Programma di salute riproduttiva nei pazienti con cancro (EROS)
EROS: generare salute riproduttiva all'interno della sopravvivenza oncologica
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.
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Descrizione dettagliata
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.
Tipo di studio
Tipo di studio
Iscrizione (Effettivo)
Iscrizione
Fase
Fase
- Non applicabile
Contatti e Sedi
Luoghi di studio
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Arkansas
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Jonesboro, Arkansas, Stati Uniti, 72401
- Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro
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Colorado
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Aurora, Colorado, Stati Uniti, 80012
- Rocky Mountain Cancer Centers-Aurora
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Boulder, Colorado, Stati Uniti, 80304
- Rocky Mountain Cancer Centers-Boulder
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Denver, Colorado, Stati Uniti, 80204
- Cancer Center of Colorado at Sloan's Lake
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Lone Tree, Colorado, Stati Uniti, 80124
- Rocky Mountain Cancer Centers-Sky Ridge
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Wheat Ridge, Colorado, Stati Uniti, 80033
- SCL Health Lutheran Medical Center
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Georgia
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Augusta, Georgia, Stati Uniti, 30912
- Augusta University Medical Center
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Columbus, Georgia, Stati Uniti, 31904
- John B Amos Cancer Center
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Hawaii
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Honolulu, Hawaii, Stati Uniti, 96813
- Queen's Medical Center
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Honolulu, Hawaii, Stati Uniti, 96813
- Queen's Cancer Cenrer - POB I
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Honolulu, Hawaii, Stati Uniti, 96813
- Straub Clinic and Hospital
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Honolulu, Hawaii, Stati Uniti, 96813
- University of Hawaii Cancer Center
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Honolulu, Hawaii, Stati Uniti, 96817
- Queen's Cancer Center - Kuakini
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Honolulu, Hawaii, Stati Uniti, 96826
- Kapiolani Medical Center for Women and Children
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Honolulu, Hawaii, Stati Uniti, 96813
- Hawaii Cancer Care Inc-POB II
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Honolulu, Hawaii, Stati Uniti, 96859
- Tripler Army Medical Center
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‘Aiea, Hawaii, Stati Uniti, 96701
- Pali Momi Medical Center
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Illinois
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Chicago, Illinois, Stati Uniti, 60612
- John H Stroger Jr Hospital of Cook County
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Danville, Illinois, Stati Uniti, 61832
- Carle on Vermilion
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Effingham, Illinois, Stati Uniti, 62401
- Carle Physician Group-Effingham
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Mattoon, Illinois, Stati Uniti, 61938
- Carle Physician Group-Mattoon/Charleston
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Urbana, Illinois, Stati Uniti, 61801
- Carle Cancer Center
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Urbana, Illinois, Stati Uniti, 61801
- The Carle Foundation Hospital
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Iowa
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Clive, Iowa, Stati Uniti, 50325
- Mercy Cancer Center-West Lakes
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Clive, Iowa, Stati Uniti, 50325
- Medical Oncology and Hematology Associates-West Des Moines
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Creston, Iowa, Stati Uniti, 50801
- Greater Regional Medical Center
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Des Moines, Iowa, Stati Uniti, 50314
- Mercy Medical Center - Des Moines
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Des Moines, Iowa, Stati Uniti, 50314
- Medical Oncology and Hematology Associates-Laurel
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West Des Moines, Iowa, Stati Uniti, 50266
- Mercy Medical Center-West Lakes
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Kentucky
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Lexington, Kentucky, Stati Uniti, 40509
- Saint Joseph Hospital East
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London, Kentucky, Stati Uniti, 40741
- Saint Joseph London
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Louisiana
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Monroe, Louisiana, Stati Uniti, 71202
- Ochsner LSU Health Monroe Medical Center
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Shreveport, Louisiana, Stati Uniti, 71103
- LSU Health Sciences Center at Shreveport
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Minnesota
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Bemidji, Minnesota, Stati Uniti, 56601
- Sanford Joe Lueken Cancer Center
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Coon Rapids, Minnesota, Stati Uniti, 55433
- Mercy Hospital
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Edina, Minnesota, Stati Uniti, 55435
- Fairview Southdale Hospital
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Fridley, Minnesota, Stati Uniti, 55432
- Unity Hospital
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Maplewood, Minnesota, Stati Uniti, 55109
- Saint John's Hospital - Healtheast
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Maplewood, Minnesota, Stati Uniti, 55109
- Minnesota Oncology Hematology PA-Maplewood
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Minneapolis, Minnesota, Stati Uniti, 55415
- Hennepin County Medical Center
