Trial Outcomes & Findings for S1316, Surgery or Non-Surgical Management in Treating Patients With Intra-Abdominal Cancer and Bowel Obstruction (NCT NCT02270450)

NCT ID: NCT02270450

Last Updated: 2023-03-30

Results Overview

Number of days alive and outside of the hospital

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

221 participants

Primary outcome timeframe

From date of registration up to 91 days

Results posted on

2023-03-30

Participant Flow

221 patients were initially enrolled. 19 were ineligible: 12 with no small bowel obstruction, 3 with no confirmed bowel obstruction, 3 who were treated prior to registration and 1 with no intra-abdominal cancer. Another 3 patients were ineligible for analysis, due to withdrawal of consent prior to the end of their first hospitalization. In all, 199 patients were treated and evaluable for analysis: 49 randomized (24 surgery; 25 non-surgery) and 150 non-randomized (58 surgery; 92 non-surgery).

Participant milestones

Participant milestones
Measure
Arm I (Randomized to Surgery)
Patients undergo therapeutic conventional surgery (abdominal) as defined by the treating physician. therapeutic conventional surgery: Undergo abdominal surgery quality-of-life assessment: Ancillary studies
Arm II (Randomized to Non-surgical Management)
Patients are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician. gastrointestinal complications management/prevention: Undergo non-surgical management quality-of-life assessment: Ancillary studies
Arm III (no Randomization, Surgery)
Patients undergo therapeutic conventional surgery (abdominal) as defined by the treating physician as in Arm I. therapeutic conventional surgery: Undergo abdominal surgery quality-of-life assessment: Ancillary studies
Arm IV (no Randomization, Non-surgical Management)
Patients are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician as in Arm II. gastrointestinal complications management/prevention: Undergo non-surgical management quality-of-life assessment: Ancillary studies
Overall Study
STARTED
24
25
58
92
Overall Study
COMPLETED
1
3
18
10
Overall Study
NOT COMPLETED
23
22
40
82

Reasons for withdrawal

Reasons for withdrawal
Measure
Arm I (Randomized to Surgery)
Patients undergo therapeutic conventional surgery (abdominal) as defined by the treating physician. therapeutic conventional surgery: Undergo abdominal surgery quality-of-life assessment: Ancillary studies
Arm II (Randomized to Non-surgical Management)
Patients are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician. gastrointestinal complications management/prevention: Undergo non-surgical management quality-of-life assessment: Ancillary studies
Arm III (no Randomization, Surgery)
Patients undergo therapeutic conventional surgery (abdominal) as defined by the treating physician as in Arm I. therapeutic conventional surgery: Undergo abdominal surgery quality-of-life assessment: Ancillary studies
Arm IV (no Randomization, Non-surgical Management)
Patients are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician as in Arm II. gastrointestinal complications management/prevention: Undergo non-surgical management quality-of-life assessment: Ancillary studies
Overall Study
Refusal unrelated to adverse event
3
1
5
14
Overall Study
Progression/relapse
1
2
4
9
Overall Study
Death
19
19
31
59

