Questionnaire Study to Assess Quality of Life After Treatment of Fibroids

NCT ID: NCT00390494

Last Updated: 2008-06-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

400 participants

Study Classification

OBSERVATIONAL

Study Start Date

2005-12-31

Study Completion Date

2010-12-31

Brief Summary

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The purpose of this study is to determine the change in symptoms and health-related quality of life in patients undergoing treatment for fibroids. Results from the questionnaire will be compared with results obtained from patients who do not have fibroids in order to determine a score range that differentiates these two groups.

Detailed Description

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Uterine fibroids are the most common benign uterine tumor affecting approximately 70% of all women in the United States. Sixty percent of the 600,000 hysterectomies performed in the United States annually are done because of uterine fibroids. Hysterectomy has been the definitive treatment for fibroids and has been demonstrated to be effective in controlling symptoms. However, there have been few studies comparing the outcome of hysterectomy to other surgical and non-surgical therapies or to the outcomes experienced by a "normal" population, i.e. those not diagnosed with fibroids. Similarly, the relative effectiveness of myomectomy and uterine fibroid embolization has not been evaluated in the context of other fibroid therapies and minimally invasive variations. Fibroid symptoms experienced by patients are subjective and have not been shown to correlate with fibroid number, size, location, or any other clinical measure of fibroids. As symptoms and their impact are the primary outcomes experienced by patients, a validated questionnaire to measure this impact is needed.

The Uterine Fibroid Symptom and Quality of Life Questionnaire (UFS-QoL) was developed from focus groups of women with leiomyomata. The original items captured key symptoms and areas of life impact voiced by the focus group participants. Content validity was established through cognitive debriefings of women with leiomyomata and review by expert clinicians. The UFS-QoL was then validated in a patient population of women with leiomyomata as well as "normal" controls.

Using the UFS-Qol as the primary measure, this study will provide the basis of comparison for women with uterine fibroids both before and after therapy. "Normal" scores will be established from patients without fibroids. These data will provide the basis for comparing these outcomes to those resulting from a variety of investigational therapies. It will also provide insight into the progression of fibroid-related symptoms in patients established as normal at baseline.

The objectives of this study are:

A. To determine the change in symptoms and health-related quality of life in patients undergoing hysterectomy, myomectomy, and uterine fibroid embolization.

B. To compare the outcomes of each intervention with a normal control group as well as with the other therapies.

C. To validate the UFS-QoL questionnaire in a normal population to determine a normal score range.

D. To validate the UFS-QoL questionnaire in hysterectomy patients to determine a "normal" score for patients without a uterus.

Conditions

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Leiomyoma

Keywords

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Fibroids Leiomyoma Hysterectomy Myomectomy Uterine Fibroid Embolization Questionnaire

Study Design

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Study Time Perspective

PROSPECTIVE

Interventions

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Hysterectomy

Intervention Type PROCEDURE

Myomectomy

Intervention Type PROCEDURE

Uterine Fibroid Embolization

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Pre-menopausal
* Between the ages of 35 and 50, inclusive
* Scheduled to undergo hysterectomy, myomectomy, or uterine fibroid embolization for treatment of uterine fibroids at one of the participating institutions
* Willing to provide written informed consent
* Able to speak and read English


* Pre-menopausal
* Between the ages of 35 and 50, inclusive
* Normal gynecologic examination at time of enrollment with regular menstrual cycle at the time of enrollment
* Willing to provide written informed consent
* Able to read and speak English

Exclusion Criteria

* Currently pregnant
* Cognitive impairment that would interfere with completing the questionnaire
* Severe psychiatric co-morbidity
* Co-morbid or life-threatening condition with life expectancy to be less than 1 year
* Active duty military healthcare beneficiary


* Currently pregnant
* Presence of other gynecologic-related diseases (e.g. endometriosis, pelvic inflammatory disease)
* Cognitive impairment that would interfere with completing the questionnaire
* Severe psychiatric co-morbidity
* Co-morbid or life-threatening condition with life expectancy to be less than 1 year
* Active duty military healthcare beneficiary
Minimum Eligible Age

35 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Walter Reed Army Medical Center

FED

Sponsor Role collaborator

Georgetown University

OTHER

Sponsor Role collaborator

The Cleveland Clinic

OTHER

Sponsor Role collaborator

University of Pittsburgh

OTHER

Sponsor Role collaborator

U.S. Army Medical Research and Development Command

FED

Sponsor Role lead

Principal Investigators

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James B Spies, MD

Role: STUDY_DIRECTOR

Georgetown University Hospital

LTC G. Larry Maxwell, MD

Role: PRINCIPAL_INVESTIGATOR

Walter Reed Army Medical Center

Richard Guido, MD

Role: PRINCIPAL_INVESTIGATOR

University of Pittsburgh

Linda D Bradley, MD

Role: PRINCIPAL_INVESTIGATOR

The Cleveland Clinic

Locations

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Georgetown University Hospital

Washington D.C., District of Columbia, United States

Site Status

Walter Reed Army Medical Center

Washington D.C., District of Columbia, United States

Site Status

The Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

Magee-Womens Hospital

Pittsburgh, Pennsylvania, United States

Site Status

Countries

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United States

References

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Spies JB, Bradley LD, Guido R, Maxwell GL, Levine BA, Coyne K. Outcomes from leiomyoma therapies: comparison with normal controls. Obstet Gynecol. 2010 Sep;116(3):641-652. doi: 10.1097/AOG.0b013e3181ed36b3.

Reference Type DERIVED
PMID: 20733447 (View on PubMed)

Other Identifiers

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A-12818.2a

Identifier Type: -

Identifier Source: secondary_id

04-44020

Identifier Type: -

Identifier Source: org_study_id