Comparing Follow-Up Schedules in Patients With Newly Diagnosed Stage IB or Stage II Melanoma
Prospective Randomized Trial for the Evaluation of a Theoretical Follow-Up Schedule in Cutaneous Melanoma Patients, the MELFO-Study.
RATIONALE: Gathering information over time from follow-up visits may help doctors plan the best follow-up schedule. It is not yet known which follow-up schedule is more effective in improving patient quality of life.
PURPOSE: This randomized clinical trial is comparing follow-up schedules to see how well they work in patients with newly diagnosed stage IB or stage II melanoma.
調査の概要
詳細な説明
OBJECTIVES:
- To determine the difference between conventional versus experimental follow-up schedules, in terms of patient well-being, expressed health-related quality of life, level of anxiety, and satisfaction with the follow-up schedule in patients with newly diagnosed stage IB or II cutaneous melanoma.
- To determine the ability of these schedules to detect recurrences and second primary melanomas in these patients.
OUTLINE: Patients are stratified according to AJCC stage (I vs II). Patients are randomized to 1 of 2 follow-up arms.
Arm I (experimental follow-up schedule): Patients undergo a thorough history and physical examination periodically for 5 years. Patients are followed up according to the experimental schedule:
- For stage IB disease: Patients are followed up annually for 5 years.
- For stage IIA disease: Patients are followed up biannually for years 1 and 2 and annually for years 3, 4, and 5.
- For stage IIB or IIC disease: Patients are followed up every 4 months during years 1 and 2, every 6 months during year 3, and annually during years 4 and 5.
Arm II: (conventional follow-up schedule): Patients undergo a thorough history and physical examination periodically for 5 years. Patients are followed up according to the conventional schedule:
- For all stage disease: Patients are followed up every 3 months for year 1, every 4 months for year 2, and every 6 months for years 3-5.
In both arms, patient well-being is measured at 0, 6, 12, 24, 36, 48, and 60 months after primary diagnosis, using the following questionnaires: the health-related quality of life questionnaire (RAND-36), the anxiety questionnaire (STAI version DY-1 [state] and DY-2 [trait]), the Cancer Worry Scale, and Follow-up Satisfaction questionnaire, and the self-designed specific questions regarding self-examination and follow-up satisfaction.
All patients are instructed at primary diagnosis and receive the Melanoma-Patient-Education-Package (MPEP), which consists of information on melanoma (KWF folder "melanoma") and additional instruction on self-examination. Data on type of recurrence (locoregional versus distant), the person detecting the recurrence, progression of recurrence at time of detection, the way the recurrence was detected (e.g., self-examination, accidentally, or at follow-up by physical examination or imaging) and information regarding treatment and further follow-up are collected at each follow-up visit and the outcomes are compared in both groups. Outcomes of independent questionnaires are also compared in both groups.
研究の種類
入学 (予想される)
連絡先と場所
研究場所
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Enschede、オランダ、7500 KA
- 募集
- Medisch Spectrum Twente
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コンタクト:
- Contact Person
- 電話番号:31-53-487-2000
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Groningen、オランダ、9700 RB
- 募集
- University Medical Center Groningen
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コンタクト:
- Contact Person
- 電話番号:31-50-361-2317
- メール:h.j.hoekstra@chir.umcg.nl
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Leeuwarden、オランダ、8934 AD
- 募集
- Medisch Centrum Leeuwarden - Zuid
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コンタクト:
- Contact Person
- 電話番号:31-58-286-6666
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Zwolle、オランダ、NL-8000 GM
- 募集
- Isala Klinieken - Locatie Weezenlanden
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コンタクト:
- Contact Person
- 電話番号:31-38-424-2000
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
DISEASE CHARACTERISTICS:
Pathologically confirmed newly diagnosed cutaneous melanoma
- AJCC stage IB or II disease
- Received curative treatment
- Completed the first set of questionnaires
PATIENT CHARACTERISTICS:
- Able to speak and understand Dutch or English
- Must be able to participate in the follow-up schedule (e.g., permanently living in the Netherlands)
- No known second malignancy
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
研究計画
研究はどのように設計されていますか?
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
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Patient well-being expressed in 4 questionnaires
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二次結果の測定
結果測定 |
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Occurrence and type of recurrence (locoregional versus distant metastases) that develop
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Person detecting the recurrences and the exact way of detection
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Progress of recurrent disease and consequences for its treatment
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Well-being of patients per group and of recurred patients
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協力者と研究者
捜査官
- 主任研究者:Harald J. Hoekstra, MD, PhD、University Medical Center Groningen
研究記録日
主要日程の研究
研究開始
一次修了 (予想される)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
アンケート管理の臨床試験
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Fondazione Poliambulanza Istituto Ospedalieroわからない
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Assistance Publique - Hôpitaux de Paris完了
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Cambridge University Hospitals NHS Foundation TrustUniversity of Cambridgeわからない筋骨格疾患 | 筋骨格系損傷
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Centre Hospitalier Universitaire de Nīmes完了
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Assistance Publique - Hôpitaux de Parisまだ募集していません