Baseline Characteristics

Race was not applicable for participants from Mexico and Peru.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm I (Randomized to Surgery)
n=24 Participants
Patients undergo therapeutic conventional surgery (abdominal) as defined by the treating physician. therapeutic conventional surgery: Undergo abdominal surgery quality-of-life assessment: Ancillary studies
Arm II (Randomized to Non-surgical Management)
n=25 Participants
Patients are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician. gastrointestinal complications management/prevention: Undergo non-surgical management quality-of-life assessment: Ancillary studies
Arm III (no Randomization, Surgery)
n=58 Participants
Patients undergo therapeutic conventional surgery (abdominal) as defined by the treating physician as in Arm I. therapeutic conventional surgery: Undergo abdominal surgery quality-of-life assessment: Ancillary studies
Arm IV (no Randomization, Non-surgical Management)
n=92 Participants
Patients are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician as in Arm II. gastrointestinal complications management/prevention: Undergo non-surgical management quality-of-life assessment: Ancillary studies
Total
n=199 Participants
Total of all reporting groups
Age, Continuous
63.4 years
n=24 Participants
61.2 years
n=25 Participants
61.1 years
n=58 Participants
59.3 years
n=92 Participants
60.4 years
n=199 Participants
Age, Customized
< 65 years
13 Participants
n=24 Participants
17 Participants
n=25 Participants
36 Participants
n=58 Participants
65 Participants
n=92 Participants
131 Participants
n=199 Participants
Age, Customized
>= 65 years
11 Participants
n=24 Participants
8 Participants
n=25 Participants
22 Participants
n=58 Participants
27 Participants
n=92 Participants
68 Participants
n=199 Participants
Sex: Female, Male
Female
16 Participants
n=24 Participants
15 Participants
n=25 Participants
36 Participants
n=58 Participants
62 Participants
n=92 Participants
129 Participants
n=199 Participants
Sex: Female, Male
Male
8 Participants
n=24 Participants
10 Participants
n=25 Participants
22 Participants
n=58 Participants
30 Participants
n=92 Participants
70 Participants
n=199 Participants
Race/Ethnicity, Customized
Race - Black
6 Participants
n=16 Participants • Race was not applicable for participants from Mexico and Peru.
7 Participants
n=20 Participants • Race was not applicable for participants from Mexico and Peru.
13 Participants
n=58 Participants • Race was not applicable for participants from Mexico and Peru.
16 Participants
n=92 Participants • Race was not applicable for participants from Mexico and Peru.
42 Participants
n=186 Participants • Race was not applicable for participants from Mexico and Peru.
Race/Ethnicity, Customized
Race - White
9 Participants
n=16 Participants • Race was not applicable for participants from Mexico and Peru.
12 Participants
n=20 Participants • Race was not applicable for participants from Mexico and Peru.
39 Participants
n=58 Participants • Race was not applicable for participants from Mexico and Peru.
69 Participants
n=92 Participants • Race was not applicable for participants from Mexico and Peru.
129 Participants
n=186 Participants • Race was not applicable for participants from Mexico and Peru.
Race/Ethnicity, Customized
Race - Other
1 Participants
n=16 Participants • Race was not applicable for participants from Mexico and Peru.
1 Participants
n=20 Participants • Race was not applicable for participants from Mexico and Peru.
1 Participants
n=58 Participants • Race was not applicable for participants from Mexico and Peru.
3 Participants
n=92 Participants • Race was not applicable for participants from Mexico and Peru.
6 Participants
n=186 Participants • Race was not applicable for participants from Mexico and Peru.
Race/Ethnicity, Customized
Race - Unknown
0 Participants
n=16 Participants • Race was not applicable for participants from Mexico and Peru.
0 Participants
n=20 Participants • Race was not applicable for participants from Mexico and Peru.
5 Participants
n=58 Participants • Race was not applicable for participants from Mexico and Peru.
4 Participants
n=92 Participants • Race was not applicable for participants from Mexico and Peru.
9 Participants
n=186 Participants • Race was not applicable for participants from Mexico and Peru.
Race/Ethnicity, Customized
Ethnicity - Hispanic
9 Participants
n=24 Participants • Race was not applicable for participants from Mexico and Peru.
5 Participants
n=25 Participants • Race was not applicable for participants from Mexico and Peru.
6 Participants
n=58 Participants • Race was not applicable for participants from Mexico and Peru.
13 Participants
