- ICH GCP
- Register voor klinische proeven in de VS.
- Klinische proef NCT00713882
Health and Psychosocial Outcomes in Long-Term Lymphoma Survivors
The aims and objectives of this research are to identify chronic health conditions, psychological disease, quality of life issues, and patient preferences for survivorship care in patients who have survived aggressive lymphoma.
Subjects will be asked to participate in an oral interview with the primary investigator, either in-person or over the telephone. It is estimated that the survey will take about an hour.
Studie Overzicht
Toestand
Gedetailleerde beschrijving
Survival rates for both non-Hodgkin's (NHL) and Hodgkin's lymphoma (HL) have improved in recent years due to the development of better treatments. However, the diagnosis and treatment may leave a cancer survivor with long-term consequences. It is recognized that patients cured of HL have increased mortality due to long-term effects of treatment. The literature also suggests that patients cured of NHL suffer from long-term complications. These complications may include infertility, cardiovascular disease, pulmonary disease, secondary cancer, osteoporosis, fatigue, and psychological disease. Limitations of the current literature on lymphoma survivors include that the majority of studies are retrospective in nature, and therefore do not take into account other risk factors for development of chronic health conditions, such as tobacco use, exercise, family history, and specifics of the cancer treatment. In addition, few studies have attempted to explore the relationship between chronic health conditions, psychological distress, patient-physician communication, and quality of life (QOL) in lymphoma survivors.
The aims and objectives of this research are to identify chronic health conditions, psychological disease, QOL, and patient preferences for survivorship care. A prediction model will then be developed integrating demographic, clinical, and health behavior data with chronic health conditions to predict poor psychosocial outcomes.
Subjects will be asked to participate in an oral interview with the primary investigator. The survey consists of demographic information, employment and workplace information, the Charlson Comorbidity Index, the Qualify of Life-Cancer Survivor questionnaire, the PHQ-9 (a depression screening tool), the Impact of Events Scale (a post-traumatic stress disorders screen), the State-Trait Anxiety Index, the Holmes-Rahe Stress Scale, Brief Fatigue Inventory, Leisure Time, Exercise Questionnaire, as well as questions pertaining to patient-physician communication and preferences for follow-up care. There are a series of qualitative or open-ended questions at the end of the survey, designed to understand the experience of being a survivor of lymphoma. These responses will be audio-taped (with the consent of the participant) in order to capture the verbatim responses of the participants, which is necessary for analysis of qualitative data.
Data will be entered into a password-protected database maintained by the primary investigator. Quantitative analysis will be done in JMP®7 statistical software. Analysis will be via multiple regression, with quality of life as the primary outcome. Predictive variables will include demographics, treatment data, comorbidities, fatigue, exercise, workplace issues, depression, anxiety, and post-traumatic stress disorder. Each variable will also be analyzed in a univariate model. Qualitative questions will be analyzed separately using grounded theory, a form of analysis that can be used to generate new ideas. This will involve selective coding technique, grouping concepts into categories, which lead to themes between the categories.
There are few risks involved with this study. It is possible that subjects may experience psychological distress due to the sensitive nature of some of the questions. In this case, participants may stop the interview at any time and withdraw consent. However, it is anticipated that this is unlikely to occur. In the event that the investigator finds that a subject has screened positive for depression, post-traumatic stress disorder, or anxiety; the patient's primary care physician will be notified, as long as the patient gives consent. If the patient is found to be suicidal at the time of the interview, the interviewer will accompany the patient to the emergency room.
Benefits of this research are the improved understanding of long-term outcomes in lymphoma survivors and the identification of factors that predict for poor QOL, so that in the future, interventions can be made to improve QOL in this patient population.
Studietype
Inschrijving (Verwacht)
Contacten en locaties
Studie Locaties
-
-
New York
-
New York, New York, Verenigde Staten, 10065
- Weill Cornell Medical College
-
-
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Bemonsteringsmethode
Studie Bevolking
Beschrijving
Inclusion Criteria:
- adults who have been treated for either aggressive lymphoma (Hodgkins lymphoma, diffuse large B-cell lymphoma, follicular grade III NHL, or others)
- are greater than 2 years from the time of last treatment
- no known active cancer
Exclusion Criteria:
- unable to participate in an interview in English
- indolent lymphoma (i.e. non-curable, including follicular grades 1-2 NHL)
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Observatiemodellen: Cohort
- Tijdsperspectieven: Dwarsdoorsnede
Cohorten en interventies
Groep / Cohort |
---|
Observationeel
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
---|---|
Quality of life
Tijdsspanne: cross-sectional (time of interview)
|
cross-sectional (time of interview)
|
Medewerkers en onderzoekers
Onderzoekers
- Hoofdonderzoeker: Carrie A Thompson, M.D., Weill Medical College of Cornell University
Studie record data
Bestudeer belangrijke data
Studie start
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Schatting)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- 0802009649
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .
Klinische onderzoeken op De ziekte van Hodgkin
-
National Cancer Institute (NCI)VoltooidTerugkerend volwassen Hodgkin-lymfoom | Stadium III volwassen Hodgkin-lymfoom | Stadium IV volwassen Hodgkin-lymfoom | Recidiverend/refractair Hodgkin-lymfoom bij kinderen | Stadium III Hodgkin-lymfoom bij kinderen | Stadium IV Hodgkin-lymfoom bij kinderen | Stadium I volwassen Hodgkin-lymfoom | Stadium I Hodgkin-lymfoom bij kinderen en andere voorwaardenVerenigde Staten
-
Academic and Community Cancer Research UnitedNational Cancer Institute (NCI)Actief, niet wervendAnn Arbor Stadium III Hodgkin-lymfoom | Ann Arbor Stadium IIIA Hodgkin-lymfoom | Ann Arbor Stadium IIIB Hodgkin-lymfoom | Ann Arbor Stadium IV Hodgkin-lymfoom | Ann Arbor Stadium IVA Hodgkin-lymfoom | Ann Arbor Stadium IVB Hodgkin-lymfoom | Klassiek Hodgkin-lymfoom | Ann Arbor Stadium IB Hodgkin-lymfoom en andere voorwaardenVerenigde Staten
-
Baylor College of MedicineCenter for Cell and Gene Therapy, Baylor College of MedicineWervingHodgkin-lymfoom | Non Hodgkin lymfoomVerenigde Staten
-
University Health Network, TorontoVoltooidHodgkin-lymfoom | Non Hodgkin-lymfoomCanada
-
Fred Hutchinson Cancer CenterNational Cancer Institute (NCI)BeëindigdRecidiverend Hodgkin-lymfoom | Refractair Hodgkin-lymfoom | Refractair B-cel non-Hodgkin-lymfoom | Refractair T-cel non-Hodgkin-lymfoom | Recidiverend B-cel non-Hodgkin-lymfoom | Recidiverend T-cel non-Hodgkin-lymfoomVerenigde Staten
-
Academic and Community Cancer Research UnitedNational Cancer Institute (NCI)Actief, niet wervendKlassiek Hodgkin-lymfoom | Ann Arbor Stadium IB Hodgkin-lymfoom | Ann Arbor Stadium II Hodgkin-lymfoom | Ann Arbor Stadium IIA Hodgkin-lymfoom | Ann Arbor Stadium IIB Hodgkin-lymfoom | Ann Arbor Stadium I Hodgkin-lymfoom | Ann Arbor Stadium IA Hodgkin-lymfoomVerenigde Staten
-
National Cancer Institute (NCI)Actief, niet wervendAnn Arbor Stadium IIIB Hodgkin-lymfoom | Ann Arbor Stadium IVA Hodgkin-lymfoom | Ann Arbor Stadium IVB Hodgkin-lymfoom | Klassiek Hodgkin-lymfoom | Ann Arbor Stadium IIB Hodgkin-lymfoom | Hodgkin-lymfoom bij kinderenVerenigde Staten, Canada, Puerto Rico
-
Tomsk National Research Medical Center of the Russian...Uppsala UniversityVoltooidHodgkin-lymfoom, volwassene | Non-Hodgkin-lymfoom, volwasseneRussische Federatie
-
National Cancer Institute (NCI)The Lymphoma Academic Research OrganisationActief, niet wervendHIV-infectie | Ann Arbor Stadium III Hodgkin-lymfoom | Ann Arbor Stadium IIIA Hodgkin-lymfoom | Ann Arbor Stadium IIIB Hodgkin-lymfoom | Ann Arbor Stadium IV Hodgkin-lymfoom | Ann Arbor Stadium IVA Hodgkin-lymfoom | Ann Arbor Stadium IVB Hodgkin-lymfoom | Klassiek Hodgkin-lymfoom | Ann Arbor Stadium... en andere voorwaardenVerenigde Staten, Frankrijk
-
University of WashingtonWervingRecidiverend Hodgkin-lymfoom | Refractair Hodgkin-lymfoom | Recidiverend non-Hodgkin-lymfoom | Refractair non-Hodgkin-lymfoomVerenigde Staten