Quality of End-of-Life Care for Children With Cancer

Purpose

This study examines the role of access to care, patient/family interactions with the healthcare system, and stress in explaining variations in quality of end-of-life care. The data collected from this study may help researchers develop a model for identifying patients at risk of low-quality end-of-life care as well as recommendations for potential future interventions.

Conditions

  • Childhood Hematopoietic and Lymphatic System Neoplasm
  • Childhood Malignant Solid Neoplasm

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
Yes

Criteria

Inclusion Criteria:

- Index Child (COG Registered Patient):

- Must be deceased

- < 18 years old at time of death

- Diagnosed with any oncologic condition

- History of enrollment on Stratum 1 of APEC14B1, Project:EveryChild

- Note: history of treatment on a COG therapeutic trial is not required

- Resided in the United States, including Puerto Rico, as evidenced by most
recent address, at the time of death

Bereaved Parent(s):

- Must be a parent, legal guardian, or caregiver (biological or non-biological) of an
eligible Index Child enrolled on APEC14B1 with current Consent to Future Contact
(e.g., from the APEC14B1 Part B Consent)

- Self-reported confirmation of familiarity with the care received by the Index Child
in the last month of their life

- Bereaved parent must understand English or Spanish (written and/or spoken)

- Must be a parent/guardian/key contact from the Index Child's APEC14B1 Future Contact
study record or must be referred by one of the APEC14B1 contacts

- Bereaved parent must be >= 18 years old at the time of ALTE24C1 study enrollment

Regulatory Requirements:

- Bereaved parent must provide verbal or implied informed consent

- For all participants, all institutional, FDA, and NCI requirements for human studies
must be met

Study Design

Phase
Study Type
Observational
Observational Model
Other
Time Perspective
Other

Arm Groups

ArmDescriptionAssigned Intervention
Observational part 1 The medical records of deceased patients are reviewed on study.
  • Other: Non-Interventional Study
    Non-interventional study
    Other names:
    • Non-Interventional Observational Study
    • Noninterventional (Observational) Study
Observational part 2 Bereaved parents complete a survey and may participate in an interview on study.
  • Other: Non-Interventional Study
    Non-interventional study
    Other names:
    • Non-Interventional Observational Study
    • Noninterventional (Observational) Study

Recruiting Locations

Children's Hospital of Alabama
Birmingham, Alabama 35233
Contact:
Site Public Contact
205-638-9285
oncologyresearch@peds.uab.edu

Arkansas Children's Hospital
Little Rock, Arkansas 72202-3591
Contact:
Site Public Contact
501-364-7373

Kaiser Permanente-Oakland
Oakland, California 94611
Contact:
Site Public Contact
877-642-4691
Kpoct@kp.org

Alfred I duPont Hospital for Children
Wilmington, Delaware 19803
Contact:
Site Public Contact
302-651-5572
Allison.bruce@nemours.org

Golisano Children's Hospital of Southwest Florida
Fort Myers, Florida 33908
Contact:
Site Public Contact
239-343-5333
molly.arnstrom@leehealth.org

Memorial Regional Hospital/Joe DiMaggio Children's Hospital
Hollywood, Florida 33021
Contact:
Site Public Contact
954-265-1847
OHR@mhs.net

Nemours Children's Clinic-Jacksonville
Jacksonville, Florida 32207
Contact:
Site Public Contact
302-651-5572
Allison.bruce@nemours.org

Nemours Children's Hospital
Orlando, Florida 32827
Contact:
Site Public Contact
302-651-5572
Allison.bruce@nemours.org

Nemours Children's Clinic - Pensacola
Pensacola, Florida 32504
Contact:
Site Public Contact
helpdesk@childrensoncologygroup.org

Children's Healthcare of Atlanta - Arthur M Blank Hospital
Atlanta, Georgia 30329
Contact:
Site Public Contact
404-785-0232
Olivia.Floyd@choa.org

Augusta University Medical Center
Augusta, Georgia 30912
Contact:
Site Public Contact
706-721-2388
ga_cares@augusta.edu

Sinai Hospital of Baltimore
Baltimore, Maryland 21215
Contact:
Site Public Contact
410-601-9083

Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital
Grand Rapids, Michigan 49503
Contact:
Site Public Contact
616-391-1230
crcwm-regulatory@crcwm.org

Bronson Methodist Hospital
Kalamazoo, Michigan 49007
Contact:
Site Public Contact
616-391-1230
crcwm-regulatory@crcwm.org

Children's Mercy Hospitals and Clinics
Kansas City, Missouri 64108
Contact:
Site Public Contact
816-302-6808
COGResearchGroup@cmh.edu

Renown Regional Medical Center
Reno, Nevada 89502
Contact:
Site Public Contact
775-982-5050
Renown-CRD@renown.org

Albany Medical Center
Albany, New York 12208
Contact:
Site Public Contact
518-262-5513

Montefiore Medical Center - Moses Campus
The Bronx, New York 10467
Contact:
Site Public Contact
718-379-6866
eskwak@montefiore.org

Rainbow Babies and Childrens Hospital
Cleveland, Ohio 44106
Contact:
Site Public Contact
216-844-5437

Children's Hospital of Pittsburgh of UPMC
Pittsburgh, Pennsylvania 15224
Contact:
Site Public Contact
412-692-8570
jean.tersak@chp.edu

Rhode Island Hospital
Providence, Rhode Island 02903
Contact:
Site Public Contact
401-444-1488

Dell Children's Medical Center of Central Texas
Austin, Texas 78723
Contact:
Site Public Contact
512-628-1902
TXAUS-DL-SFCHemonc.research@ascension.org

UT Southwestern/Simmons Cancer Center-Dallas
Dallas, Texas 75390
Contact:
Site Public Contact
214-648-7097
canceranswerline@UTSouthwestern.edu

University of Virginia Cancer Center
Charlottesville, Virginia 22908
Contact:
Site Public Contact
434-243-6303
uvacancertrials@hscmail.mcc.virginia.edu

Providence Sacred Heart Medical Center and Children's Hospital
Spokane, Washington 99204
Contact:
Site Public Contact
800-228-6618
HopeBeginsHere@providence.org

Saint Vincent Hospital Cancer Center Green Bay
Green Bay, Wisconsin 54301
Contact:
Site Public Contact
920-433-8889
WI_research_admin@hshs.org

More Details

Status
Recruiting
Sponsor
Children's Oncology Group

Study Contact

Detailed Description

PRIMARY OBJECTIVE: I. Examine the role of access to care, patient/family healthcare interactions, and stress in variation in quality of end-of-life (EOL) care. OUTLINE: This is an observational study. PART 1: The medical records of deceased patients are reviewed on study. PART 2: Bereaved parents complete a survey and may participate in an interview on study.