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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ISRCTN
Last refreshed on: 13 January 2015
Main ID:  ISRCTN75865015
Date of registration: 23/01/2004
Prospective Registration: No
Primary sponsor: Record Provided by the NHS R&D 'Time-Limited' National Programme Register - Department of Health (UK)
Public title: Hospital at Home (HAH) for palliative care: an evaluation
Scientific title:
Date of first enrolment: 01/04/1995
Target sample size: 229
Recruitment status: Completed
URL:  http://isrctn.com/ISRCTN75865015
Study type:  Interventional
Study design:  Randomised controlled trial (Not Specified)  
Phase: 
Countries of recruitment
United Kingdom
Contacts
Name: Chris    Todd
Address:  HSRG, General practice and Primary Care Research Unit Department of Public Health and Primary Care University of Cambridge Forvie Site Robinson Way CB2 2SR Cambridge United Kingdom
Telephone: +44 (0)1223 330322
Email:
Affiliation: 
Name:    
Address: 
Telephone:
Email:
Affiliation: 
Key inclusion & exclusion criteria
Inclusion criteria: 1. 186 palliative care patients allocated to HAH and 43 palliative control patients. Comparison between HAH and standard care including both primary and secondary NHS input
2. Survey: 78 community nurses, 136 GPs. Assessment of community care only
3. Record linkage: 121 cancer patients referred to HAH, 206 cancer patients not referred to HAH. Both primary and secondary NHS input included
4. Longitudinal study: 54 lung cancer patients, 46 colorectal cancer patients. Both primary and secondary NHS input included.

Exclusion criteria: Does not match inclusion criteria

Age minimum:
Age maximum:
Gender: Both
Health Condition(s) or Problem(s) studied
Symptoms and general pathology: Pain
Not Applicable
Intervention(s)
1. Individual Randomised Controlled Trial (RCT) of HAH care versus standard care
2. Survey of health professionals¿ views of HAH, based on pilot study semi-structured interviews
3. Record linkage of electronic data from Cancer Registry, primary and secondary care databases to assess:
3.1. Service use under HAH care versus standard care (incorporated into RCT)
3.2. The characteristics and care pathways of patients referred to HAH versus those not referred
4. Prospective, longitudinal study of colorectal and lung cancer patients eligible for HAH care, and their family carers, beginning when patient care switched from curative to palliative according to hospital
Primary Outcome(s)
1. Randomised controlled trial: place of death, rated symptom severity and adequacy of care, GP visits, care input from NHS primary and secondary care services during the last two weeks of life
2. Survey: ratings of the importance, benefits and disadvantages of HAH
3. Record linkage: demographic and clinical variables (age, sex, socio-economic status, survival, diagnosis, cause of death), service input variables (contact with oncology services, amount and start date of primary and secondary care NHS input in the last year of life)
4. Longitudinal study: prospective and retrospective expressed need and satisfaction with care, activities of daily living, contacts with health professionals, standard measures of health and quality of life (SF-36, EORTC QLQ-C30), and carer strain (CADI)
Secondary Outcome(s)
Not provided at time of registration
Secondary ID(s)
PSI10-19
Source(s) of Monetary Support
NHS Primary and Secondary Care Interface National Research and Development Programme (UK)
Secondary Sponsor(s)
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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