Programm zur reproduktiven Gesundheit bei Krebspatienten (EROS)
EROS: Förderung der reproduktiven Gesundheit im Rahmen des onkologischen Überlebens
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.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
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.
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienorte
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Arkansas
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Jonesboro, Arkansas, Vereinigte Staaten, 72401
- Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro
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Colorado
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Aurora, Colorado, Vereinigte Staaten, 80012
- Rocky Mountain Cancer Centers-Aurora
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Boulder, Colorado, Vereinigte Staaten, 80304
- Rocky Mountain Cancer Centers-Boulder
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Denver, Colorado, Vereinigte Staaten, 80204
- Cancer Center of Colorado at Sloan's Lake
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Lone Tree, Colorado, Vereinigte Staaten, 80124
- Rocky Mountain Cancer Centers-Sky Ridge
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Wheat Ridge, Colorado, Vereinigte Staaten, 80033
- SCL Health Lutheran Medical Center
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Georgia
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Augusta, Georgia, Vereinigte Staaten, 30912
- Augusta University Medical Center
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Columbus, Georgia, Vereinigte Staaten, 31904
- John B Amos Cancer Center
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Hawaii
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Honolulu, Hawaii, Vereinigte Staaten, 96813
- Queen's Medical Center
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Honolulu, Hawaii, Vereinigte Staaten, 96813
- Queen's Cancer Cenrer - POB I
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Honolulu, Hawaii, Vereinigte Staaten, 96813
- Straub Clinic and Hospital
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Honolulu, Hawaii, Vereinigte Staaten, 96813
- University of Hawaii Cancer Center
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Honolulu, Hawaii, Vereinigte Staaten, 96817
- Queen's Cancer Center - Kuakini
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Honolulu, Hawaii, Vereinigte Staaten, 96826
- Kapiolani Medical Center for Women and Children
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Honolulu, Hawaii, Vereinigte Staaten, 96813
- Hawaii Cancer Care Inc-POB II
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Honolulu, Hawaii, Vereinigte Staaten, 96859
- Tripler Army Medical Center
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‘Aiea, Hawaii, Vereinigte Staaten, 96701
- Pali Momi Medical Center
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Illinois
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Chicago, Illinois, Vereinigte Staaten, 60612
- John H Stroger Jr Hospital of Cook County
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Danville, Illinois, Vereinigte Staaten, 61832
- Carle on Vermilion
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Effingham, Illinois, Vereinigte Staaten, 62401
- Carle Physician Group-Effingham
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Mattoon, Illinois, Vereinigte Staaten, 61938
- Carle Physician Group-Mattoon/Charleston
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Urbana, Illinois, Vereinigte Staaten, 61801
- Carle Cancer Center
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Urbana, Illinois, Vereinigte Staaten, 61801
- The Carle Foundation Hospital
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Iowa
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Clive, Iowa, Vereinigte Staaten, 50325
- Mercy Cancer Center-West Lakes
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Clive, Iowa, Vereinigte Staaten, 50325
- Medical Oncology and Hematology Associates-West Des Moines
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Creston, Iowa, Vereinigte Staaten, 50801
- Greater Regional Medical Center
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Des Moines, Iowa, Vereinigte Staaten, 50314
- Mercy Medical Center - Des Moines
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Des Moines, Iowa, Vereinigte Staaten, 50314
- Medical Oncology and Hematology Associates-Laurel
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West Des Moines, Iowa, Vereinigte Staaten, 50266
- Mercy Medical Center-West Lakes
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Kentucky
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Lexington, Kentucky, Vereinigte Staaten, 40509
- Saint Joseph Hospital East
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London, Kentucky, Vereinigte Staaten, 40741
- Saint Joseph London
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Louisiana
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Monroe, Louisiana, Vereinigte Staaten, 71202
- Ochsner LSU Health Monroe Medical Center
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Shreveport, Louisiana, Vereinigte Staaten, 71103
- LSU Health Sciences Center at Shreveport
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Minnesota
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Bemidji, Minnesota, Vereinigte Staaten, 56601
- Sanford Joe Lueken Cancer Center
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Coon Rapids, Minnesota, Vereinigte Staaten, 55433
- Mercy Hospital
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Edina, Minnesota, Vereinigte Staaten, 55435
- Fairview Southdale Hospital
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Fridley, Minnesota, Vereinigte Staaten, 55432
- Unity Hospital
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Maplewood, Minnesota, Vereinigte Staaten, 55109
- Saint John's Hospital - Healtheast
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Maplewood, Minnesota, Vereinigte Staaten, 55109
- Minnesota Oncology Hematology PA-Maplewood
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Minneapolis, Minnesota, Vereinigte Staaten, 55415
- Hennepin County Medical Center
