Effectiveness of a specialist palliative home care nurse–patient consultation followed by an interprofessional telephone case conference compared with usual care among patients with non-oncological palliative care needs: protocol for the multicentre KOPAL cluster-randomised controlled trial
Introduction Progressive chronic, non-malignant diseases (CNMD) like congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD) and dementia are of growing relevance in primary care. Most of these patients suffer from severe symptoms, reduced quality of life and increased numbers o...
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BMJ Publishing Group
2022-07-01
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| Series: | BMJ Open |
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| author | Judith Dams Hans-Helmut König Tim Friede Nils Schneider Stephanie Stiel Martin Scherer Silke Böttcher Gabriella Marx Ingmar Schäfer Nadine Janis Pohontsch Hendrik van den Bussche Friedemann Nauck Michael Freitag Eva Hummers Tina Mallon Franziska Schade Manuel Zimansky Thomas Asendorf Christiane A Mueller |
| author_facet | Judith Dams Hans-Helmut König Tim Friede Nils Schneider Stephanie Stiel Martin Scherer Silke Böttcher Gabriella Marx Ingmar Schäfer Nadine Janis Pohontsch Hendrik van den Bussche Friedemann Nauck Michael Freitag Eva Hummers Tina Mallon Franziska Schade Manuel Zimansky Thomas Asendorf Christiane A Mueller |
| author_sort | Judith Dams |
| collection | DOAJ |
| description | Introduction Progressive chronic, non-malignant diseases (CNMD) like congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD) and dementia are of growing relevance in primary care. Most of these patients suffer from severe symptoms, reduced quality of life and increased numbers of hospitalisations. Outpatient palliative care can help to reduce hospitalisation rate by up to 50%. Due to the complex medical conditions and prognostic uncertainty of the course of CNMD, early interprofessional care planning among general practitioners who provide general palliative care and specialist palliative home care (SPHC) teams seems mandatory. The KOPAL study (a concept for strenghtening interprofessional collaboration for patients with palliative care needs) will test the effectiveness of a SPHC nurse–patient consultation followed by an interprofessional telephone case conference.Methods and analysis Multicentre two-arm cluster randomised controlled trial KOPAL with usual care as control arm. The study is located in Northern Germany and aims to recruit 616 patients in 56 GP practices (because of pandemic reasons reduced to 191 participants). Randomisation will take place on GP practice level immediately after inclusion (intervention group/control group). Allocation concealment is carried out on confirmation of participation. Patients diagnosed with CHF (New York Heart Association (NYHA) classification 3–4), COPD (Global Initiative for Chronic Obstructive Lung Disease (GOLD) stage classification 3–4, group D) or dementia GDS stage 4 or above). Primary outcome is a reduced hospital admission within 48 weeks after baseline, secondary outcomes include symptom burden, quality of life and health costs. The primary analysis will follow the intention-to-treat principle. Intervention will be evaluated after the observation period using qualitative methods.Ethics and dissemination The responsible ethics committees of the cooperating centres approved the study. All steps of data collection, quality assurance and data analysis will continuously be monitored. The concept of KOPAL could serve as a blueprint for other regions and meet the challenges of geographical equity in end-of-life care.Trial registration number DRKS00017795; German Clinical Trials Register. |
| format | Article |
| id | doaj-art-114b5247f4e54321b02d378840d365b5 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | BMJ Publishing Group |
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| series | BMJ Open |
| spelling | doaj-art-114b5247f4e54321b02d378840d365b52025-01-31T15:50:09ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2021-059440Effectiveness of a specialist palliative home care nurse–patient consultation followed by an interprofessional telephone case conference compared with usual care among patients with non-oncological palliative care needs: protocol for the multicentre KOPAL cluster-randomised controlled trialJudith Dams0Hans-Helmut König1Tim Friede2Nils Schneider3Stephanie Stiel4Martin Scherer5Silke Böttcher6Gabriella Marx7Ingmar Schäfer8Nadine Janis Pohontsch9Hendrik van den Bussche10Friedemann Nauck11Michael Freitag12Eva Hummers13Tina Mallon14Franziska Schade15Manuel Zimansky16Thomas Asendorf17Christiane A Mueller18Department of Health Economics and Health Care Research, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment for Health Economics and Health Services Research, Universitatsklinikum Hamburg-Eppendorf, Hamburg, GermanyDepartment of Medical Statistics, University Medical Center Goettingen, Goettingen, GermanyInstitute for General Practice and Palliative Care, Hannover Medical School, Hannover, GermanyInstitute for General Practice, Hannover Medical School, Hanover, GermanyDepartment of General Practice and Primary Care, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDivision of General Practice, Carl von Ossietzky University of Oldenburg, Oldenburg, GermanyDepartment of General Practice and Primary Care, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of Primary Medical Care, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of General Practice and Primary Care, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of General Practice and Primary Care, University