n=92 Participants • Race was not applicable for participants from Mexico and Peru.
33 Participants
n=199 Participants • Race was not applicable for participants from Mexico and Peru.
Race/Ethnicity, Customized
Ethnicity - Non-Hispanic
14 Participants
n=24 Participants • Race was not applicable for participants from Mexico and Peru.
18 Participants
n=25 Participants • Race was not applicable for participants from Mexico and Peru.
51 Participants
n=58 Participants • Race was not applicable for participants from Mexico and Peru.
78 Participants
n=92 Participants • Race was not applicable for participants from Mexico and Peru.
161 Participants
n=199 Participants • Race was not applicable for participants from Mexico and Peru.
Race/Ethnicity, Customized
Ethnicity - Unknown
1 Participants
n=24 Participants • Race was not applicable for participants from Mexico and Peru.
2 Participants
n=25 Participants • Race was not applicable for participants from Mexico and Peru.
1 Participants
n=58 Participants • Race was not applicable for participants from Mexico and Peru.
1 Participants
n=92 Participants • Race was not applicable for participants from Mexico and Peru.
5 Participants
n=199 Participants • Race was not applicable for participants from Mexico and Peru.
Primary Cancer Site
Colorectal
6 Participants
n=24 Participants
7 Participants
n=25 Participants
19 Participants
n=58 Participants
25 Participants
n=92 Participants
57 Participants
n=199 Participants
Primary Cancer Site
Gynecologic
10 Participants
n=24 Participants
12 Participants
n=25 Participants
14 Participants
n=58 Participants
38 Participants
n=92 Participants
74 Participants
n=199 Participants
Primary Cancer Site
Other
8 Participants
n=24 Participants
6 Participants
n=25 Participants
25 Participants
n=58 Participants
29 Participants
n=92 Participants
68 Participants
n=199 Participants
Body Mass Index (BMI), Continuous
23.8 kg/m^2
n=24 Participants
25.7 kg/m^2
n=25 Participants
24.4 kg/m^2
n=58 Participants
24.7 kg/m^2
n=92 Participants
24.6 kg/m^2
n=199 Participants
Body Mass Index (BMI), Categorical
<18.5 (Underweight)
3 Participants
n=24 Participants
2 Participants
n=25 Participants
7 Participants
n=58 Participants
6 Participants
n=92 Participants
18 Participants
n=199 Participants
Body Mass Index (BMI), Categorical
18.5 - <25 (Normal)
10 Participants
n=24 Participants
10 Participants
n=25 Participants
26 Participants
n=58 Participants
45 Participants
n=92 Participants
91 Participants
n=199 Participants
Body Mass Index (BMI), Categorical
25 - <30 (Overweight)
6 Participants
n=24 Participants
7 Participants
n=25 Participants
12 Participants
n=58 Participants
20 Participants
n=92 Participants
45 Participants
n=199 Participants
Body Mass Index (BMI), Categorical
>=30 (Obese)
5 Participants
n=24 Participants
6 Participants
n=25 Participants
13 Participants
n=58 Participants
21 Participants
n=92 Participants
45 Participants
n=199 Participants
Albumin, Continuous
3.1 g/dL
STANDARD_DEVIATION 0.9 • n=24 Participants • Number of participants analyzed differs from overall number of baseline participants due to missing data.
3.1 g/dL
STANDARD_DEVIATION 0.7 • n=25 Participants • Number of participants analyzed differs from overall number of baseline participants due to missing data.
3.2 g/dL
STANDARD_DEVIATION 0.7 • n=58 Participants • Number of participants analyzed differs from overall number of baseline participants due to missing data.
3.2 g/dL
STANDARD_DEVIATION 0.7 • n=91 Participants • Number of participants analyzed differs from overall number of baseline participants due to missing data.
3.2 g/dL
STANDARD_DEVIATION 0.7 • n=198 Participants • Number of participants analyzed differs from overall number of baseline participants due to missing data.
Albumin, Child-Pugh
<2.8
7 Participants
n=24 Participants
7 Participants
n=25 Participants
18 Participants
n=58 Participants
25 Participants
n=92 Participants
57 Participants
n=199 Participants
Albumin, Child-Pugh
2.8 - 3.5
9 Participants
n=24 Participants
11 Participants
n=25 Participants
20 Participants
n=58 Participants
35 Participants
n=92 Participants
75 Participants
n=199 Participants
Albumin, Child-Pugh
>3.5
8 Participants
n=24 Participants
7 Participants
n=25 Participants
20 Participants
n=58 Participants
31 Participants
n=92 Participants
66 Participants
n=199 Participants
Albumin, Child-Pugh
Missing
0 Participants
n=24 Participants
0 Participants
n=25 Participants
0 Participants
n=58 Participants
1 Participants
n=92 Participants
1 Participants
n=199 Participants
Ascites
No evidence
8 Participants
n=24 Participants
12 Participants
n=25 Participants
26 Participants
n=58 Participants
43 Participants
n=92 Participants