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Minneapolis, Minnesota, Stati Uniti, 55407
- Abbott-Northwestern Hospital
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Minneapolis, Minnesota, Stati Uniti, 55454
- Health Partners Inc
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Robbinsdale, Minnesota, Stati Uniti, 55422
- North Memorial Medical Health Center
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Saint Louis Park, Minnesota, Stati Uniti, 55416
- Park Nicollet Clinic - Saint Louis Park
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Saint Paul, Minnesota, Stati Uniti, 55101
- Regions Hospital
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Saint Paul, Minnesota, Stati Uniti, 55102
- United Hospital
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Shakopee, Minnesota, Stati Uniti, 55379
- Saint Francis Regional Medical Center
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Stillwater, Minnesota, Stati Uniti, 55082
- Lakeview Hospital
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Willmar, Minnesota, Stati Uniti, 56201
- Rice Memorial Hospital
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Woodbury, Minnesota, Stati Uniti, 55125
- Minnesota Oncology Hematology PA-Woodbury
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Mississippi
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Oxford, Mississippi, Stati Uniti, 38655
- Baptist Memorial Hospital and Cancer Center-Oxford
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Nebraska
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Grand Island, Nebraska, Stati Uniti, 68803
- CHI Health Saint Francis
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Nevada
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Henderson, Nevada, Stati Uniti, 89052
- OptumCare Cancer Care at Seven Hills
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Las Vegas, Nevada, Stati Uniti, 89148
- OptumCare Cancer Care at Fort Apache
-
Las Vegas, Nevada, Stati Uniti, 89113
- HealthCare Partners Medical Group Oncology/Hematology-San Martin
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Las Vegas, Nevada, Stati Uniti, 89128
- HealthCare Partners Medical Group Oncology/Hematology-Tenaya
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Las Vegas, Nevada, Stati Uniti, 89128
- Ann M Wierman MD LTD
-
Las Vegas, Nevada, Stati Uniti, 89102
- OptumCare Cancer Care at Oakey
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New Mexico
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Albuquerque, New Mexico, Stati Uniti, 87102
- University of New Mexico Cancer Center
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Las Cruces, New Mexico, Stati Uniti, 88011
- Memorial Medical Center - Las Cruces
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New York
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The Bronx, New York, Stati Uniti, 10461
- Montefiore Medical Center-Einstein Campus
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The Bronx, New York, Stati Uniti, 10467
- Montefiore Medical Center - Moses Campus
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The Bronx, New York, Stati Uniti, 10461
- Montefiore Medical Center-Weiler Hospital
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North Dakota
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Bismarck, North Dakota, Stati Uniti, 58501
- Sanford Bismarck Medical Center
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Fargo, North Dakota, Stati Uniti, 58122
- Sanford Roger Maris Cancer Center
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Fargo, North Dakota, Stati Uniti, 58122
- Sanford Broadway Medical Center
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Ohio
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Belpre, Ohio, Stati Uniti, 45714
- Strecker Cancer Center-Belpre
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Chillicothe, Ohio, Stati Uniti, 45601
- Adena Regional Medical Center
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Columbus, Ohio, Stati Uniti, 43219
- The Mark H Zangmeister Center
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Columbus, Ohio, Stati Uniti, 43214
- Columbus Oncology and Hematology Associates Inc
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Marietta, Ohio, Stati Uniti, 45750
- Marietta Memorial Hospital
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Mount Vernon, Ohio, Stati Uniti, 43050
- Knox Community Hospital
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Newark, Ohio, Stati Uniti, 43055
- Licking Memorial Hospital
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Portsmouth, Ohio, Stati Uniti, 45662
- Southern Ohio Medical Center
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Oregon
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Clackamas, Oregon, Stati Uniti, 97015
- Clackamas Radiation Oncology Center
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Clackamas, Oregon, Stati Uniti, 97015
- Providence Cancer Institute Clackamas Clinic
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Newberg, Oregon, Stati Uniti, 97132
- Providence Newberg Medical Center
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Portland, Oregon, Stati Uniti, 97213
- Providence Portland Medical Center
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Portland, Oregon, Stati Uniti, 97225
- Providence Saint Vincent Medical Center
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Pennsylvania
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Paoli, Pennsylvania, Stati Uniti, 19301
- Paoli Memorial Hospital
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Wynnewood, Pennsylvania, Stati Uniti, 19096
- Lankenau Medical Center
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South Carolina
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Anderson, South Carolina, Stati Uniti, 29621
- AnMed Health Cancer Center
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Charleston, South Carolina, Stati Uniti, 29425
- Medical University of South Carolina
