Resiliency in Patients Undergoing Radical Cystectomy for Bladder Cancer

October 10, 2024 updated by: Eugene Lee, MD, University of Kansas Medical Center
This is a prospective cross-sectional survey-based study composed of both a retrospective chart review and 3-series patient survey. This study will help elicit potential areas throughout the perioperative course of radical cystectomy to improve patient resilience and quality of life, providing opportunity for future interventional studies.

Study Overview

Status

Completed

Conditions

Detailed Description

This is a prospective cross-sectional survey-based study composed of both a retrospective chart review and 3-series patient survey. This study will help elicit potential areas throughout the perioperative course of radical cystectomy to improve patient resilience and quality of life, providing opportunity for future interventional studies. Primarily, the study will evaluate health related quality of life and resiliency in patients throughout the perioperative course of a radical cystectomy for bladder cancer.

The primary objective will be the correlation of the Connor-Davidson Resilience Scale (CD-RISC-25) and the Functional Assessment of Cancer Therapy-Bladder-Cystectomy (FACT-BL-Cys) score.

Patients will be identified and undergo consent and baseline assessments, including completion of surveys prior to their cystectomy. A retrospective chart review will also be completed to record information regarding patient's cancer stage, treatment status, diagnosis date, insurance type, and related medical conditions and medications. Data from retrospective chart review will be collected and recorded in a secure REDCap database for all eligible patients.

Subsequent surveys will be administered again at approximately 10-30 days postoperatively, as well as 60-120 days postoperatively.

Study Type

Observational

Enrollment (Actual)

74

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Kansas
      • Kansas City, Kansas, United States, 66160
        • University of Kansas Medical Center

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Sampling Method

Probability Sample

Study Population

Patients undergoing radical cystectomy for bladder cancer

Description

Inclusion Criteria:

  • Patients with a diagnosis of bladder cancer
  • Patients electing to undergo radical cystectomy as treatment
  • ≥ 18 years of age
  • Able to speak and read English
  • Willing and able to provide informed consent
  • Functioning telephone number or access to one

Exclusion Criteria:

  • Patients opting to not undergo radical cystectomy
  • Minors

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Bladder cancer patients undergoing radical cystectomy.
This is a prospective cross-sectional survey of bladder cancer patients undergoing radical cystectomy.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in resiliency as measured by the Connor-Davidson Resilience Scale (CD-RISC-25).
Time Frame: Prior to radical cystectomy, 10-30-days post-operative, and 90-days (+/-30-days) post-operative

The Connor-Davidson Resilience scale is a 25-item self-administered instrument for assessing resilience that is consistent in a variety of populations, including clinical and community.

Scoring: 0-100 (sum total of all items, each of which is scored 0-4). Higher score reflects greater resilience.

Prior to radical cystectomy, 10-30-days post-operative, and 90-days (+/-30-days) post-operative
Change in quality of life in patients undergoing radical cystectomy as measured by the Functional Assessment of Cancer Therapy-Bladder-Cystectomy (FACT-Bl-Cys).
Time Frame: Prior to radical cystectomy, 10-30-days post-operative, and 90-days (+/-30-days) post-operative

The FACT-BL-Cys is a condition-specific instrument for patients undergoing radical cystectomy to measure quality of life.

Scoring: 0-168 (sum total of all items). Higher score reflects better health-related quality of life.

Prior to radical cystectomy, 10-30-days post-operative, and 90-days (+/-30-days) post-operative
Change in quality of life in patients undergoing radical cystectomy as measured by the PROMIS-29.
Time Frame: Prior to radical cystectomy, 10-30-days post-operative, and 90-days (+/-30-days) post-operative

The PROMIS-29 is a disease non-specific measure of pain intensity using a 1-5 rating and seven health domains (physical function, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and activities, and sleep disturbance).

Scoring: High scores mean more of the concept being measured.

Prior to radical cystectomy, 10-30-days post-operative, and 90-days (+/-30-days) post-operative

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Identification of clinical and demographic factors in bladder cancer patients
Time Frame: Baseline to 90-days (+/-30 days) post-operative
Identify clinical and demographic factors related to higher post-cystectomy resiliency in patients with bladder cancer.
Baseline to 90-days (+/-30 days) post-operative
Demographics
Time Frame: Baseline to 90-days (+/-30 days) post-operative
Characterize trends that correspond with greater levels of resiliency and quality of life
Baseline to 90-days (+/-30 days) post-operative

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

August 19, 2020

Primary Completion (Actual)

August 19, 2022

Study Completion (Actual)

August 19, 2023

Study Registration Dates

First Submitted

March 8, 2024

First Submitted That Met QC Criteria

March 27, 2024

First Posted (Actual)

March 29, 2024

Study Record Updates

Last Update Posted (Actual)

October 15, 2024

Last Update Submitted That Met QC Criteria

October 10, 2024

Last Verified

October 1, 2024

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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