89 Participants
n=199 Participants
Ascites
Evidence of ascites: trace/small amount
11 Participants
n=24 Participants
7 Participants
n=25 Participants
24 Participants
n=58 Participants
29 Participants
n=92 Participants
71 Participants
n=199 Participants
Ascites
Evidence of ascites: large/massive amount
5 Participants
n=24 Participants
6 Participants
n=25 Participants
8 Participants
n=58 Participants
20 Participants
n=92 Participants
39 Participants
n=199 Participants
Carcinomatosis
No evidence
6 Participants
n=24 Participants
5 Participants
n=25 Participants
25 Participants
n=58 Participants
31 Participants
n=92 Participants
67 Participants
n=199 Participants
Carcinomatosis
Suspicion of carcinomatosis
2 Participants
n=24 Participants
2 Participants
n=25 Participants
4 Participants
n=58 Participants
8 Participants
n=92 Participants
16 Participants
n=199 Participants
Carcinomatosis
Clear evidence: trace/small amount
2 Participants
n=24 Participants
4 Participants
n=25 Participants
3 Participants
n=58 Participants
0 Participants
n=92 Participants
9 Participants
n=199 Participants
Carcinomatosis
Clear evidence: large/massive amount
14 Participants
n=24 Participants
14 Participants
n=25 Participants
26 Participants
n=58 Participants
53 Participants
n=92 Participants
107 Participants
n=199 Participants
Performance Status
0
8 Participants
n=24 Participants
5 Participants
n=25 Participants
9 Participants
n=58 Participants
15 Participants
n=92 Participants
37 Participants
n=199 Participants
Performance Status
1
6 Participants
n=24 Participants
9 Participants
n=25 Participants
29 Participants
n=58 Participants
50 Participants
n=92 Participants
94 Participants
n=199 Participants
Performance Status
2
10 Participants
n=24 Participants
11 Participants
n=25 Participants
20 Participants
n=58 Participants
27 Participants
n=92 Participants
68 Participants
n=199 Participants
Number of Prior Malignant Bowel Obstructions (MBOs)
None
17 Participants
n=24 Participants
16 Participants
n=25 Participants
32 Participants
n=58 Participants
51 Participants
n=92 Participants
116 Participants
n=199 Participants
Number of Prior Malignant Bowel Obstructions (MBOs)
At least one
5 Participants
n=24 Participants
4 Participants
n=25 Participants
21 Participants
n=58 Participants
31 Participants
n=92 Participants
61 Participants
n=199 Participants
Number of Prior Malignant Bowel Obstructions (MBOs)
Unknown
2 Participants
n=24 Participants
4 Participants
n=25 Participants
4 Participants
n=58 Participants
9 Participants
n=92 Participants
19 Participants
n=199 Participants
Number of Prior Malignant Bowel Obstructions (MBOs)
Missing
0 Participants
n=24 Participants
1 Participants
n=25 Participants
1 Participants
n=58 Participants
1 Participants
n=92 Participants
3 Participants
n=199 Participants
Care Providers
Family member
22 Participants
n=24 Participants
21 Participants
n=25 Participants
51 Participants
n=58 Participants
77 Participants
n=92 Participants
171 Participants
n=199 Participants
Care Providers
Hospice/Skilled nursing
1 Participants
n=24 Participants
1 Participants
n=25 Participants
0 Participants
n=58 Participants
6 Participants
n=92 Participants
8 Participants
n=199 Participants
Care Providers
Other
0 Participants
n=24 Participants
2 Participants
n=25 Participants
4 Participants
n=58 Participants
3 Participants
n=92 Participants
9 Participants
n=199 Participants
Care Providers
No one
1 Participants
n=24 Participants
2 Participants
n=25 Participants
5 Participants
n=58 Participants
11 Participants
n=92 Participants
19 Participants
n=199 Participants
Admitting Attending Physician Specialty
Medical Specialty
0 Participants
n=24 Participants
2 Participants
n=25 Participants
4 Participants
n=58 Participants
6 Participants
n=92 Participants
12 Participants
n=199 Participants
Admitting Attending Physician Specialty
General Surgery
0 Participants
n=24 Participants
1 Participants
n=25 Participants
10 Participants
n=58 Participants
7 Participants
n=92 Participants
18 Participants
n=199 Participants
Admitting Attending Physician Specialty
Gynecologic Oncology
3 Participants
n=24 Participants
4 Participants
n=25 Participants
5 Participants
n=58 Participants
30 Participants
n=92 Participants
42 Participants
n=199 Participants
Admitting Attending Physician Specialty
Surgical Oncology
20 Participants
n=24 Participants
16 Participants
n=25 Participants
39 Participants
n=58 Participants
49 Participants
n=92 Participants
124 Participants
n=199 Participants
Admitting Attending Physician Specialty
Other
1 Participants
n=24 Participants
2 Participants
n=25 Participants
0 Participants
n=58 Participants
0 Participants
n=92 Participants
3 Participants
n=199 Participants

