Could early palliative care before cancer surgery improve quality of life?
NCT ID NCT03436290
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looks at whether adding a palliative care team early, before surgery, helps cancer patients manage symptoms like pain, fatigue, and anxiety. About 236 adults having certain abdominal cancer surgeries will either get usual care or usual care plus palliative support. The goal is to see if early palliative care improves physical and emotional well-being.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- palliative care intervention (behavioral)
- What this could lead to
- If successful, this could show that starting palliative care before surgery helps cancer patients feel better physically and emotionally.
- What could go wrong
- This is a relatively small study (236 people) and results may not apply to all cancer types or surgeries. The intervention is supportive, not a cure.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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236 people
The number who actually took part.
- Started
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Mar 2018
- Expected to finish
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Nov 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: adult patients (≥18 years old) scheduled for one of the following abdominal operations with intent to provide cure or durable oncologic control of malignancy: 1. Total or partial gastrectomy requiring anastomosis 2. Total or partial pancreatectomy 3. Partial hepatectomy 4. Colectomy or proctactomy if one of the following 3 conditions is also met: i) patient age is 65 years or older ii) disease is metastatic iii) disease is locally invasive requiring extensive resection 5. Radical cystectomy 6. Pelvic exenteration 7. Abdominal debulking for ovarian or endometrial carcinoma 8. Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy Exclusion Criteria: 1. Non-English speaking patient 2. Residence \>150 miles away from Vanderbilt and do not visit the Nashville area regularly 3. No telephone or otherwise unwilling/unable to complete follow-ups 4. Prisoner 5. Current enrollment in a study that does not allow co-enrollment or that uses a non-pharmacologic, non-procedural intervention directed at surgical or cancer care. 6. Deaf 7. Severe prior cognitive or neurodegenerative disorder that prevents a patient from living independently at baseline 8. Inability to obtain informed consent from patient meeting all inclusion criteria for the following reasons: 1. Attending surgeon refusal 2. Patient refusal 3. Period of time between screening patient and time of operation does not allow preoperative outpatient palliative care visit. 9. Currently participating in palliative care or seeing a palliative care provider.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Vanderbilt University Medical Center
Nashville, Tennessee, 37232, United States
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