgery remains the cornerstone of gastric cancer treatment with curative intent. A proper D2 lymphadenectomy is associated with improved cancer specific survival as confirmed in Western countries by fifteen-year follow-up results of Dutch and Italian randomized trials.\n\nIn clinical practice, the total number of harvested lymph nodes is often considered as a surrogate marker for adequate D2 lymphadenectomy; nonetheless, the number of retrieved nodes does not necessarily correlate with residual nodes, which intuitively could represent a more reliable marker of surgical adequacy. The availability of an efficient tool for evaluating the absence of residual nodes in the operative field at the end of node dissection could better correlate with survival outcomes.\n\nThe goal of this multicentric observational prospective study is to test the reliability of a new score (PhotoNodes Score) created to rate the quality of the lymphadenectomy performed during minimally invasive gastrectomy for gastric cancer. The score is assigned by assessing the absence of residual nodes at the end of node dissection on a set of laparoscopic\u002Frobotic high quality intraoperative images collected from each patient undergoing a minimally invasive gastrectomy with D2 node dissection.\n\nIdeally, this tool could be a new indicator of the quality of D2 dissection and could assume a prognostic role in the treatment of gastric cancer.",[226,227,228,229,230,231,232,233,234,235],"Gastric Cancer","Gastric Adenocarcinoma","Lymphadenectomy","Minimally Invasive Surgery","Gastrectomy for Gastric Cancer","Laparoscopic Surgery","Robotic Surgery","Survival Outcomes","Survival Analysis","Quality Of Care",[237,238],"D2 Lymphadenectomy quality assessment","Minimally invasive gastric cancer oncologic surgery","2024-07-03",{"date":241,"type":37},"2024-07-05",{"date":243,"type":37},"2022-12-22",{"date":245,"type":22},"2027-12",{"name":247,"class":44},"Azienda Ospedaliero-Universitaria di Parma"]