Reproduktivt sundhedsprogram hos patienter med kræft (EROS)
EROS: Fremkaldende reproduktiv sundhed inden for onkologisk overlevelse
This clinical trial studies reproductive health program in patients with cancer. A reproductive health program may improve patients' understanding of reproductive risks and receipt of appropriate treatment to achieve their reproductive health goals.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
PRIMARY OBJECTIVES:
I. To evaluate the success of the implementation of reproductive health programming (Didactics, Engendering Reproductive Health Within Oncologic Survivorship [EROS] Reproductive Health Assessment and EROS Trial Algorithm) among reproductive aged females (15-55) with cancer.
SECONDARY OBJECTIVES:
I. To assess the degree of discrepancy between patients and their clinicians in estimates of significance of the reproductive health goals for the patient.
II. To evaluate baseline and follow-up reproductive health assessments for trends in reproductive health choices relating to oncofertility, oncocontraception and pregnancy over the 2-year study period.
III. To identify clinical and demographic factors that predict the adequacy of reproductive health care management.
TERTIARY OBJECTIVES:
I. To perform a longitudinal study following endocrine markers of fertility in a cohort of the first 200 registered EROS trial patients who agree to participate.
II. To perform a longitudinal study of sexual function using the Patient-Reported Outcomes Measurement Information System (PROMIS) sexual function survey in all subjects participating in the EROS Trial.
OUTLINE: Participating institutions are randomized to 1 of 2 arms. Patients are assigned to a study arm depending on the institutional assignment.
ARM A: Patients undergo usual standard practice related to reproductive health. ARM B: Patients undergo reproductive health program comprising didactics, reproductive health assessment and navigating algorithm, and network development.
After completion of study intervention, patients are followed up periodically.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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Arkansas
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Jonesboro, Arkansas, Forenede Stater, 72401
- Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro
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Colorado
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Aurora, Colorado, Forenede Stater, 80012
- Rocky Mountain Cancer Centers-Aurora
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Boulder, Colorado, Forenede Stater, 80304
- Rocky Mountain Cancer Centers-Boulder
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Denver, Colorado, Forenede Stater, 80204
- Cancer Center of Colorado at Sloan's Lake
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Lone Tree, Colorado, Forenede Stater, 80124
- Rocky Mountain Cancer Centers-Sky Ridge
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Wheat Ridge, Colorado, Forenede Stater, 80033
- SCL Health Lutheran Medical Center
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Georgia
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Augusta, Georgia, Forenede Stater, 30912
- Augusta University Medical Center
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Columbus, Georgia, Forenede Stater, 31904
- John B Amos Cancer Center
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Hawaii
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Honolulu, Hawaii, Forenede Stater, 96813
- Queen's Medical Center
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Honolulu, Hawaii, Forenede Stater, 96813
- Queen's Cancer Cenrer - POB I
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Honolulu, Hawaii, Forenede Stater, 96813
- Straub Clinic and Hospital
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Honolulu, Hawaii, Forenede Stater, 96813
- University of Hawaii Cancer Center
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Honolulu, Hawaii, Forenede Stater, 96817
- Queen's Cancer Center - Kuakini
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Honolulu, Hawaii, Forenede Stater, 96826
- Kapiolani Medical Center for Women and Children
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Honolulu, Hawaii, Forenede Stater, 96813
- Hawaii Cancer Care Inc-POB II
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Honolulu, Hawaii, Forenede Stater, 96859
- Tripler Army Medical Center
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‘Aiea, Hawaii, Forenede Stater, 96701
- Pali Momi Medical Center
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Illinois
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Chicago, Illinois, Forenede Stater, 60612
- John H Stroger Jr Hospital of Cook County
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Danville, Illinois, Forenede Stater, 61832
- Carle on Vermilion
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Effingham, Illinois, Forenede Stater, 62401
- Carle Physician Group-Effingham
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Mattoon, Illinois, Forenede Stater, 61938
- Carle Physician Group-Mattoon/Charleston
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Urbana, Illinois, Forenede Stater, 61801
- Carle Cancer Center
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Urbana, Illinois, Forenede Stater, 61801
- The Carle Foundation Hospital
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Iowa
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Clive, Iowa, Forenede Stater, 50325
- Mercy Cancer Center-West Lakes
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Clive, Iowa, Forenede Stater, 50325
- Medical Oncology and Hematology Associates-West Des Moines
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Creston, Iowa, Forenede Stater, 50801
- Greater Regional Medical Center
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Des Moines, Iowa, Forenede Stater, 50314
- Mercy Medical Center - Des Moines
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Des Moines, Iowa, Forenede Stater, 50314
- Medical Oncology and Hematology Associates-Laurel
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West Des Moines, Iowa, Forenede Stater, 50266
