| CTRI Number |
CTRI/2025/03/081875 [Registered on: 07/03/2025] Trial Registered Prospectively |
| Last Modified On: |
09/04/2026 |
| Post Graduate Thesis |
No |
| Type of Trial |
Observational |
|
Type of Study
|
Cross Sectional Study |
| Study Design |
Single Arm Study |
|
Public Title of Study
|
Survey To Understand How and When Doctor treating Cancer in India Refer their Patient to Palliative Care Services |
|
Scientific Title of Study
|
Referral to Palliative Care Services by Indian Oncologists- A Cross-sectional Mixed Methods Survey |
| Trial Acronym |
|
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr C S Pramesh |
| Designation |
Director, Tata Memorial Hospital |
| Affiliation |
Tata Memorial Hospital |
| Address |
Director Office - TMH,Room Number-54B, Ground Floor, Main Building, Tata Memorial Hospital, Dr. E Borges Road Parel, Mumbai-400012 Maharashtra India
Mumbai
MAHARASHTRA
400012
India |
| Phone |
2224177070 |
| Fax |
02224168440 |
| Email |
prameshcs@tmc.gov.in |
|
Details of Contact Person
Scientific Query
|
| Name |
Dr C S Pramesh |
| Designation |
Director, Tata Memorial Hospital |
| Affiliation |
Tata Memorial Hospital |
| Address |
Director Office - TMH,Room Number-54B, Ground Floor, Main Building, Tata Memorial Hospital, Dr. E Borges Road Parel, Mumbai-400012 Maharashtra India
Mumbai
MAHARASHTRA
400012
India |
| Phone |
2224177070 |
| Fax |
02224168440 |
| Email |
prameshcs@tmc.gov.in |
|
Details of Contact Person
Public Query
|
| Name |
Dr C S Pramesh |
| Designation |
Director, Tata Memorial Hospital |
| Affiliation |
Tata Memorial Hospital |
| Address |
Director Office - TMH,Room Number-54B, Ground Floor, Main Building, Tata Memorial Hospital, Dr. E Borges Road Parel, Mumbai-400012 Maharashtra India
Mumbai
MAHARASHTRA
400012
India |
| Phone |
2224177070 |
| Fax |
02224168440 |
| Email |
prameshcs@tmc.gov.in |
|
|
Source of Monetary or Material Support
|
| Princess Margaret Cancer Centre,610 University Avenue, 16th floor, Room 16-712, Toronto, Ontario, Canada, M5G 2M9 |
|
|
Primary Sponsor
|
| Name |
Princess Margaret Cancer Centre |
| Address |
Princess Margaret Cancer Centre, 160 University Avenue, 16th Floor, Room 16-712, Toronto, Ontario, Canada, M5G 2M9 |
| Type of Sponsor |
Research institution and hospital |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr C S Pramesh |
Tata Memorial Hospital |
Director Office - TMH,Room Number-54B, Ground Floor, Main Building, Tata Memorial Hospital, Dr. E Borges Road Parel, Mumbai-400012 Maharashtra India
Mumbai
MAHARASHTRA |
02224177000
prameshcs@tmc.gov.in |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee Tata Memorial Centre |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Healthy Human Volunteers |
Oncologist |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
NIL as it is an observational study |
NIL as it is an observational study |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
99.00 Year(s) |
| Gender |
Both |
| Details |
Oncologists in active practice registered with the NCG of India database. |
|
| ExclusionCriteria |
| Details |
Participant not willing to participate in the Study |
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
| To describe current referral practices to palliative care services from the perspective of Indian oncologists working in cancer centres in India. |
only at baseline |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
2.To identify characteristics, opinions, and practice situations associated with frequency and palliative care referrals.
|
Only at baseline |
| 3.Qualitative: To explore the experiences, attitudes, and perceived barriers of Indian Oncologists towards referral to PC services. |
Once |
|
|
Target Sample Size
|
Total Sample Size="270"
Sample Size from India="270"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
10/03/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="1"
Months="0"
Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Open to Recruitment |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
Title: REFERRAL TO PALLIATIVE CARE SERVICES BY INDIAN ONCOLOGISTS - A CROSS-SECTIONAL MIXED METHODS SURVEY The number of cancer cases have increased globally which seems to be exerting significant strain on populations and health systems at all income levels. Most patients with cancer develop physical and psychological symptoms related to their disease and its subsequent treatment which diminishes their quality of life as well as their caregivers. Palliative care (PC) services can respond well to the needs of patients with respect to advanced cancer treatment in addition to coordinating care at the end of life (EOL). PC services can be used by patients at any stage of cancer treatment yet Indian oncologists tend to refer PC services infrequently and much later (i.e., ≤6 months to death) in the cancer trajectory. In advanced cancer, PC helps patients to live comfortably with improved quality of life, symptom control, mood elevation, disease understanding, EOL care and survival; even if they cannot be cured. PC services aims to improve the quality of life for patients with advanced cancer in low- and middle-income countries (LMICs). However, studies in high-income countries (HICs) have shown that patients are referred to PC much later in the course of the disease. Various reasons for this pattern of late referrals could include limited availability of PC teams; discomfort among some PC specialists in providing care for patients receiving active cancer treatment ;and stigma about PC among patients, their family members and oncologists. The proposed study is a survey of Indian oncologists to better understand their referral practices and access to PC. The objective of this survey is to understand characteristics, opinions, and practices associated with frequency and timing of palliative care referrals. Results from this survey will help us understand the extent of referrals for PC services to be combined into routine oncology practice in India, an LMIC, and may identify important gaps in current practices.
|