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. 2012 Jul 11;2012(7):CD007672. doi: 10.1002/14651858.CD007672.pub2

Meier 2004.

Trial name or title  
Methods Cluster RCT; Unit of allocation: Care coordinator nurse
Participants Patients in their end‐of‐life's phase
Setting / country: Franklin Health's offices in New Jersey (headquarters) and locally  health units in communities (in all the 50 states) / United States
Phase of care: Palliative care
Planned sample size at randomisation: 321
Interventions Usual complex case management + palliative care assessment and feedback (CCM +): training for care coordinator nurses, clinical account managers, and physician managers on: (1) formal symptom assessment, (2) use of computer‐based treatment protocols and care pathways, (3) communication skills for advance care planning and bad news discussions and (4) feedback to treating physicians.
Control: Usual care complex case management (CCM) (initial visit, signed consent, initial assessment, identification of issues and goals, work with patient/family/providers to achieve goals/monitor status, measure of impacts, summary reports).
Outcomes Patient: Pain, symptoms, QoL, communication about treatment preferences, satisfaction, medication prescribed for symptom control
Informal carer: Satisfaction
Professional: Evaluation of acceptability, feasibility, utility and benefits of the intervention for the patients
Process: Hospital days, intensive care unit days, emergency department use, physician visits, length of stay in complex care management, physician inpatient and outpatient relative value units, hospice referral rate, home care services used, analgesic/anxiolytic/antidepressant prescribing, and site of death
Starting date  
Contact information  
Notes Planned study duration: 6‐8 weeks (or until death) for symptoms; 9‐16 weeks (or until death) for patient and family satisfaction