Medical Center Hamburg-Eppendorf, Hamburg, Germany1 Department of Palliative Medicine, University Medical Center Göttingen, Göttingen, GermanyDivision of General Practice, Carl von Ossietzky University of Oldenburg, Oldenburg, GermanyDepartment of General Practice, University Medical Center Goettingen, Goettingen, GermanyDepartment of General Practice and Primary Care, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyInstitute for General Practice and Palliative Care, Hannover Medical School, Hannover, GermanyInstitute for General Practice and Palliative Care, Hannover Medical School, Hannover, GermanyDepartment of Medical Statistics, University Medical Center Goettingen, Goettingen, Germany3 Department of General Practice, University Medical Center Göttingen, Göttingen, GermanyIntroduction Progressive chronic, non-malignant diseases (CNMD) like congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD) and dementia are of growing relevance in primary care. Most of these patients suffer from severe symptoms, reduced quality of life and increased numbers of hospitalisations. Outpatient palliative care can help to reduce hospitalisation rate by up to 50%. Due to the complex medical conditions and prognostic uncertainty of the course of CNMD, early interprofessional care planning among general practitioners who provide general palliative care and specialist palliative home care (SPHC) teams seems mandatory. The KOPAL study (a concept for strenghtening interprofessional collaboration for patients with palliative care needs) will test the effectiveness of a SPHC nurse–patient consultation followed by an interprofessional telephone case conference.Methods and analysis Multicentre two-arm cluster randomised controlled trial KOPAL with usual care as control arm. The study is located in Northern Germany and aims to recruit 616 patients in 56 GP practices (because of pandemic reasons reduced to 191 participants). Randomisation will take place on GP practice level immediately after inclusion (intervention group/control group). Allocation concealment is carried out on confirmation of participation. Patients diagnosed with CHF (New York Heart Association (NYHA) classification 3–4), COPD (Global Initiative for Chronic Obstructive Lung Disease (GOLD) stage classification 3–4, group D) or dementia GDS stage 4 or above). Primary outcome is a reduced hospital admission within 48 weeks after baseline, secondary outcomes include symptom burden, quality of life and health costs. The primary analysis will follow the intention-to-treat principle. Intervention will be evaluated after the observation period using qualitative methods.Ethics and dissemination The responsible ethics committees of the cooperating centres approved the study. All steps of data collection, quality assurance and data analysis will continuously be monitored. The concept of KOPAL could serve as a blueprint for other regions and meet the challenges of geographical equity in end-of-life care.Trial registration number DRKS00017795; German Clinical Trials Register.https://bmjopen.bmj.com/content/12/7/e059440.full |
| spellingShingle | Judith Dams Hans-Helmut König Tim Friede Nils Schneider Stephanie Stiel Martin Scherer Silke Böttcher Gabriella Marx Ingmar Schäfer Nadine Janis Pohontsch Hendrik van den Bussche Friedemann Nauck Michael Freitag Eva Hummers Tina Mallon Franziska Schade Manuel Zimansky Thomas Asendorf Christiane A Mueller Effectiveness of a specialist palliative home care nurse–patient consultation followed by an interprofessional telephone case conference compared with usual care among patients with non-oncological palliative care needs: protocol for the multicentre KOPAL cluster-randomised controlled trial BMJ Open |
| title | Effectiveness of a specialist palliative home care nurse–patient consultation followed by an interprofessional telephone case conference compared with usual care among patients with non-oncological palliative care needs: protocol for the multicentre KOPAL cluster-randomised controlled trial |
| title_full | Effectiveness of a specialist palliative home care nurse–patient consultation followed by an interprofessional telephone case conference compared with usual care among patients with non-oncological palliative care needs: protocol for the multicentre KOPAL cluster-randomised controlled trial |
| title_fullStr | Effectiveness of a specialist palliative home care nurse–patient consultation followed by an interprofessional telephone case conference compared with usual care among patients with non-oncological palliative care needs: protocol for the multicentre KOPAL cluster-randomised controlled trial |
| title_full_unstemmed | Effectiveness of a specialist palliative home care nurse–patient consultation followed by an interprofessional telephone case conference compared with usual care among patients with non-oncological palliative care needs: protocol for the multicentre KOPAL cluster-randomised controlled trial |
| title_short | Effectiveness of a specialist palliative home care nurse–patient consultation followed by an interprofessional telephone case conference compared with usual care among patients with non-oncological palliative care needs: protocol for the multicentre KOPAL cluster-randomised controlled trial |
| title_sort | effectiveness of a specialist palliative home care nurse patient consultation followed by an interprofessional telephone case conference compared with usual care among patients with non oncological palliative care needs protocol for the multicentre kopal cluster randomised controlled trial |
| url | https://bmjopen.bmj.com/content/12/7/e059440.full |
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