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Minneapolis, Minnesota, Vereinigte Staaten, 55407
- Abbott-Northwestern Hospital
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Minneapolis, Minnesota, Vereinigte Staaten, 55454
- Health Partners Inc
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Robbinsdale, Minnesota, Vereinigte Staaten, 55422
- North Memorial Medical Health Center
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Saint Louis Park, Minnesota, Vereinigte Staaten, 55416
- Park Nicollet Clinic - Saint Louis Park
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Saint Paul, Minnesota, Vereinigte Staaten, 55101
- Regions Hospital
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Saint Paul, Minnesota, Vereinigte Staaten, 55102
- United Hospital
-
Shakopee, Minnesota, Vereinigte Staaten, 55379
- Saint Francis Regional Medical Center
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Stillwater, Minnesota, Vereinigte Staaten, 55082
- Lakeview Hospital
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Willmar, Minnesota, Vereinigte Staaten, 56201
- Rice Memorial Hospital
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Woodbury, Minnesota, Vereinigte Staaten, 55125
- Minnesota Oncology Hematology PA-Woodbury
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Mississippi
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Oxford, Mississippi, Vereinigte Staaten, 38655
- Baptist Memorial Hospital and Cancer Center-Oxford
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Nebraska
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Grand Island, Nebraska, Vereinigte Staaten, 68803
- CHI Health Saint Francis
-
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Nevada
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Henderson, Nevada, Vereinigte Staaten, 89052
- OptumCare Cancer Care at Seven Hills
-
Las Vegas, Nevada, Vereinigte Staaten, 89148
- OptumCare Cancer Care at Fort Apache
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Las Vegas, Nevada, Vereinigte Staaten, 89113
- HealthCare Partners Medical Group Oncology/Hematology-San Martin
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Las Vegas, Nevada, Vereinigte Staaten, 89128
- HealthCare Partners Medical Group Oncology/Hematology-Tenaya
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Las Vegas, Nevada, Vereinigte Staaten, 89128
- Ann M Wierman MD LTD
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Las Vegas, Nevada, Vereinigte Staaten, 89102
- OptumCare Cancer Care at Oakey
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New Mexico
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Albuquerque, New Mexico, Vereinigte Staaten, 87102
- University of New Mexico Cancer Center
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Las Cruces, New Mexico, Vereinigte Staaten, 88011
- Memorial Medical Center - Las Cruces
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New York
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The Bronx, New York, Vereinigte Staaten, 10461
- Montefiore Medical Center-Einstein Campus
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The Bronx, New York, Vereinigte Staaten, 10467
- Montefiore Medical Center - Moses Campus
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The Bronx, New York, Vereinigte Staaten, 10461
- Montefiore Medical Center-Weiler Hospital
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North Dakota
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Bismarck, North Dakota, Vereinigte Staaten, 58501
- Sanford Bismarck Medical Center
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Fargo, North Dakota, Vereinigte Staaten, 58122
- Sanford Roger Maris Cancer Center
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Fargo, North Dakota, Vereinigte Staaten, 58122
- Sanford Broadway Medical Center
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Ohio
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Belpre, Ohio, Vereinigte Staaten, 45714
- Strecker Cancer Center-Belpre
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Chillicothe, Ohio, Vereinigte Staaten, 45601
- Adena Regional Medical Center
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Columbus, Ohio, Vereinigte Staaten, 43219
- The Mark H Zangmeister Center
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Columbus, Ohio, Vereinigte Staaten, 43214
- Columbus Oncology and Hematology Associates Inc
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Marietta, Ohio, Vereinigte Staaten, 45750
- Marietta Memorial Hospital
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Mount Vernon, Ohio, Vereinigte Staaten, 43050
- Knox Community Hospital
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Newark, Ohio, Vereinigte Staaten, 43055
- Licking Memorial Hospital
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Portsmouth, Ohio, Vereinigte Staaten, 45662
- Southern Ohio Medical Center
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Oregon
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Clackamas, Oregon, Vereinigte Staaten, 97015
- Clackamas Radiation Oncology Center
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Clackamas, Oregon, Vereinigte Staaten, 97015
- Providence Cancer Institute Clackamas Clinic
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Newberg, Oregon, Vereinigte Staaten, 97132
- Providence Newberg Medical Center
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Portland, Oregon, Vereinigte Staaten, 97213
- Providence Portland Medical Center
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Portland, Oregon, Vereinigte Staaten, 97225
- Providence Saint Vincent Medical Center
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Pennsylvania
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Paoli, Pennsylvania, Vereinigte Staaten, 19301
- Paoli Memorial Hospital
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Wynnewood, Pennsylvania, Vereinigte Staaten, 19096
- Lankenau Medical Center
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South Carolina
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Anderson, South Carolina, Vereinigte Staaten, 29621
- AnMed Health Cancer Center
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Charleston, South Carolina, Vereinigte Staaten, 29425
- Medical University of South Carolina