- Mercy Medical Center-West Lakes
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Kentucky
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Lexington, Kentucky, Forenede Stater, 40509
- Saint Joseph Hospital East
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London, Kentucky, Forenede Stater, 40741
- Saint Joseph London
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Louisiana
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Monroe, Louisiana, Forenede Stater, 71202
- Ochsner LSU Health Monroe Medical Center
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Shreveport, Louisiana, Forenede Stater, 71103
- LSU Health Sciences Center at Shreveport
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Minnesota
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Bemidji, Minnesota, Forenede Stater, 56601
- Sanford Joe Lueken Cancer Center
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Coon Rapids, Minnesota, Forenede Stater, 55433
- Mercy Hospital
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Edina, Minnesota, Forenede Stater, 55435
- Fairview Southdale Hospital
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Fridley, Minnesota, Forenede Stater, 55432
- Unity Hospital
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Maplewood, Minnesota, Forenede Stater, 55109
- Saint John's Hospital - Healtheast
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Maplewood, Minnesota, Forenede Stater, 55109
- Minnesota Oncology Hematology PA-Maplewood
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Minneapolis, Minnesota, Forenede Stater, 55415
- Hennepin County Medical Center
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Minneapolis, Minnesota, Forenede Stater, 55407
- Abbott-Northwestern Hospital
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Minneapolis, Minnesota, Forenede Stater, 55454
- Health Partners Inc
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Robbinsdale, Minnesota, Forenede Stater, 55422
- North Memorial Medical Health Center
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Saint Louis Park, Minnesota, Forenede Stater, 55416
- Park Nicollet Clinic - Saint Louis Park
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Saint Paul, Minnesota, Forenede Stater, 55101
- Regions Hospital
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Saint Paul, Minnesota, Forenede Stater, 55102
- United Hospital
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Shakopee, Minnesota, Forenede Stater, 55379
- Saint Francis Regional Medical Center
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Stillwater, Minnesota, Forenede Stater, 55082
- Lakeview Hospital
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Willmar, Minnesota, Forenede Stater, 56201
- Rice Memorial Hospital
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Woodbury, Minnesota, Forenede Stater, 55125
- Minnesota Oncology Hematology PA-Woodbury
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Mississippi
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Oxford, Mississippi, Forenede Stater, 38655
- Baptist Memorial Hospital and Cancer Center-Oxford
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Nebraska
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Grand Island, Nebraska, Forenede Stater, 68803
- CHI Health Saint Francis
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Nevada
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Henderson, Nevada, Forenede Stater, 89052
- OptumCare Cancer Care at Seven Hills
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Las Vegas, Nevada, Forenede Stater, 89148
- OptumCare Cancer Care at Fort Apache
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Las Vegas, Nevada, Forenede Stater, 89113
- HealthCare Partners Medical Group Oncology/Hematology-San Martin
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Las Vegas, Nevada, Forenede Stater, 89128
- HealthCare Partners Medical Group Oncology/Hematology-Tenaya
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Las Vegas, Nevada, Forenede Stater, 89128
- Ann M Wierman MD LTD
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Las Vegas, Nevada, Forenede Stater, 89102
- OptumCare Cancer Care at Oakey
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New Mexico
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Albuquerque, New Mexico, Forenede Stater, 87102
- University of New Mexico Cancer Center
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Las Cruces, New Mexico, Forenede Stater, 88011
- Memorial Medical Center - Las Cruces
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New York
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The Bronx, New York, Forenede Stater, 10461
- Montefiore Medical Center-Einstein Campus
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The Bronx, New York, Forenede Stater, 10467
- Montefiore Medical Center - Moses Campus
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The Bronx, New York, Forenede Stater, 10461
- Montefiore Medical Center-Weiler Hospital
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North Dakota
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Bismarck, North Dakota, Forenede Stater, 58501
- Sanford Bismarck Medical Center
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Fargo, North Dakota, Forenede Stater, 58122
- Sanford Roger Maris Cancer Center
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Fargo, North Dakota, Forenede Stater, 58122
- Sanford Broadway Medical Center
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Ohio
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Belpre, Ohio, Forenede Stater, 45714
- Strecker Cancer Center-Belpre
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Chillicothe, Ohio, Forenede Stater, 45601
- Adena Regional Medical Center
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Columbus, Ohio, Forenede Stater, 43219
- The Mark H Zangmeister Center
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Columbus, Ohio, Forenede Stater, 43214
- Columbus Oncology and Hematology Associates Inc
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Marietta, Ohio, Forenede Stater, 45750
- Marietta Memorial Hospital
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Mount Vernon, Ohio, Forenede Stater, 43050
