Automated Geriatric Co-Management Program in Older Patients With Lung Mass


The purpose of this study is to find out if it is possible to use the automated geriatric co-management program to manage the participants care before, during and after surgery.

Full Title of Study: “Feasibility and Effectiveness of Automated Geriatric Co-Management Program on Improving the Perioperative Care of Older Patients With Lung Mass”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Supportive Care
    • Masking: None (Open Label)
  • Study Primary Completion Date: March 2021


  • Other: in-person geriatric co-management
    • The geriatrics service sees these patients for at least 2 postoperative days, if deemed clinically necessary by the geriatrician. During the inpatient hospital course, the geriatrics service will ensure the execution of preoperative recommendations and will discuss with the surgical team, who will act as a primary team, any additional recommendation in order to improve postoperative care.
  • Other: automated geriatric co-management
    • Following completion of the eRFA, the summary of impairments as well as the recommendations generated by the study team (hard-copy or email) will be provided in real-time to the thoracic surgery team for their attention.

Arms, Groups and Cohorts

  • Active Comparator: In-person geriatric co-management group
  • Experimental: Automated geriatric co-management program group

Clinical Trial Outcome Measures

Primary Measures

  • feasibility of automated geriatric co-management program
    • Time Frame: 2 years
    • percentage of recommendations that were followed by the thoracic surgery team

Participating in This Clinical Trial

Inclusion Criteria

  • Untreated lung mass
  • Aged 65 or older
  • Being considered for surgical resection of a previously untreated lung mass
  • Completed the eRFA per routine care

Exclusion Criteria

  • Unable to read or comprehend English
  • Any cancer outside of the lung
  • Not proceeding with lung surgery within 2 months of baseline visit
  • Planning to receive chemotherapy, or have received chemotherapy within the past three months

Gender Eligibility: All

Minimum Age: 65 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Memorial Sloan Kettering Cancer Center
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Armin Shahrokni, MD, MPH, Principal Investigator, Memorial Sloan Kettering Cancer Center
  • Overall Contact(s)
    • Armin Shahrokni, MD, MPH, 646-888-3651,

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