- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02546973
Quality of Life in Patients With Anal Cancer (ANCA)
ANCA - A Registry Based Study of Clinical Results and Health Related Quality of Life in Patients After Treatment for Anal Cancer
A national study of a three year cohort consisting of all patients diagnosed with anal cancer in 2011- 2013 with data retrieval from three national registries: Cancer Registry, Patient registry and Cause of Death Registry all within the Swedish Board of Health and Welfare. All out- and inpatient visits with diagnoses, admission dates and discharge dates will be requested including.
Patient documentation from the concerned hospitals will be collected and data on the details of the treatment collected retrospectively in a standardised fashion using a clinical record form.
Comorbidity will be calculated using data from the Patient Registry using all main and co-diagnoses 2 years prior and then at least two years after treatment cessation.
Detailed questionnaires will be sent out once at 2-3 years and a second time at about 6 years after index treatment.
Study Overview
Status
Conditions
Detailed Description
Squamous cell carcinoma of the anus or "anal cancer" is an uncommon disease in the Western world. In Sweden approximately 100 patients are diagnosed each year. Most patients are treated by chemotherapy and radiation, but a small subgroup of non-responders and patients with recurrent disease undergo abdominoperineal excision with a permanent colostomy. In most reports of results these patients have a worse prognosis and a higher risk of local recurrence than anal cancer as a group(1, 2), possibly a result of a selection bias. Recently the results in a large Nordic cohort were presented, indicating that a further factor connected with successful outcome was that the patient was included in a treatment protocol(3).
A small number of patients with very small cancers are operated on primarily. This is especially true for anal margin tumours(4). However, for the most part patients will be primarily treated with radiotherapy, as their curative treatment.
In Sweden the treatment has been centralised for many years. The radiotherapy is normally a long course therapy with many smaller doses resulting in a high dose of radiation. There are well known complications such as skin problems and to some extent chronic radiation effects on deeper structures, which can result in functional side effects. If the treatment includes an abdominoperineal excision, the effects of a colostomy on quality of life as well as functional aspects of this surgical procedure are largely unknown in this group of patients. In our research group we have earlier studied large cohorts of patients who have undergone abdominoperineal excision for rectal cancer, and also unselected groups of patients with rectal cancer, studying both functional aspects and quality of life using detailed questionnaires (5, 6). Further we have results on quality of life from a cohort of Swedish inhabitants, representing men and women aged 30 to 90 years. The majority of the questions in these questionnaires are similar making comparisons possible.
In other studies within the SSORG network we have used the "Steineck concept" to investigate patient experiences of health, functional results and quality of life (7-11). We use specific questionnaires with detailed questions about experiences and symptoms asking about severity and duration as well as questions on socioeconomic functioning and life style factors (12, 13). Our experience is that patients are motivated to answer such questionnaires, with a compliance at 3 months >90% and at 12 months >85%.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Locations
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Gothenburg, Sweden, SE 416 85
- Dept. of Surgery, Sahlgrenska University Hospital/Ostra
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- All patients registered with a diagnosis of anal cancer in either the Patient registry or the Cancer Registry during 2011 - 2013.
Exclusion Criteria:
- No informed consent received for participation in the questionnaire part of the study.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
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Patients with anal cancer
All patients with anal cancer during 2011-2013 will be asked to participate
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
HRQL in patient's with anal cancer 3 years after diagnosis
Time Frame: 3 years
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To determine HRQL in patient's with anal cancer 3 years after diagnosis using a thorough questionnaire
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3 years
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
HRQL in patient's with anal cancer 6 years after diagnosis Functional aspects and symptoms
Time Frame: 6 years
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To determine HRQL in patient's with anal cancer 3 years after diagnosis using a thorough questionnaire
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6 years
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Comorbidity in the cohort prior to the diagnosis anal cancer
Time Frame: 3 years
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3 years
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Post-treatment morbidity in patients treated for anal cancer
Time Frame: 3 years
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3 years
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Type and number of surgical procedures in the patient population treated for anal cancer
Time Frame: 6 years
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6 years
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Accumulated length of hospital stay
Time Frame: 6 years
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6 years
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Differences in morbidity related to different treatments regimes
Time Frame: 3 and 6 yeras
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3 and 6 yeras
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Complete health economic analysis of resource consumption
Time Frame: 6 years
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6 years
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Mortality after anal cancer treatment
Time Frame: 3 and 6 years
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3 and 6 years
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Patient related personal factors that may affect HRQL measured by questionnaires
Time Frame: 3 years
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3 years
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Effect of complications on the patient's socioeconomic situation
Time Frame: 3 years
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3 years
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HRQL (measured by questionnaires) differences between patient groups such as age, gender and educational level
Time Frame: 3 years
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3 years
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Collaborators and Investigators
Investigators
- Principal Investigator: Eva Angenete, M.D., Ph.D., Sahlgrenska University Hospital, Sweden
Study record dates
Study Major Dates
Study Start
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ANCA
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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Cardiff UniversityRecruitingAnal Cancer Stage III A | Anal Cancer Stage III BUnited Kingdom, Norway
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