Findings and lessons learnt from early termination of a pragmatic comparative effectiveness trial of video consultations in home-based palliative care.
Huong Q NguyenCarmit McMullenEric C HauptSusan E WangHenry WerchPaula E EdwardsGina M AndresLynn ReinkeBrian S MittmanErnest ShenRichard A MularskiPublished in: BMJ supportive & palliative care (2020)
We encountered multiple challenges to feasibility, relevance and value of conducting large, multiyear pragmatic randomised trials with seriously ill patients in the real-world settings where care delivery, regulatory and payment policies are constantly shifting.
Keyphrases
- palliative care
- study protocol
- clinical trial
- end stage renal disease
- ejection fraction
- healthcare
- randomized controlled trial
- chronic kidney disease
- newly diagnosed
- public health
- open label
- transcription factor
- affordable care act
- peritoneal dialysis
- health insurance
- quality improvement
- primary care
- pain management
- phase ii
- patient reported