NCT06420206

Goals of Care Discussion for Patients With Advanced Lung and Gastrointestinal Cancer in the Emergency Department of a Comprehensive Cancer Center

Extracted Fields (from Registry)
Protocol IDNCT06420206
Registration Date2024-05-17
Statusrecruiting
SponsorM.D. Anderson Cancer Center
CountryUnited States
Industrynot industry
Blindingunblinded
Center Typesingel-center RCT
Scopenational RCT
First Patient In2024-05-14
Last Patient Out2027-02-02
Publicationn
Gender %ALL
Mean Age18 Years -
LLM Classifications (Side-by-Side)
Field CLAUDE
claude-sonnet-4-20250514
Thinking: claude-opus-4-20250514
5364ms / 9766 tok
GLM
glm-5.1
8179ms / 8555 tok
OPENAI
gpt-4o
Thinking: o3
2814ms / 8405 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 inpatient inpatient inpatient OK
setting_place hospital hospital hospital OK
feasibility N/A fully powered RCT → fully powered RCT → N/A
shaky reasoning
✓ Unanimous Initial: fully powered RCT Requery: fully powered RCT — This is a non-randomized controlled trial with 200 participants designed to measure clinical effectiveness outcomes including acute care utilization, ICU admissions, and healthcare costs, indicating it's powered for meaningful clinical results rather than feasibility testing. Thinking: N/A — Non-randomized interventional study, not an RCT
N/A N/A → N/A
shaky reasoning
✓ Unanimous Initial: N/A Requery: N/A — The study is a non-randomized interventional trial rather than a randomized controlled trial (RCT).
N/A N/A → N/A → N/A
shaky reasoning
✓ Unanimous Initial: N/A Requery: N/A — The study is non-randomized and interventional without random group assignment, indicating it is observational. Thinking: N/A — This is a non-randomized interventional study rather than a randomized controlled trial.
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 no OK
intervention_digital no no no OK
intervention_other no no no OK
outcome_symptom no no no OK
outcome_qol yes yes → no → no
shaky reasoning
✗ No consensus Initial: yes Requery: no — The primary outcome is listed as 'Quality Of Life Questionnaire' but no specific validated QoL instrument is identified, and the study focuses on healthcare utilization metrics rather than formal quality of life assessment. Thinking: no — While 'Quality Of Life Questionnaire' is listed as primary outcome, no validated QoL instrument is specified and description shows 'N/A'.
yes yes → yes
shaky reasoning
✗ No consensus Initial: yes Requery: yes — The primary outcome includes a 'Quality Of Life Questionnaire' which implies the use of a standardized QoL instrument to measure quality of life as defined by the study's aim.
no no → no → yes
shaky reasoning
✗ No consensus Initial: no Requery: no — The trial mentions quality of life objectives but does not specify the use of any validated Quality of Life instruments. Thinking: yes — The primary outcome is a Quality of Life Questionnaire, indicating measurement with a QoL instrument.
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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