PRIMARY outcome

Timeframe: From date of registration up to 91 days

Population: Eligible and evaluable participants

Number of days alive and outside of the hospital

Outcome measures

Outcome measures
Measure
Randomization Surgery
n=24 Participants
Patients who are randomized to surgical management undergo therapeutic conventional surgery (abdominal) as defined by the treating physician.
Randomization Non-surgical Management
n=25 Participants
Patients who are randomized to non-surgical management are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician.
Patient Choice Surgery
n=58 Participants
Patients who choose surgical management undergo conventional surgery (abdominal) as defined by the treating physician as in Arm 1.
Patient Choice Non-surgical Management
n=92 Participants
Patients who choose non-surgical management are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician as in Arm 2.
Number of Days Alive and Outside of the Hospital
42.6 days
Standard Deviation 32.2
43.9 days
Standard Deviation 29.5
54.8 days
Standard Deviation 27.0
52.7 days
Standard Deviation 30.7

SECONDARY outcome

Timeframe: During initial hospitalization, from date of registration to a maximum of 53 weeks post registration

Population: Eligible and evaluable participants

Length of initial hospital stay in days.

Outcome measures

Outcome measures
Measure
Randomization Surgery
n=24 Participants
Patients who are randomized to surgical management undergo therapeutic conventional surgery (abdominal) as defined by the treating physician.
Randomization Non-surgical Management
n=25 Participants
Patients who are randomized to non-surgical management are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician.
Patient Choice Surgery
n=58 Participants
Patients who choose surgical management undergo conventional surgery (abdominal) as defined by the treating physician as in Arm 1.
Patient Choice Non-surgical Management
n=92 Participants
Patients who choose non-surgical management are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician as in Arm 2.
Number of Days in Hospital
12.3 days
Standard Deviation 9.3
12.8 days
Standard Deviation 12.2
11.6 days
Standard Deviation 7.8
6.2 days
Standard Deviation 6.6

SECONDARY outcome

Timeframe: During initial hospitalization, from date of registration to a maximum of 53 weeks post registration

Population: Eligible and evaluable participants

Use of a nasogastric tube

Outcome measures

Outcome measures
Measure
Randomization Surgery
n=24 Participants
Patients who are randomized to surgical management undergo therapeutic conventional surgery (abdominal) as defined by the treating physician.
Randomization Non-surgical Management
n=25 Participants
Patients who are randomized to non-surgical management are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician.
Patient Choice Surgery
n=58 Participants
Patients who choose surgical management undergo conventional surgery (abdominal) as defined by the treating physician as in Arm 1.
Patient Choice Non-surgical Management
n=92 Participants
Patients who choose non-surgical management are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician as in Arm 2.
NG Tube Use
Missing
0 Participants
0 Participants
3 Participants
2 Participants
NG Tube Use
Yes
19 Participants
20 Participants
42 Participants
69 Participants
NG Tube Use
No
5 Participants
5 Participants
13 Participants
21 Participants

SECONDARY outcome

Timeframe: During entire initial hospitalization (admission to discharge) to a maximum of 53 weeks post registration

Population: Eligible and evaluable participants. Number of participants analyzed in the Patient Choice Surgery arm and Patient Choice Non-surgical Management arm differs from the overall number of eligible and evaluable participants due to missing data.

Number of days a nasogastric tube was used during the patient's initial hospitalization

Outcome measures

Outcome measures
Measure
Randomization Surgery
n=24 Participants
Patients who are randomized to surgical management undergo therapeutic conventional surgery (abdominal) as defined by the treating physician.
Randomization Non-surgical Management
n=25 Participants
Patients who are randomized to non-surgical management are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician.
Patient Choice Surgery
n=55 Participants
Patients who choose surgical management undergo conventional surgery (abdominal) as defined by the treating physician as in Arm 1.
Patient Choice Non-surgical Management
n=90 Participants
Patients who choose non-surgical management are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician as in Arm 2.
Days of NG Tube Use
5.8 days
Standard Deviation 4.1
7.7 days
Standard Deviation 8.4
6.5 days
Standard Deviation 5.6
5.1 days
Standard Deviation 5.3

SECONDARY outcome

Timeframe: Assessed at 4 weeks post registration

Population: Eligible and evaluable participants who were alive with data at the time of the assessment

The MD Anderson Symptom Inventory for gastrointestinal cancer (MDASI-GI) was used to assess nausea, vomiting, pain, bloating, and constipation. The MDASI measures symptom severity on an 11-point scale, from 0 ("not present") to 10 ("as bad as you can imagine"). A difference of at least 1.2 points was considered a clinically meaningful difference between groups for MDASI-GI outcomes.