- Knox Community Hospital
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Newark, Ohio, Forenede Stater, 43055
- Licking Memorial Hospital
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Portsmouth, Ohio, Forenede Stater, 45662
- Southern Ohio Medical Center
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Oregon
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Clackamas, Oregon, Forenede Stater, 97015
- Clackamas Radiation Oncology Center
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Clackamas, Oregon, Forenede Stater, 97015
- Providence Cancer Institute Clackamas Clinic
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Newberg, Oregon, Forenede Stater, 97132
- Providence Newberg Medical Center
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Portland, Oregon, Forenede Stater, 97213
- Providence Portland Medical Center
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Portland, Oregon, Forenede Stater, 97225
- Providence Saint Vincent Medical Center
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Pennsylvania
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Paoli, Pennsylvania, Forenede Stater, 19301
- Paoli Memorial Hospital
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Wynnewood, Pennsylvania, Forenede Stater, 19096
- Lankenau Medical Center
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South Carolina
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Anderson, South Carolina, Forenede Stater, 29621
- AnMed Health Cancer Center
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Charleston, South Carolina, Forenede Stater, 29425
- Medical University of South Carolina
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Greer, South Carolina, Forenede Stater, 29651
- Gibbs Cancer Center-Pelham
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Spartanburg, South Carolina, Forenede Stater, 29303
- Spartanburg Medical Center
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South Dakota
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Sioux Falls, South Dakota, Forenede Stater, 57117-5134
- Sanford USD Medical Center - Sioux Falls
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Sioux Falls, South Dakota, Forenede Stater, 57104
- Sanford Cancer Center Oncology Clinic
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Tennessee
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Memphis, Tennessee, Forenede Stater, 38120
- Baptist Memorial Hospital and Cancer Center-Memphis
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Nashville, Tennessee, Forenede Stater, 37208
- Meharry Medical College
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Virginia
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Richmond, Virginia, Forenede Stater, 23298
- Virginia Commonwealth University/Massey Cancer Center
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Washington
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Auburn, Washington, Forenede Stater, 98001
- MultiCare Auburn Medical Center
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Gig Harbor, Washington, Forenede Stater, 98335
- MultiCare Gig Harbor Medical Park
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Puyallup, Washington, Forenede Stater, 98372
- MultiCare Good Samaritan Hospital
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Tacoma, Washington, Forenede Stater, 98405
- MultiCare Tacoma General Hospital
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Wisconsin
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Burlington, Wisconsin, Forenede Stater, 53105
- Aurora Cancer Care-Southern Lakes VLCC
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Fond du Lac, Wisconsin, Forenede Stater, 54937
- Aurora Health Center-Fond du Lac
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Grafton, Wisconsin, Forenede Stater, 53024
- Aurora Cancer Care-Grafton
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Green Bay, Wisconsin, Forenede Stater, 54311
- Aurora BayCare Medical Center
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Kenosha, Wisconsin, Forenede Stater, 53142
- Aurora Cancer Care-Kenosha South
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Milwaukee, Wisconsin, Forenede Stater, 53209
- Aurora Cancer Care-Milwaukee
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Milwaukee, Wisconsin, Forenede Stater, 53215
- Aurora Saint Luke's Medical Center
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New Richmond, Wisconsin, Forenede Stater, 54017
- Cancer Center of Western Wisconsin
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Oshkosh, Wisconsin, Forenede Stater, 54904
- Vince Lombardi Cancer Clinic - Oshkosh
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Sheboygan, Wisconsin, Forenede Stater, 53081
- Vince Lombardi Cancer Clinic-Sheboygan
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Summit, Wisconsin, Forenede Stater, 53066
- Aurora Medical Center in Summit
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Two Rivers, Wisconsin, Forenede Stater, 54241
- Vince Lombardi Cancer Clinic-Two Rivers
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Wauwatosa, Wisconsin, Forenede Stater, 53226
- Aurora Cancer Care-Milwaukee West
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West Allis, Wisconsin, Forenede Stater, 53227
- Aurora West Allis Medical Center
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Wyoming
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Cheyenne, Wyoming, Forenede Stater, 82001
- Cheyenne Regional Medical Center-West
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
-
Female patients presenting with initial diagnosis of any type of cancer, including patients with ductal carcinoma in situ (DCIS)
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Pre-menopausal patients within the reproductive age range of 15-55 years; pre-menopausal is defined as females meeting the following criteria:
- Patients not currently on hormonal contraception with the presence of menses in the past 6 months
- If no menstruation in the past 6 months, without hormonal manipulation, then confirmed follicle-stimulating hormone (FSH) < 23mlU/mL
- If age < 47 years and on hormonal contraception, then patient will be eligible regardless of menstrual history
