NCT04308356

"What if we Talked About it…" Identification of Cancer Patients Taking up a Proposal for Discussions Dedicated to Anticipating Preferences of Care in the Event of Aggravation (DDA): Prospective Cohort Intervention Study Using a Mixed Methodology

Extracted Fields (from Registry)
Protocol IDNCT04308356
Registration Date2020-03-16
Statuscompleted
SponsorAssistance Publique - Hôpitaux de Paris
CountryFrance
Industrynot industry
Blindingunblinded
Center Typesingel-center RCT
Scopenational RCT
First Patient In2020-06-03
Last Patient Out2024-07-07
Publicationn
Gender %ALL
Mean Age18 Years -
LLM Classifications (Side-by-Side)
Field GLM
glm-5.1
6384ms / 10647 tok
OPENAI
gpt-4o
Thinking: o3
2879ms / 10484 tok
CLAUDE
claude-sonnet-4-20250514
Thinking: claude-opus-4-20250514
9830ms / 12261 tok
Review
rct_type N/A N/A N/A OK
cancer_status Cancer Cancer Cancer OK
non_cancer_spec N/A N/A N/A OK
setting_patient outpatient outpatient outpatient OK
setting_place other other → other
shaky reasoning
✓ Unanimous Initial: other Requery: other — The intervention consists of scheduled interviews delivered in the outpatient oncology department of a university hospital, rather than during an inpatient admission.
other other → other → other
shaky reasoning
✓ Unanimous Initial: other Requery: other — The intervention consists of outpatient interviews and assessments conducted at a university hospital, but does not require hospitalization or inpatient care. Thinking: other — The DDA interviews and questionnaires are delivered to ambulatory oncology patients during clinic visits at a university hospital, i.e., an outpatient setting rather than an inpatient hospital stay.
other hospital → hospital → other
shaky reasoning
✓ Unanimous Initial: hospital Requery: hospital — The study recruits patients from oncology departments in a university hospital and the interventions (clinical interviews with patients) are conducted in the hospital setting. Thinking: other — The intervention consists of outpatient interviews and discussions conducted in the oncology department of a university hospital, not requiring patient admission or hospitalization.
OK
feasibility N/A N/A N/A 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 no → yes
shaky reasoning
✓ Unanimous Initial: no Requery: yes — The intervention is an advance care planning program (DDA) that facilitates discussions on end-of-life preferences, which is a core component and delivery method of palliative care.
yes no → yes
shaky reasoning
✓ Unanimous Initial: no Requery: yes — The intervention involves 'Discussions Dedicated to Anticipate preferences of care in the event of Aggravation (DDA)', which aligns with advance care planning and involves communication about palliative care preferences.
yes yes → yes
shaky reasoning
✓ Unanimous Initial: yes Requery: yes — The intervention is dedicated discussions about anticipating care preferences (DDA), which constitutes advance care planning - a core component of palliative care consultation and service delivery.
OK
intervention_education no no no OK
intervention_digital no no no OK
intervention_other no yes
shaky reasoning
✓ Unanimous Initial: yes
no yes → no
shaky reasoning
✓ Unanimous Initial: yes Requery: no — The intervention focuses on advance care planning (ACP) discussions, a recognized category distinct from other interventions such as exercise or nutritional interventions.
no no → no
shaky reasoning
✓ Unanimous Initial: no Requery: no — The main intervention is DDA (Dedicated Discussions on Anticipating preferences of care) which involves structured communication and discussion processes, fitting into the psychological intervention category.
OK
outcome_symptom yes yes yes OK
outcome_qol no no → no
shaky reasoning
✓ Unanimous Initial: no Requery: no — The study uses API and HADS questionnaires, patient satisfaction questions, and process measures rather than validated quality of life instruments like EORTC QLQ-C30, FACT-G, or EQ-5D.
no yes → no
shaky reasoning
✓ Unanimous Initial: yes Requery: no — The study focuses on advance care planning and end-of-life care preferences, but does not use validated quality of life instruments like EORTC QLQ-C30, FACT-G, or others.
no no → no
shaky reasoning
✓ Unanimous Initial: no Requery: no — The study uses the HADS (anxiety and depression scale) and API (autonomy preference index) questionnaires, but no validated quality of life instruments are mentioned.
OK
outcome_dignity no no no OK
outcome_cost yes yes yes OK
outcome_other yes yes yes OK
pharmacologic_sub N/A N/A N/A OK
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