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Greer, South Carolina, Stati Uniti, 29651
- Gibbs Cancer Center-Pelham
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Spartanburg, South Carolina, Stati Uniti, 29303
- Spartanburg Medical Center
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South Dakota
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Sioux Falls, South Dakota, Stati Uniti, 57117-5134
- Sanford USD Medical Center - Sioux Falls
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Sioux Falls, South Dakota, Stati Uniti, 57104
- Sanford Cancer Center Oncology Clinic
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Tennessee
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Memphis, Tennessee, Stati Uniti, 38120
- Baptist Memorial Hospital and Cancer Center-Memphis
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Nashville, Tennessee, Stati Uniti, 37208
- Meharry Medical College
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Virginia
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Richmond, Virginia, Stati Uniti, 23298
- Virginia Commonwealth University/Massey Cancer Center
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Washington
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Auburn, Washington, Stati Uniti, 98001
- MultiCare Auburn Medical Center
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Gig Harbor, Washington, Stati Uniti, 98335
- MultiCare Gig Harbor Medical Park
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Puyallup, Washington, Stati Uniti, 98372
- MultiCare Good Samaritan Hospital
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Tacoma, Washington, Stati Uniti, 98405
- MultiCare Tacoma General Hospital
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Wisconsin
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Burlington, Wisconsin, Stati Uniti, 53105
- Aurora Cancer Care-Southern Lakes VLCC
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Fond du Lac, Wisconsin, Stati Uniti, 54937
- Aurora Health Center-Fond du Lac
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Grafton, Wisconsin, Stati Uniti, 53024
- Aurora Cancer Care-Grafton
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Green Bay, Wisconsin, Stati Uniti, 54311
- Aurora BayCare Medical Center
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Kenosha, Wisconsin, Stati Uniti, 53142
- Aurora Cancer Care-Kenosha South
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Milwaukee, Wisconsin, Stati Uniti, 53209
- Aurora Cancer Care-Milwaukee
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Milwaukee, Wisconsin, Stati Uniti, 53215
- Aurora Saint Luke's Medical Center
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New Richmond, Wisconsin, Stati Uniti, 54017
- Cancer Center of Western Wisconsin
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Oshkosh, Wisconsin, Stati Uniti, 54904
- Vince Lombardi Cancer Clinic - Oshkosh
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Sheboygan, Wisconsin, Stati Uniti, 53081
- Vince Lombardi Cancer Clinic-Sheboygan
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Summit, Wisconsin, Stati Uniti, 53066
- Aurora Medical Center in Summit
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Two Rivers, Wisconsin, Stati Uniti, 54241
- Vince Lombardi Cancer Clinic-Two Rivers
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Wauwatosa, Wisconsin, Stati Uniti, 53226
- Aurora Cancer Care-Milwaukee West
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West Allis, Wisconsin, Stati Uniti, 53227
- Aurora West Allis Medical Center
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Wyoming
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Cheyenne, Wyoming, Stati Uniti, 82001
- Cheyenne Regional Medical Center-West
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-
Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
Inclusion Criteria:
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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
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Terapia di supporto
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
|---|---|
|
Comparatore attivo: Arm A (no intervention)
Patients undergo usual standard practice related to reproductive health. |
Patients undergo usual standard practice related to reproductive health. |
|
Sperimentale: 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. |
Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Proportion of Patients With Appropriate Reproductive Health Management
Lasso di tempo: 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
|
Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Difference in Rating Between Patients and Their Clinicians in Importance of Fertility Maintenance
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
|
Altre misure di risultato
Altre misure di risultato
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Levels of Endocrine Markers of Fertility
Lasso di tempo: 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)
Lasso di tempo: 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
|
Collaboratori e investigatori
Sponsor
Sponsor
Collaboratori
Collaboratori
Investigatori
Investigatori
- Investigatore principale: Ashlesha Patel, Eastern Cooperative Oncology Group
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Effettivo)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Stimato)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- E1Q11
- U10CA037403 (Sovvenzione/contratto NIH degli Stati Uniti)
- NCI-2012-02869 (Identificatore di registro: CTRP (Clinical Trial Reporting Program))
Piano per i dati dei singoli partecipanti (IPD)
Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?
Descrizione del piano IPD
Individual participant data may be made available upon request as per the ECOG-ACRIN Data Sharing Policy.
Informazioni su farmaci e dispositivi, documenti di studio
Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti
Studia un dispositivo regolamentato dalla FDA degli Stati Uniti
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