Improving Pharmacological Transition of Palliative Care Patients From Inpatient to Outpatient Care

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity Hospital Muenster

About this trial

The transition of palliative care patients from inpatient to outpatient care is aimed to be improved through structured pharmaceutical discharge management by a trained pharmacist. This data will be compared with retrospective cases.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

advanced, malignant tumour disease

advanced, chronic obstructive pulmonary disease

Patients with advanced disease and limited life expectancy (approx. 12 months) Further care in the SOPC Muenster (prospective data) Sufficient understanding of the German language to be able to understand the information and consent form

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • Structured pharmaceutical discharge management

    Other intervention

    These patients will receive structured pharmaceutical discharge management from inpatient to outpatient care.

Treatment groups

200 Participants
are divided into 2 treatment groups
Group A: Prospective patientsExperimental treatment 1 intervention
Group B: Retrospective patientsNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

(I) Drug-related problems

(I) Number of drug-related problems at the time of discharge according to PCNE (comparison of prospective, actually proposed changes vs. hypothetical number and type of problems at the time of discharge in the retrospective comparison cohort)

Time frame
12 months
2

(II) Drug-related problems

(II) Type of drug-related problems at the time of discharge according to PCNE (comparison of prospective, actually proposed changes vs. hypothetical number and type of problems at the time of discharge in the retrospective comparison cohort)

Time frame
12 months

Secondary outcomes

1

Number of contacts

Number of contacts made by patients/relatives with SOPC within 7 days of discharge

Time frame
12 months
2

Number of readmissions / visits

Number of readmissions and / or visits to the emergency department within 7 and 14 days after hospital discharge

Time frame
12 months
3

Symptom burden

Change in patient symptom burden via Integrated Palliative Care Outcome. The total scores using the IPOS can range between 0 and 68 points. The higher the score, the more severe are the patient's symptoms. Scale after 3, 7 and 14 days compared to day 0 (discharge date)

Time frame
12 months
4

(I) Medication changes

(I) Number of medication changes suggested by pharmacists according to PCNE

Time frame
12 months

Other outcomes

Sponsors and contacts

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University Hospital Muenster

Lead sponsor

University Hospital Munich

Collaborator