| Protocol ID | NCT04281784 |
| Registration Date | 2020-02-24 |
| Status | completed |
| Sponsor | University of Washington |
| Country | United States |
| Industry | not industry |
| Blinding | blinded |
| Center Type | multicenter RCT |
| Scope | national RCT |
| First Patient In | 2020-04-23 |
| Last Patient Out | 2022-09-26 |
| Publication | y |
| Gender % | ALL |
| Mean Age | 18 Years - |
NCT04281784
Using the Electronic Health Record to Identify and Promote Goals-of-Care Communication for Older Patients With Serious Illness
| Field |
CLAUDE
claude-sonnet-4-20250514 Thinking: claude-opus-4-20250514 5359ms / 11931 tok |
OPENAI
gpt-4o Thinking: o3 3337ms / 10280 tok |
GLM
glm-5.1 6899ms / 10466 tok |
Review |
|---|---|---|---|---|
| rct_type | parallel RCT | parallel RCT | parallel RCT | OK |
| cancer_status | non-cancer | non-cancer | non-cancer | OK |
| non_cancer_spec |
N/A
early palliative care → N/A → N/A
shaky reasoning✓ Unanimous
Initial: early palliative care
Requery: N/A — The study includes a mixed population with both cancer (neoplasm metastasis, lung neoplasms) and multiple non-cancer conditions, making it too general/mixed for a specific non-cancer classification.
Thinking: N/A — Study includes mixed population with both cancer (neoplasm metastasis, lung neoplasm) and non-cancer conditions
|
N/A
dementia → dementia → N/A
shaky reasoning✓ Unanimous
Initial: dementia
Requery: dementia — The study emphasizes patients with Alzheimer's disease and related dementias (ADRD) as a focus of the intervention.
Thinking: N/A — The trial targets a mixed serious-illness population that includes both cancer and multiple non-cancer conditions, so no single non-cancer category applies.
|
early palliative care | – |
| setting_patient | inpatient | inpatient | inpatient | OK |
| setting_place | hospital | hospital | hospital | OK |
| feasibility | fully powered RCT | fully powered RCT | fully powered RCT | OK |
| intervention_pharmacologic | no | no | no | OK |
| intervention_chemo_immuno_radio | no | no | no | OK |
| intervention_complementary | no | no | no | OK |
| intervention_device | no | no | no | OK |
| intervention_psychological | no | no | no | OK |
| intervention_complex | no | no | no | OK |
| intervention_acp | yes | yes | yes | OK |
| intervention_music | no | no | no | OK |
| intervention_screening | no | no | no | OK |
| intervention_palliative | yes | yes | yes | OK |
| intervention_education | no | no | yes | – |
| intervention_digital | yes | yes | yes | OK |
| intervention_other | no | no | no | OK |
| outcome_symptom | no | no | no | OK |
| outcome_qol | no | no | no | OK |
| outcome_dignity |
no
no → no
shaky reasoning✓ Unanimous
Initial: no
Requery: no — This trial focuses on goals-of-care communication and healthcare utilization outcomes rather than measuring dignity, meaning in life, or existential/spiritual well-being.
|
no
yes → no
shaky reasoning✓ Unanimous
Initial: yes
Requery: no — The study focuses on improving quality of palliative care through goals-of-care discussions without addressing existential or spiritual themes.
|
no | OK |
| outcome_cost | yes | yes | yes | OK |
| outcome_other | yes | yes | yes | OK |
| pharmacologic_sub | N/A | N/A | N/A | OK |