Effect of the HCC-EduLink Intervention
Lauren Nephew
Primary Investigator
Brief description of study
The objective of this study is to pilot test a multi-level intervention designed to address patient- and system-level social and structural determinants of health (SSDOH) variables and facilitate access to curative hepatocellular carcinoma (HCC) therapies, including liver transplantation and resection, in a cohort of Black patients with Barcelona Clinic Liver Cancer prognosis stage 0, A and downstaged B disease. The main aim of this study is to estimate the effect of the HCC-EduLink intervention on the time to receipt of curative therapies and HCC related knowledge in Black patients with HCC.
Detailed description of study
Individuals will be randomized 1:1 to either HCC-EduLink + SOC or SOC alone.
SOC is care provided by hepatologist, oncologist, interventional radiologist, and/or surgeon.
Patients will be followed for 8 months because our median time from LT evaluation start to LT wait listing in patients with HCC is 155 days in Black patients and 122 days in White patients (center-specific data).
Eligibility of study
You may be eligible for this study if you meet the following criteria:
- Conditions: Barcelona Clinic Liver Cancer
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Age: 18 years - 100 years
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Gender: All
- Diagnosed with BCLC stage 0, A or downstaged B HCC
- BCLC B disease that is unable to be downstaged
- BCLC C and D disease
- Currently waitlisted for LT
- Post-transplant of any solid organ