Outcome measures

Outcome measures
Measure
Randomization Surgery
n=11 Participants
Patients who are randomized to surgical management undergo therapeutic conventional surgery (abdominal) as defined by the treating physician.
Randomization Non-surgical Management
n=11 Participants
Patients who are randomized to non-surgical management are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician.
Patient Choice Surgery
n=31 Participants
Patients who choose surgical management undergo conventional surgery (abdominal) as defined by the treating physician as in Arm 1.
Patient Choice Non-surgical Management
n=41 Participants
Patients who choose non-surgical management are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician as in Arm 2.
MDASI-GI Symptom Assessment
Nausea Severity
0.64 score on a scale
Standard Deviation 1.3
4.6 score on a scale
Standard Deviation 3.8
1.9 score on a scale
Standard Deviation 3.1
2.3 score on a scale
Standard Deviation 3.0
MDASI-GI Symptom Assessment
Vomiting Severity
0.64 score on a scale
Standard Deviation 2.1
2.9 score on a scale
Standard Deviation 3.5
0.58 score on a scale
Standard Deviation 1.5
1.9 score on a scale
Standard Deviation 3.0
MDASI-GI Symptom Assessment
Bloating Severity
1.5 score on a scale
Standard Deviation 2.3
3.9 score on a scale
Standard Deviation 3.2
1.6 score on a scale
Standard Deviation 2.4
2.3 score on a scale
Standard Deviation 2.9
MDASI-GI Symptom Assessment
Pain Severity
2.9 score on a scale
Standard Deviation 3.1
5.7 score on a scale
Standard Deviation 3.6
4.1 score on a scale
Standard Deviation 3.3
3.8 score on a scale
Standard Deviation 3.6
MDASI-GI Symptom Assessment
Constipation Severity
0.55 score on a scale
Standard Deviation 1.3
2.7 score on a scale
Standard Deviation 3.9
0.77 score on a scale
Standard Deviation 2.2
2.2 score on a scale
Standard Deviation 3.4

SECONDARY outcome

Timeframe: Assessed at 5 weeks post registration

Population: Eligible and evaluable participants who were alive with data at the assessment time

Ability to consume food was assessed based on self or caregiver-reported 24-hour dietary recalls. Dietary recalls were collected by trained assessors at the University of Arizona Cancer Center Behavioral Measurement and Interventions Shared Resource (BMISR) via telephone using standardized protocols and Nutrient Database for Research.

Outcome measures

Outcome measures
Measure
Randomization Surgery
n=12 Participants
Patients who are randomized to surgical management undergo therapeutic conventional surgery (abdominal) as defined by the treating physician.
Randomization Non-surgical Management
n=12 Participants
Patients who are randomized to non-surgical management are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician.
Patient Choice Surgery
n=29 Participants
Patients who choose surgical management undergo conventional surgery (abdominal) as defined by the treating physician as in Arm 1.
Patient Choice Non-surgical Management
n=40 Participants
Patients who choose non-surgical management are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician as in Arm 2.
Ability to Eat
Not eating
0 Participants
0 Participants
6 Participants
7 Participants
Ability to Eat
Eating
12 Participants
12 Participants
29 Participants
40 Participants

SECONDARY outcome

Timeframe: From date of registration to maximum of 53 weeks

Population: Eligible and evaluable participants

Time from date of registration to date of death due to any cause.

