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A Pilot Randomized Trial of the Comprehensive Transitional Care Program for Medically Underserved Colorectal Cancer Surgery Patients
The primary hypothesis is that a comprehensive transitional care program based on the premise of a patient-centered medical home versus routine care reduces emergency room visits and hospital readmissions without increasing costs among cancer patients undergoing surgery at a large safety-net hospital.
Age
18 - No limit years
Sex
ALL
Healthy Volunteers
No
Lyndon B. Johnson General Hospital
Houston, Texas, United States
Start Date
February 1, 2015
Primary Completion Date
February 1, 2016
Last Updated
June 14, 2016
Patient education: One-on-one visit
OTHER
Discharge planning: Assessment of barriers to discharge
OTHER
Medication reconciliation: Patient medication review
OTHER
Appointment before discharge: Additional measure to ensure awareness of next clinic visit
OTHER
Transition coach
OTHER
Patient-centered discharge instructions: Enhanced
OTHER
Provider continuity: Specific surgeons responsible for coordinating care with medical/radiation oncology
OTHER
Timely follow-up: Barriers to clinic follow-up visits will be discussed
OTHER
Timely PCP communication
OTHER
Follow-up telephone call
OTHER
Patient hotline: 24 hour follow-up following call to Ask My Nurse number
OTHER
Lead Sponsor
The University of Texas Health Science Center, Houston
NCT04704661
NCT06696768
Data Source & Attribution
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