Impact of Cancer Treatment on the Pelvic Floor Function in Survivors of Cervical Cancer

NCT ID: NCT03188744

Last Updated: 2018-12-20

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

UNKNOWN

Total Enrollment

150 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-01-02

Study Completion Date

2019-06-01

Brief Summary

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Introduction: Pelvic floor muscle dysfunctions (PFMD) represent an important public health problem that manifests itself through lower urinary tract symptoms (LUTS), anorectal and sexual dysfunction. PFMD is a common problem in cervical cancer survivors (CC) with a negative impact on quality of life (QoL). Objective: This study aims to evaluate the effect of oncological treatment on the function of pelvic floor muscles (PFM) of survivors of CC. Methods: Patients diagnosed with CC, of any stage, histology and degree, accompanied by the Oncology Gynecology Service of the Hospital das Clínicas of the Medical School of Ribeirão Preto at the University of São Paulo, will be studied in the period between 2004 and 2014. Four study groups will be formed: (1) Patients with CC with PFMD; (2) Patients with CC without PFMD; : (3) Patients without CC with PFMD; (2) Patients without CC without PFMD. Non-cancer patients will be recruited into the community. For the analysis of the prevalence of PFMD will be applied to the discomfort Questionnaire on pelvic floor (IDPE-20) for evaluation of pelvic organ prolapse (POP) complaints, anorectal symptoms and urinary incontinence, and the Sexual Questionnaire for urinary incontinence and pelvic organ prolapse (PISQ -12) for evaluation of sexual function. Both questionnaires have already been validated for the Portuguese language and are specific for women with PFMD. The pelvic floor impact questionnaire (PFIQ-7) will also be applied to assess the impact of PFMD on quality of life, daily living activities and emotional health. For the evaluation of general QOL, the EORTC questionnaire QLQ-C30 and its specific module for patients with CC, QLQ-CX24 will be used. The evaluation of PFM function will include vaginal palpation (Modified Oxford Scale) and perineometry (Peritron).

Detailed Description

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Conditions

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Cervical Cancer Pelvic Floor Disorders Surgery Radiotherapy; Complications Chemotherapy Effect

Keywords

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Cervical cancer Pelvic floor muscles Physiotherapy Quality of life

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Group 1

Patients with CC with PFMD.

Assessment of the pelvic floor function

Intervention Type OTHER

Vaginal palpation and perineometry.

Questionnaire application

Intervention Type OTHER

Questionnaires: EORTC, WHOQoL-BREF, PFID-20; PSIQ-12 and PFIQ-7.

Group 2

Patients with CC without PFMD.

Assessment of the pelvic floor function

Intervention Type OTHER

Vaginal palpation and perineometry.

Questionnaire application

Intervention Type OTHER

Questionnaires: EORTC, WHOQoL-BREF, PFID-20; PSIQ-12 and PFIQ-7.

Group 3

Patients without CC with PFMD.

Assessment of the pelvic floor function

Intervention Type OTHER

Vaginal palpation and perineometry.

Questionnaire application

Intervention Type OTHER

Questionnaires: EORTC, WHOQoL-BREF, PFID-20; PSIQ-12 and PFIQ-7.

Group 4

Patients without CC without PFMD.

Assessment of the pelvic floor function

Intervention Type OTHER

Vaginal palpation and perineometry.

Questionnaire application

Intervention Type OTHER

Questionnaires: EORTC, WHOQoL-BREF, PFID-20; PSIQ-12 and PFIQ-7.

Interventions

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Assessment of the pelvic floor function

Vaginal palpation and perineometry.

Intervention Type OTHER

Questionnaire application

Questionnaires: EORTC, WHOQoL-BREF, PFID-20; PSIQ-12 and PFIQ-7.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Women diagnosed with CC; No distinction as to age, race, scholarity and religion; Women in follow-up at Clinical Hospital of Medical School of Ribeirão Preto of University São Paulo.

Exclusion Criteria

* Women who did not complete the proposed cancer treatment; Women who presented CC as the second malignant neoplasm; Pregnant women; Failure to respond to the proposed questionnaires.
Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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University of Sao Paulo

OTHER

Sponsor Role lead

Responsible Party

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Aline Moreira Ribeiro

MSc.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Harley Oliveira, PhD

Role: STUDY_DIRECTOR

University of Sao Paulo

Locations

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University of São Paulo

Ribeirão Preto, São Paulo, Brazil

Site Status

Countries

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Brazil

Central Contacts

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Aline Ribeiro, MSc.

Role: CONTACT

Phone: +5516981102877

Email: [email protected]

Facility Contacts

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Aline Ribeiro, MSc

Role: primary

References

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Greimel ER, Kuljanic Vlasic K, Waldenstrom AC, Duric VM, Jensen PT, Singer S, Chie W, Nordin A, Bjelic Radisic V, Wydra D; European Organization for Research and Treatment of Cancer Quality-of-Life Group. The European Organization for Research and Treatment of Cancer (EORTC) Quality-of-Life questionnaire cervical cancer module: EORTC QLQ-CX24. Cancer. 2006 Oct 15;107(8):1812-22. doi: 10.1002/cncr.22217.

Reference Type BACKGROUND
PMID: 16977652 (View on PubMed)

Arouca MA, Duarte TB, Lott DA, Magnani PS, Nogueira AA, Rosa-E-Silva JC, Brito LG. Validation and cultural translation for Brazilian Portuguese version of the Pelvic Floor Impact Questionnaire (PFIQ-7) and Pelvic Floor Distress Inventory (PFDI-20). Int Urogynecol J. 2016 Jul;27(7):1097-106. doi: 10.1007/s00192-015-2938-8. Epub 2016 Jan 19.

Reference Type RESULT
PMID: 26782099 (View on PubMed)

Santana GW, Aoki T, Auge AP. The Portuguese validation of the short form of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Int Urogynecol J. 2012 Jan;23(1):117-21. doi: 10.1007/s00192-011-1505-1. Epub 2011 Jul 28.

Reference Type RESULT
PMID: 21796471 (View on PubMed)

Hazewinkel MH, Sprangers MA, Taminiau-Bloem EF, van der Velden J, Burger MP, Roovers JP. Reasons for not seeking medical help for severe pelvic floor symptoms: a qualitative study in survivors of gynaecological cancer. BJOG. 2010 Jan;117(1):39-46. doi: 10.1111/j.1471-0528.2009.02411.x.

Reference Type RESULT
PMID: 19874292 (View on PubMed)

Other Identifiers

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5557/2017

Identifier Type: -

Identifier Source: org_study_id