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Greer, South Carolina, Vereinigte Staaten, 29651
- Gibbs Cancer Center-Pelham
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Spartanburg, South Carolina, Vereinigte Staaten, 29303
- Spartanburg Medical Center
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South Dakota
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Sioux Falls, South Dakota, Vereinigte Staaten, 57117-5134
- Sanford USD Medical Center - Sioux Falls
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Sioux Falls, South Dakota, Vereinigte Staaten, 57104
- Sanford Cancer Center Oncology Clinic
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Tennessee
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Memphis, Tennessee, Vereinigte Staaten, 38120
- Baptist Memorial Hospital and Cancer Center-Memphis
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Nashville, Tennessee, Vereinigte Staaten, 37208
- Meharry Medical College
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Virginia
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Richmond, Virginia, Vereinigte Staaten, 23298
- Virginia Commonwealth University/Massey Cancer Center
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Washington
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Auburn, Washington, Vereinigte Staaten, 98001
- MultiCare Auburn Medical Center
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Gig Harbor, Washington, Vereinigte Staaten, 98335
- MultiCare Gig Harbor Medical Park
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Puyallup, Washington, Vereinigte Staaten, 98372
- MultiCare Good Samaritan Hospital
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Tacoma, Washington, Vereinigte Staaten, 98405
- MultiCare Tacoma General Hospital
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Wisconsin
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Burlington, Wisconsin, Vereinigte Staaten, 53105
- Aurora Cancer Care-Southern Lakes VLCC
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Fond du Lac, Wisconsin, Vereinigte Staaten, 54937
- Aurora Health Center-Fond du Lac
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Grafton, Wisconsin, Vereinigte Staaten, 53024
- Aurora Cancer Care-Grafton
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Green Bay, Wisconsin, Vereinigte Staaten, 54311
- Aurora BayCare Medical Center
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Kenosha, Wisconsin, Vereinigte Staaten, 53142
- Aurora Cancer Care-Kenosha South
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Milwaukee, Wisconsin, Vereinigte Staaten, 53209
- Aurora Cancer Care-Milwaukee
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Milwaukee, Wisconsin, Vereinigte Staaten, 53215
- Aurora Saint Luke's Medical Center
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New Richmond, Wisconsin, Vereinigte Staaten, 54017
- Cancer Center of Western Wisconsin
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Oshkosh, Wisconsin, Vereinigte Staaten, 54904
- Vince Lombardi Cancer Clinic - Oshkosh
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Sheboygan, Wisconsin, Vereinigte Staaten, 53081
- Vince Lombardi Cancer Clinic-Sheboygan
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Summit, Wisconsin, Vereinigte Staaten, 53066
- Aurora Medical Center in Summit
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Two Rivers, Wisconsin, Vereinigte Staaten, 54241
- Vince Lombardi Cancer Clinic-Two Rivers
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Wauwatosa, Wisconsin, Vereinigte Staaten, 53226
- Aurora Cancer Care-Milwaukee West
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West Allis, Wisconsin, Vereinigte Staaten, 53227
- Aurora West Allis Medical Center
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Wyoming
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Cheyenne, Wyoming, Vereinigte Staaten, 82001
- Cheyenne Regional Medical Center-West
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-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
-
Female patients presenting with initial diagnosis of any type of cancer, including patients with ductal carcinoma in situ (DCIS)
-
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
-
Pregnant women are eligible to participate in this study
-
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
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Unterstützende Pflege
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Aktiver Komparator: Arm A (no intervention)
Patients undergo usual standard practice related to reproductive health. |
Patients undergo usual standard practice related to reproductive health. |
|
Experimental: 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. |
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Proportion of Patients With Appropriate Reproductive Health Management
Zeitfenster: 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
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Difference in Rating Between Patients and Their Clinicians in Importance of Fertility Maintenance
Zeitfenster: 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
Zeitfenster: 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
Zeitfenster: 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
|
Andere Ergebnismessungen
Andere Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Levels of Endocrine Markers of Fertility
Zeitfenster: 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)
Zeitfenster: 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
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Mitarbeiter
Mitarbeiter
Ermittler
Ermittler
- Hauptermittler: Ashlesha Patel, Eastern Cooperative Oncology Group
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Geschätzt)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- E1Q11
- U10CA037403 (US NIH Stipendium/Vertrag)
- NCI-2012-02869 (Registrierungskennung: CTRP (Clinical Trial Reporting Program))
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Beschreibung des IPD-Plans
Individual participant data may be made available upon request as per the ECOG-ACRIN Data Sharing Policy.
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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