Palliative Care Consults for Liver Disease
(SeQuEL Trial)

Recruiting in Palo Alto (17 mi)

Overseen byMohana Karlekar, MD

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: Vanderbilt University Medical Center

No Placebo Group

Trial Summary

What is the purpose of this trial?This is a single center randomized platform trial determining whether prompting consideration of palliative care consultation through the electronic health record impacts the number of palliative consultations placed and hospital-free days among hospitalized adults with End-Stage Liver Disease.

Eligibility Criteria

This trial is for hospitalized adults with End-Stage Liver Disease. It's designed to see if electronic prompts about palliative care consultations can affect the number of these consultations and increase hospital-free days.

Inclusion Criteria

Patient is admitted to the study hospital

Patient meets phenotype criteria for End-Stage Liver Disease

I am 18 years old or older.

+1 more

Exclusion Criteria

Patient is known to be a prisoner

I have had a liver transplant.

I have received palliative care consultation at VUMC in the last 3 months or during my current hospital stay.

Participant Groups

The study is testing whether an electronic prompt for doctors to consider palliative care consultation makes a difference in how often these services are used by patients with advanced liver disease.

2Treatment groups

Active Control

Group I: No Palliative Care Consultation Prompt GroupActive Control1 Intervention

When a patient is randomized to the No Palliative Care Consultation Prompt Group, no prompt will occur. A treating clinician can choose to place or discontinue a palliative care consultation at any time. A patient may choose to request or decline a palliative care consultation at any time.

Group II: Palliative Care Consultation Prompt GroupActive Control1 Intervention

When a patient is randomized to the Palliative Care Consultation Prompt Group, a clinical decision support tool in the electronic health record will inform the treating clinician of the patient's serious illness and the results of the Surprise Question and prompt the treating clinician to consider a palliative care consultation. A treating clinician can choose to place or discontinue a palliative care consultation at any time, retaining full autonomy to deliver the appropriate patient care. A patient may choose to request or decline a palliative care consultation at any time.