- If age ≥ 47 years and on hormonal contraception, then FSH confirmed < 23mIU/mL
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Pregnant women are eligible to participate in this study
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Patients must have the cognitive ability to participate in the study
Exclusion Criteria:
- Patients who have initiated chemotherapy, radiation therapy or endocrine therapy prior to registration to this study
- Prior hysterectomy, bilateral oophorectomy or sterilization of any method
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Støttende pleje
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Aktiv komparator: Arm A (no intervention)
Patients undergo usual standard practice related to reproductive health. |
Patients undergo usual standard practice related to reproductive health. |
|
Eksperimentel: Arm B (reproductive health program)
Patients undergo reproductive health program comprising didactics, reproductive health assessment and navigating algorithm, and network development. |
Patients undergo reproductive health program comprising didactics, reproductive health assessment and navigating algorithm, and network development. |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Proportion of Patients With Appropriate Reproductive Health Management
Tidsramme: At baseline and 3 months
|
Appropriate reproductive health management was determined using the followings: (1) Females that were pregnant or interested in immediate pregnancy (defined as within 1 year of enrollment) were given referral to obstetrician/gynecologist or counseled about pregnancy options (2) Females interested in future childbearing were counseled or given a referral for fertility preservation if requested (3) Females who were not interested in immediate pregnancy were given a referral or counseling to select family planning that was consistent with plans for sexual activity and future childbearing. If a female fell into category 1, 2, or 3, and the appropriate referral occurred within 3 months of enrollment, then appropriate reproductive health management was achieved. For patients with appropriate reproductive health management in place before the baseline visit, they were included in the analysis and counted as having appropriate reproductive health management. |
At baseline and 3 months
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Difference in Rating Between Patients and Their Clinicians in Importance of Fertility Maintenance
Tidsramme: At baseline
|
The rating on the importance of fertility maintenance was assessed among patients and the corresponding treating physicians. The rating scale ranges between 1 and 10. Higher scores indicate more importance of fertility maintenance. The difference in rating was calculated by subtracting patient rating from physician's rating. |
At baseline
|
|
The Changes in Reproductive Health Status From Baseline to 3 Months
Tidsramme: Baseline and 3 months
|
Patient's reproductive health choices relating to oncofertility, oncocontraception and pregnancy was assessed at baseline and 3 months. Patient's reproductive health status is categorized into the following categories:
|
Baseline and 3 months
|
|
Associations Between Clinical and Demographic Factors and Adequacy of Reproductive Health Care Management
Tidsramme: Baseline and 3 months
|
Appropriate reproductive health management was determined using the followings: (1) Females that were pregnant or interested in immediate pregnancy (defined as within 1 year of enrollment) were given referral to obstetrician/gynecologist or counseled about pregnancy options (2) Females interested in future childbearing were counseled or given a referral for fertility preservation if requested (3) Females who were not interested in immediate pregnancy were given a referral or counseling to select family planning that was consistent with plans for sexual activity and future childbearing. If a female fell into category 1, 2, or 3, and the appropriate referral occurred within 3 months of enrollment, then appropriate reproductive health management was achieved. For patients with appropriate reproductive health management in place before the baseline visit, they were included in the analysis and counted as having appropriate reproductive health management. |
Baseline and 3 months
|
Andre resultatmål
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Levels of Endocrine Markers of Fertility
Tidsramme: Baseline and 3, 6, 12, 24 months
|
Reproductive health-related biomarkers, including follicle-stimulating hormone (FSH), anti-müllerian hormone (AMH), thyroid stimulating hormone (TSH) and Thyroid peroxidase (TPO), were evaluated through blood samples collected at baseline and 3, 6, 12, 24 months. |
Baseline and 3, 6, 12, 24 months
|
|
Sexual Function Score by Patient-Reported Outcomes Measurement Information System (PROMIS)
Tidsramme: Baseline and 3, 6, 12, 24 months
|
Sexual function was evaluated using PROMIS sexual function survey brief profile V1.0. All subdomain scores (except for the orgasm subdomain) are expressed as T-scores with a mean of 50 and a standard deviation of 10. A raw summed score is created for each domain. For Global Satisfaction with Sex Life, the raw summed score can range from 2 (endorsed "Not at all" to both items) to 10 (endorsed "Very" or "Very much" to both items). Higher scores indicate more satisfaction/interest/lubrication/discomfort/ability with sex life. Lower scores indicate less satisfaction/interest/lubrication/discomfort/ability with sex life. |
Baseline and 3, 6, 12, 24 months
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Efterforskere
Efterforskere
- Ledende efterforsker: Ashlesha Patel, Eastern Cooperative Oncology Group
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Anslået)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- E1Q11
- U10CA037403 (U.S. NIH-bevilling/kontrakt)
- NCI-2012-02869 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Individual participant data may be made available upon request as per the ECOG-ACRIN Data Sharing Policy.
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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