| Protocol ID | NCT06911411 |
| Registration Date | 2025-04-04 |
| Status | not yet recruiting |
| Sponsor | University Hospital Bispebjerg and Frederiksberg |
| Country | – |
| Industry | not industry |
| Blinding | unblinded |
| Center Type | – |
| Scope | – |
| First Patient In | 2025-04-01 |
| Last Patient Out | 2026-12-30 |
| Publication | n |
| Gender % | ALL |
| Mean Age | 65 Years - |
NCT06911411
PALLIATIVE ASSESSMENT AND MANAGEMENT IN THE GERIATRIC EMERGENCY SETTING (PALMA)
| Field |
OPENAI
gpt-4o Thinking: o3 2792ms / 9035 tok |
CLAUDE
claude-sonnet-4-20250514 Thinking: claude-opus-4-20250514 5082ms / 10501 tok |
GLM
glm-5.1 11119ms / 9159 tok |
Review |
|---|---|---|---|---|
| rct_type | N/A | N/A | N/A | OK |
| cancer_status | non-cancer | non-cancer | non-cancer | OK |
| non_cancer_spec |
early palliative care
N/A → early palliative care → early palliative care
shaky reasoning✓ Unanimous
Initial: N/A
Requery: early palliative care — The study focuses on early integration of palliative care assessment in geriatric patients transitioning from emergency hospital to primary care, without specifying a particular disease.
Thinking: early palliative care — The trial seeks early, systematic palliative assessment for a disease-agnostic geriatric emergency population rather than focusing on a single organ-specific illness.
|
early palliative care
early palliative care → N/A → early palliative care
shaky reasoning✓ Unanimous
Initial: early palliative care
Requery: N/A — The study targets general geriatric patients in the emergency department without focus on a specific disease category, making it too general/mixed for the available non-cancer categories.
Thinking: early palliative care — Study focuses on implementing systematic palliative assessment early in emergency geriatric patients, is disease-agnostic, and population is defined by palliative care needs rather than specific diagnosis.
|
early palliative care
N/A
shaky reasoning✓ Unanimous
Initial: N/A
|
OK |
| setting_patient | inpatient | inpatient | inpatient | OK |
| setting_place | hospital | hospital | hospital | 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 | no | no | no | OK |
| intervention_music | no | no | no | OK |
| intervention_screening |
no
yes → no
shaky reasoning✓ Unanimous
Initial: yes
Requery: no — The study primarily tests the applicability and outcomes of palliative assessments rather than experimentally evaluating the screening process itself as an intervention.
|
no
yes → no
shaky reasoning✓ Unanimous
Initial: yes
Requery: no — This is an observational cohort study testing the applicability of assessment tools (EORTC-C15 PAL, CFS) to understand their association with outcomes, not testing a screening intervention itself.
|
no
no
shaky reasoning✓ Unanimous
Initial: no
|
OK |
| intervention_palliative |
yes
yes → yes
shaky reasoning✓ Unanimous
Initial: yes
Requery: yes — The study focuses on improving palliative care through a systematic approach to palliative assessment and management in a geriatric emergency setting, involving the development and implementation of palliative care strategies.
|
yes
yes
shaky reasoning✓ Unanimous
Initial: yes
|
yes
no → yes
shaky reasoning✓ Unanimous
Initial: no
Requery: yes — The trial is an implementation research project designed to develop and anchor systematic palliative assessment, management, and care planning within existing geriatric workflows.
|
OK |
| intervention_education | no | no | no | OK |
| intervention_digital | no | no | no | OK |
| intervention_other |
no
yes → no
shaky reasoning✓ Unanimous
Initial: yes
Requery: no — The intervention focuses on palliative care and assessment in the geriatric population, fitting it under the 'palliative' category.
|
no
no → no
shaky reasoning✓ Unanimous
Initial: no
Requery: no — This is a prospective observational cohort study involving palliative assessment, which falls under the palliative care category.
|
no
no
shaky reasoning✓ Unanimous
Initial: no
|
OK |
| outcome_symptom |
no
no → no
shaky reasoning✓ Unanimous
Initial: no
Requery: no — The trial focuses on palliative assessment using the EORTC-C15 PAL, which is primarily a QoL instrument, not a symptom-specific measure.
|
no
yes → no
shaky reasoning✓ Unanimous
Initial: yes
Requery: no — The primary outcome is mortality rates at 3 and 6 months, not specific symptom measurement, and while EORTC-C15-PAL is used as an exposure/assessment tool to study relationships with frailty and mortality, it is not a primary/secondary outcome measure for symptom assessment.
|
no
yes
shaky reasoning✓ Unanimous
Initial: yes
|
OK |
| outcome_qol |
yes
no → yes
shaky reasoning✓ Unanimous
Initial: no
Requery: yes — The trial uses the EORTC-C15 PAL, which is a validated Quality of Life instrument specifically designed for palliative care assessment.
|
yes
no → yes
shaky reasoning✓ Unanimous
Initial: no
Requery: yes — The study uses the EORTC-C15-PAL questionnaire, which is a validated palliative care quality of life instrument developed by the European Organisation for Research and Treatment of Cancer.
|
yes
yes
shaky reasoning✓ Unanimous
Initial: yes
|
OK |
| outcome_dignity | no | no | no | OK |
| outcome_cost | no | no | no | OK |
| outcome_other | yes | yes | yes | OK |
| pharmacologic_sub | N/A | N/A | N/A | OK |