Outcome measures

Outcome measures
Measure
Randomization Surgery
n=24 Participants
Patients who are randomized to surgical management undergo therapeutic conventional surgery (abdominal) as defined by the treating physician.
Randomization Non-surgical Management
n=25 Participants
Patients who are randomized to non-surgical management are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician.
Patient Choice Surgery
n=58 Participants
Patients who choose surgical management undergo conventional surgery (abdominal) as defined by the treating physician as in Arm 1.
Patient Choice Non-surgical Management
n=92 Participants
Patients who choose non-surgical management are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician as in Arm 2.
Overall Survival
86 days
Interval 51.0 to 102.0
80 days
Interval 39.0 to 102.0
156 days
Interval 71.0 to 303.0
96 days
Interval 71.0 to 144.0

Adverse Events

Randomization Surgery

Serious events: 2 serious events
Other events: 5 other events
Deaths: 19 deaths

Randomization Non-surgical Management

Serious events: 3 serious events
Other events: 1 other events
Deaths: 20 deaths

Patient Choice Surgery

Serious events: 5 serious events
Other events: 12 other events
Deaths: 37 deaths

Patient Choice Non-surgical Management

Serious events: 16 serious events
Other events: 14 other events
Deaths: 68 deaths

Serious adverse events

Serious adverse events
Measure
Randomization Surgery
n=24 participants at risk
Patients who are randomized to surgical management undergo therapeutic conventional surgery (abdominal) as defined by the treating physician.
Randomization Non-surgical Management
n=25 participants at risk
Patients on the randomized to non-surgical management are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician.
Patient Choice Surgery
n=58 participants at risk
Patients who choose surgical management undergo conventional surgery (abdominal) as defined by the treating physician as in Arm 1.
Patient Choice Non-surgical Management
n=92 participants at risk
Patients who choose non-surgical management are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician as in Arm 2.
Blood and lymphatic system disorders
Anemia
4.2%
1/24 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/25 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/58 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/92 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
Cardiac disorders
Cardiac arrest
0.00%
0/24 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/25 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/58 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
2.2%
2/92 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
General disorders
Death NOS
0.00%
0/24 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
8.0%
2/25 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/58 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
2.2%
2/92 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
Infections and infestations
Sepsis
0.00%
0/24 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/25 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/58 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
4.3%
4/92 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign, malignant and unspecified - Other
4.2%
1/24 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
4.0%
1/25 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
8.6%
5/58 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
10.9%
10/92 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
Renal and urinary disorders
Renal and urinary disorders-Other
0.00%
0/24 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/25 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/58 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
1.1%
1/92 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
Respiratory, thoracic and mediastinal disorders
Pneumonitis
0.00%
0/24 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/25 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/58 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
1.1%
1/92 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.00%
0/24 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/25 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/58 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
2.2%
2/92 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.

Other adverse events

Other adverse events
Measure
Randomization Surgery
n=24 participants at risk
Patients who are randomized to surgical management undergo therapeutic conventional surgery (abdominal) as defined by the treating physician.
Randomization Non-surgical Management
n=25 participants at risk
Patients on the randomized to non-surgical management are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician.
Patient Choice Surgery
n=58 participants at risk
Patients who choose surgical management undergo conventional surgery (abdominal) as defined by the treating physician as in Arm 1.
Patient Choice Non-surgical Management
n=92 participants at risk
Patients who choose non-surgical management are offered gastrointestinal complications management/prevention (non-surgical management) as determined by the treating physician as in Arm 2.
Blood and lymphatic system disorders
Anemia
16.7%
4/24 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
4.0%
1/25 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
13.8%
8/58 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
14.1%
13/92 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
Gastrointestinal disorders
Gastrointestinal fistula
12.5%
3/24 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/25 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
5.2%
3/58 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/92 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
Infections and infestations
Sepsis
8.3%
2/24 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/25 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/58 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
1.1%
1/92 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
Infections and infestations
Urinary tract infection
8.3%
2/24 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/25 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
3.4%
2/58 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
2.2%
2/92 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
Injury, poisoning and procedural complications
Wound complication
0.00%
0/24 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/25 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
5.2%
3/58 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/92 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
Injury, poisoning and procedural complications
Wound dehiscence
8.3%
2/24 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
0.00%
0/25 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
1.7%
1/58 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.
1.1%
1/92 • From date of registration until death or 53 weeks post registration
CTCAE Version 4.0 was used for routine toxicity reporting and Version 5.0 was used for Serious Adverse Event (SAE) reporting. Patients were assessed for AEs only while hospitalized. 199 patients were evaluable for AEs, including 24 on the Randomization Surgery arm, 25 on the Randomization Non-surgical Management arm, 58 on the Patient Choice Surgery arm, and 92 on the Patient Choice Non-surgical Management arm.

Additional Information

Palliative and End of Life Care Committee Statistician

SWOG Statistics and Data Management Center

Phone: 2066674623

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60