Prospective Evaluation of Lymphoedema Among Patients With Gynaecological Cancer

NCT ID: NCT00604994

Last Updated: 2013-08-20

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

COMPLETED

Total Enrollment

761 participants

Study Classification

OBSERVATIONAL

Study Start Date

2008-06-30

Study Completion Date

2013-04-30

Brief Summary

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This project will conduct a prospective, longitudinal, observational cohort study to assess the onset and incidence of lymphoedema, as well as investigate factors associated with its development among women newly diagnosed with gynaecological cancers in 2008 to 2011.

Detailed Description

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Pathological swelling of the lower limbs (lymphoedema) is widely accepted to be a common consequence of treatment for gynaecological cancer. It is both a serious and debilitating complication, associated with significant morbidity, which impacts physically and emotionally on otherwise healthy women. Lymphoedema can also affect patients' ability to earn an income, especially if their work requires prolonged periods of standing or walking.

The causes of lymphoedema are largely unknown with clinical data scarce regarding its onset time and incidence after gynaecological cancer treatment.

The following hypotheses will be tested to address the aims of the project:

1. At least 20% of patients will develop lower-limb lymphoedema following gynaecological cancer treatment.
2. Patient's age, as well as their body mass index (BMI), area of residence, degree of physical exercise, type of disease (uterine, cervical, ovarian, vulval/vaginal cancer; benign disease), mode of treatment (extent of lymph node dissection, radiotherapy, chemoradiation) and delay in wound healing are independent risk factors for lower-limb lymphoedema.
3. Patients who develop lymphoedema after gynaecological cancer treatment, will experience increased pain, lower quality of life (including worse body-image), and decreased sexual \& financial well-being, compared to those who do not develop lymphoedema.
4. There will be at least 10% difference in the incidence of lower-limb lymphoedema between patients treated for gynaecological cancer compared to benign diseases.

Conditions

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Female Genital Diseases Ovarian Cancer Cervical Cancer Endometrial Cancer Vulval Cancer

Keywords

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Lymphoedema Gynaecology Oncology Malignant Benign Incidence

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Malignant

Patients with malignant gynaecological conditions including cancers of the cervix, uterus, ovary, vulva and vagina

No interventions assigned to this group

Benign

Patients without malignant gynaecological cancers

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Patients scheduled for surgery of benign or malignant gynaecological diseases as determined jointly by the surgeon and the patient.
* Non-pregnant female patients.
* Over 18 years of age at time of surgery.
* Patients who understand the conditions of the study and are willing to participate for the length of the prescribed term of follow-up.
* Patients who are capable of, and have given, informed consent to their participation in the study.

Exclusion Criteria

* Patients with a pacemaker.
* Allergies against adhesive electrodes and extensive internal metal plates are ineligible for BIS measurement.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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The University of Queensland

OTHER

Sponsor Role collaborator

Royal Brisbane and Women's Hospital

OTHER_GOV

Sponsor Role collaborator

Mater

OTHER

Sponsor Role collaborator

Mater Private Hospital

OTHER

Sponsor Role collaborator

Queensland Institute of Medical Research

OTHER

Sponsor Role collaborator

Queensland University of Technology

OTHER

Sponsor Role collaborator

Australia New Zealand Gynaecological Oncology Group

OTHER

Sponsor Role collaborator

Cancer Australia

OTHER

Sponsor Role collaborator

Queensland Centre for Gynaecological Cancer

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Andreas Obermair, MD FRANZCOG CGO

Role: PRINCIPAL_INVESTIGATOR

Queensland Centre for Gynaecological Cancer

Locations

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Royal Prince Alfred Hospital

Camperdown, New South Wales, Australia

Site Status

The Wesley Hospital

Auchenflower, Queensland, Australia

Site Status

Greenslopes Private Hospital

Greenslopes, Queensland, Australia

Site Status

Royal Brisbane and Women's Hospital

Herston, Queensland, Australia

Site Status

Mater Health Services

South Brisbane, Queensland, Australia

Site Status

Royal Women's Hospital

Carlton, Victoria, Australia

Site Status

Countries

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Australia

Related Links

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Other Identifiers

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LEGS

Identifier Type: -

Identifier Source: org_study_id