N/A
N=228
Impact Of Nurse Navigation Program on Outcomes in Patients With GI Cancers
Gastrointestinal Cancer
Bottom Line
View on ClinicalTrials.gov: NCT04602611 ↗Enrolled (actual)
228
Serious AEs
—
Results posted
Jan 2025
Primary outcome: Primary: Annualized Count of Acute Care Visits — 3; 3.8 unplanned acute care visits in one year — p=0.80
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Oncology Nurse Navigation (Other)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Wake Forest University Health Sciences
- Primary completion
- Aug 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Annualized Count of Acute Care Visits |
3; 3.8 | 0.80 |
| PRIMARY Proportion of Participants Surviving at 6 Months |
52; 58 | 0.88 |
| SECONDARY Proportion of Participants Surviving at 12 Months |
23; 28 | 0.74 |
| SECONDARY Hospital Length of Stay |
1; 4 | 0.57 |
| SECONDARY Time From Hospice Referral to Death for Participants Referred to Hospice |
0.427; 0.526 | 0.45 |
| SECONDARY Total Number of 30-day Readmissions |
0; 0 | 0.21 |
| SECONDARY Proportion of Participants Referred to Supportive Care Services |
22; 50 | <0.01 sig |
| SECONDARY Proportions of Missed Visits of All Scheduled Visits From 0% to 100%. |
3.1; 2.2 | 0.11 |
| SECONDARY Average Score of Subject Satisfaction as Assessed by an Adaptation of the EORTC PATSAT C33 |
4.4; 4.6 | 0.09 |
Summary
The purpose of this study is to learn about the impact of the Oncology Nurse Navigation program on the frequency of Emergency Department, urgent care visits and inpatient hospital admissions; and overall survival rate at 6 months. The investigators aim to understand if prompt and effective coordination of care provided by Oncology Nurse Navigation (ONN) service will reduce the number of avoidable, unplanned ED visits and hospitalizations, as well as adding measurable value to cancer care, and improve patient overall survival.
Eligibility Criteria
Inclusion Criteria
- Informed consent and HIPAA authorization for the release of personal health information
- Aged ≥ 18 years at the time of consent
- Subject is planning to receive their cancer care at LCI at the time of consent
- Treatment naïve OR adjuvant greater than 6 months ago, histologically or cytologically confirmed one of the following diagnoses (metastatic/recurrent status can be radiologically confirmed):
- Metastatic/recurrent or locally advanced, unresectable or borderline resectable (as defined per NCCN, Alliance or other acceptable guidelines criteria) pancreatic cancer
- Metastatic/recurrent or locally advanced, unresectable esophageal, gastroesophageal junction (GEJ) or gastric cancer patients or those who are not eligible for surgery
- Metastatic/recurrent or locally advanced, unresectable hepatocellular carcinoma (HCC)
- radiographic confirmation of the HCC diagnoses is acceptable
- prior locoregional treatment for subjects with HCC is allowed, but no prior systemic therapy is allowed
- Metastatic/recurrent or advanced, unresectable biliary cancers (e.g. gall bladder cancer, cholangiocarcinoma)
- prior locoregional treatment for subjects with biliary cancers is allowed, but no prior systemic therapy is allowed
- Metastatic colorectal or small bowel cancer patients who had disease progression on or are intolerant to fluorouracil/capecitabine, oxaliplatin, and irinotecan-based therapy (e.g. FOLFOX, FOLFIRI or FOLFOXIRI)
- Subjects can be enrolled within, but no later than 30 days after initiation of their systemic therapy, however every effort will be made to enroll subjects prior to the initiation of systemic therapy. Subjects who has completed or undergoing a current palliative radiotherapy are allowed
- Ability to read and understand the English or Spanish language
- As determined by the enrolling physician, ability of the subject to understand and comply with study procedures for the entire length of the study. However, refusal to complete a patient satisfaction questionnaire IL109 should not refrain a subject from being enrolled.
- Life expectancy is > 3 months
Exclusion Criteria
- Subjects have previously received or are currently receiving LCI Patient Navigation Program services
- Subjects with colorectal cancer enrolled in the Empower Program
- Subjects with low grade neuroendocrine tumors
Data sourced from ClinicalTrials.gov (NCT04602611). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.