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THE SYSTEMATIC EARLY INTEGRATION OF PALLIATIVE CARE INTO MULTIDISCIPLINARY ONCOLOGY CARE IN THE HOSPITAL SETTING (IPAC), A RANDOMIZED CONTROLLED TRIAL: THE STUDY PROTOCOL
2nd Global Congress on Hospice & Palliative Care
Gaelle Vanbutsele, Simon Van Belle, Martine De Laat, Veerle Surmont, Karen Geboes, Kim Eecloo, Keon Pardon and Luc Deliens
Background: Previous studies in the US and Canada show the positive impact of early palliative care programs for advanced cancer
patients on quality of life (QoL) and even survival time. There has been a lack of similar research in Europe. In order to generalize
the findings from the US and Canada research on a larger scale, similar studies are needed in different countries with different care
settings, such as Belgium. Method: A randomized controlled trial (RCT) is being conducted as follows: 186 patients with advanced
cancer were recruited from the departments of Medical Oncology, Digestive Oncology and Thoracic Oncology of the
Ghent University Hospital. Patients are randomized to either systematic early integration of palliative care in standard oncology
care or standard oncology care alone. Patients and informal caregivers are asked to fill out questionnaires on QoL, mood, illness
understanding and satisfaction with care at baseline, 12 weeks and every six weeks thereafter. Other outcome measures are end-of-life
care decisions and overall survival time. Results concerning baseline characteristics are due June 2016.
Discussion: This is the first RCT in the Belgian health care setting to evaluate the effect of systematic early integration of palliative
care for advanced cancer patients. The results will enable us to evaluate whether systematic early integration of palliative care has
positive effects on QoL, mood and patient illness- Understanding and which components of the intervention contribute to these
effects. Trial registration Clinical trials.gov Identifier: NCT01865396, registered 24th of May, 2013.