Condition category
Signs and Symptoms
Date applied
14/12/2006
Date assigned
19/01/2007
Last edited
05/09/2008
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Not provided at time of registration

Trial website

Contact information

Type

Scientific

Primary contact

Dr Geoffrey Mitchell

ORCID ID

Contact details

Edith Cavell Building
Univerissty of Queensland Medical School
Herston Road
Herston
4006
Australia
+61 (0)7 3365 5504
g.mitchell@uq.edu.au

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

N/A

Study information

Scientific title

Acronym

Study hypothesis

For patients with life limiting disease, formal case conferences held between patientsÂ’ General Practitioners (GPs) and their palliative care team will improve Quality of Life (QoL) for patients and their carers.

Ethics approval

1. University of Queensland Human Research Ethics Committee (approval number B/311/Soc & PrevMed/00/PhD)
2. Mater Adult Hospital Research Ethics Committee (ref no: 369A)
3. Townsville Health service District Institutional Ethics Committee
4. Princess Alexandra Research Ethics Committee (ref: 179/01)

Study design

Mulit-site single blind randomised controlled trial

Primary study design

Interventional

Secondary study design

Randomised controlled trial

Trial setting

GP practices

Trial type

Quality of life

Patient information sheet

Condition

Palliative care

Intervention

Case conference held betwen the patient's GP and the specialist palliative care team, held by tele-conference, within three weeks of referral.

The control group receives usual care- ie communication between GPs and the specialist team was by normal means.

Intervention type

Other

Phase

Not Specified

Drug names

Primary outcome measures

Global quality of life measures at three weeks post intervention

Secondary outcome measures

1. Subscale measures of quality of life scales
2. Process evaluation of GP-specialist case conferences

note: Two a priori analyses planned. The first is using the intervention as a fixed time point, evaluating the effect from the time of the intervention. The second is using date of death as fixed time point, and evaluating intervention from time of death, independent of the time of the intervention

Overall trial start date

01/07/2001

Overall trial end date

31/05/2003

Reason abandoned

Eligibility

Participant inclusion criteria

1. Adult Patients requiring palliaitve care, and their carergivers who are referred to a participating specialist palliative care service
2. Aged over 18
3. Life expectancy of at least one month
4. Not confused or too unwell to be approached
5. Could read and speak English
6. Had a current GP

Participant type

Patient

Age group

Adult

Gender

Not Specified

Target number of participants

220

Participant exclusion criteria

1. Life expectancy less than one month
2. Confused
3. Too unwell to be approached
4. Could not read or speak English
5. Did not have a current GP

Recruitment start date

01/07/2001

Recruitment end date

31/05/2003

Locations

Countries of recruitment

Australia

Trial participating centre

Edith Cavell Building
Herston
4006
Australia

Sponsor information

Organisation

University of Queensland Medical School (Australia)

Sponsor details

c/o A/Prof Geoffrey Mitchell
Edith Cavell Building
Herston Road
Herston
4006
Australia
+61 (0)7 3365 5504
g.mitchell@uq.edu.au

Sponsor type

University/education

Website

http://www.som.uq.edu.au/research/person.asp?pid=20148

Funders

Funder type

Government

Funder name

Australian Government Department of Health and Ageing, National Health Development Fund (Australia)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

PhD Thesis:
Mitchell G. The effect of case conferences involving general practitioners and palliative care specialists on the health outcomes of palliative care patients. PhD thesis. Brisbane, Univeristy of Queensland, 2005.

Results:
1. Methodology comparison: http://www.ncbi.nlm.nih.gov/pubmed/16351536
2. Lessons from 56 case conferences: http://www.ncbi.nlm.nih.gov/pubmed/15887946
3. Participation and effectiveness results: http://www.ncbi.nlm.nih.gov/pubmed/12098350
4. Quality of life results: http://www.ncbi.nlm.nih.gov/pubmed/18772208

Publication citations

  1. Participation and effectiveness results

    Mitchell GK, De Jong IC, Del Mar CB, Clavarino AM, Kennedy R, General practitioner attitudes to case conferences: how can we increase participation and effectiveness?, Med. J. Aust., 2002, 177, 2, 95-97.

  2. Quality of life results

    Mitchell GK, Del Mar CB, O'Rourke PK, Clavarino AM, Do case conferences between general practitioners and specialist palliative care services improve quality of life? A randomised controlled trial (ISRCTN 52269003)., Palliat Med, 2008, 22, 8, 904-912, doi: 10.1177/0269216308096721.

  3. Mitchell GK, Abernethy AP, , , A comparison of methodologies from two longitudinal community-based randomized controlled trials of similar interventions in palliative care: what worked and what did not?, J Palliat Med, 2005, 8, 6, 1226-1237, doi: 10.1089/jpm.2005.8.1226.

  4. Mitchell G, Cherry M, Kennedy R, Weeden K, Burridge L, Clavarino A, O'Rourke P, Del Mar C, General practitioner, specialist providers case conferences in palliative care--lessons learned from 56 case conferences., Aust Fam Physician, 2005, 34, 5, 389-392.

Additional files

Editorial Notes