Geriatric Surgery Program for Cancer in Older Adults
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to enhance surgical care for older adults with cancer through a special program that addresses age-related needs before, during, and after surgery. The trial will evaluate how well hospitals adopt this program and whether it results in better outcomes, such as shorter hospital stays and fewer complications. Suitable participants include older adults who have undergone surgery or pre-surgery evaluations for cancer at the James Cancer Hospital. As an unphased trial, this study allows patients to contribute to innovative approaches in surgical care tailored to their unique needs.
Do I have to stop taking my current medications for the trial?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that the ACS Geriatric Surgery Verification Program is safe for older adults undergoing cancer surgery?
Research has shown that the ACS Geriatric Surgery Verification (GSV) Program is safe and well-received by older adults undergoing surgery. One study found that hospitals using this program experienced a significant reduction in post-surgery deaths, from 10.2% to 5.7%. This indicates that the program can enhance surgical safety and improve patient outcomes.
For the Serious Illness Conversation Program training, studies have demonstrated that it helps doctors and patients communicate more effectively. This improved communication can reduce anxiety and depression in patients without causing harm.
Both programs aim to enhance care and safety for older adults. The evidence indicates they are safe and beneficial for those considering participation in a clinical trial.12345Why are researchers excited about this trial?
Researchers are excited about this trial because it aims to enhance surgical outcomes for older adults with cancer by implementing the ACS Geriatric Surgery Verification (GSV) Program and the Serious Illness Conversation Program (SICP). Unlike standard cancer treatments that focus solely on the disease, this approach emphasizes comprehensive care tailored to the unique needs of older patients. By integrating these programs, the trial seeks to improve patient communication, surgical care, and overall quality of life, which are often overlooked in traditional cancer treatments.
What evidence suggests that the ACS Geriatric Surgery Verification Program and Serious Illness Conversation Program training could be effective for improving surgical care in older adults with cancer?
Research has shown that the ACS Geriatric Surgery Verification Program significantly improves surgical outcomes for older adults. Following these guidelines reduces the risk of needing additional care after surgery by 72%. At one hospital, the surgery-related death rate dropped from 10.2% to 5.7% after implementing the program. In this trial, some participants will implement the ACS Geriatric Surgery Verification Program. Additionally, the Serious Illness Conversation Program, which some participants will also complete, enhances patients' understanding of their health, with 55% of participants reporting increased awareness of their future health. This program encourages meaningful discussions about care preferences, leading to better overall care management.12567
Who Is on the Research Team?
Samilia Obeng-Gyasi, MD, MPH
Principal Investigator
Ohio State University Comprehensive Cancer Center
Are You a Good Fit for This Trial?
This trial is for adults age 65 and older who are having surgery for cancer at the James Cancer Hospital. It includes people with many types of cancer, such as breast, lung, brain, skin, and others.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Serious Illness Conversation Program (SICP) Workshop
Participants complete the SICP workshop to prepare for the implementation of the ACS GSV program
ACS GSV Program Implementation
Implementation of the ACS GSV program into surgical services
Transition and Maintenance
Transition period followed by continued maintenance implementation of the ACS GSV program
Follow-up
Participants are monitored for safety and effectiveness after the implementation of the ACS GSV program
What Are the Treatments Tested in This Trial?
Interventions
- ACS Geriatric Surgery Verification Program Implementation
- Serious Illness Conversation Program training
Trial Overview
The study is testing a program that trains care teams to better recognize and address the unique needs of older adults before, during, and after cancer surgery. The goal is to see if this improves recovery and reduces complications.
How Is the Trial Designed?
3
Treatment groups
Experimental Treatment
Participants complete the SICP workshop over two months (months 11-12). Participants then implement the ACS GSV program into surgical services over four months (months 13-16).
Participants complete the SICP workshop over two months (months 6-7). Participants then implement the ACS GSV program into surgical services over four months (months 8-11) followed by a transition period over 1 month (month 12) and continued maintenance implementation of the ACS GSV program over 4 months (months 13-16).
Participants complete the Serious Illness Conversation Program (SICP) workshop over two months (months 1-2). Participants then implement the ACS GSV program into surgical services over four months (months 3-6) followed by a transition period over 1 month (month 7) and continued maintenance implementation of the ACS GSV program over 9 months (months 8-16).
Find a Clinic Near You
Who Is Running the Clinical Trial?
Ohio State University Comprehensive Cancer Center
Lead Sponsor
Citations
Geriatric Surgery Verification | ACS
The Geriatric Surgery Verification (GSV) Program has 32 surgical standards (2 of which are optional) designed to improve surgical care and outcomes for ...
The American College of Surgeons Geriatric Surgery ... - PMC
Older adults contribute disproportionately to total surgical volumes while experiencing significantly worse outcomes owing in part to ...
Geriatric Surgery Verification Program May Improve ...
Additionally, the Geriatric Surgery Verification program's implementation was associated with a 72% reduced risk of increased care needs at ...
Why Hospitals Choose ACS Geriatric Surgery Verification
The ACS Geriatric Surgery Verification (GSV) Program helps hospitals optimize surgical care for vulnerable older patients by aligning teams ...
Characteristics of older patients undergoing major ...
Surgical risk is also elevated in this cohort with patients aged over 70 having 6 % 30-day mortality and 20 % complication rate [4]. Older patient populations ...
Guide to Recognition for Geriatric Surgery Verification Hospitals
These standards detail the principles regarding resource standards, quality improvement and safety processes, data collection, and the verification process for ...
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johnahartford.org
johnahartford.org/grants-strategy/geriatric-surgery-verification-gsv-phase-ii-evaluation-and-improvementGeriatrics Surgery Verification (GSV) Phase II
This project will evaluate content, implementation and outcomes of the new verification program to foster broad dissemination to diverse sites.
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