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出境医 / 临床实验 / Treatment Decision-making in Patients With Recurrent High-grade Glioma

Treatment Decision-making in Patients With Recurrent High-grade Glioma

Study Description
Brief Summary:
This qualitative study explores the lived experience of high-grade glioma patients and their close relatives at time of recurrence. With focus on the decision-making about treatment and care..

Condition or disease
Malignant Glioma Life Experiences

Detailed Description:

High-Grade Glioma is a life-threatening disease that can cause the patient substantial physical, mentally and psychosocially impairment. The life expectancy is short, and a majority of patients experience recurrence of tumour growth. At time of recurrence, the treatment possibilities can include surgery, oncological treatment and/or palliative care.

In this situation the patients and their close relatives need to make a difficult balancing between benefits and trade offs.

Little is known about how the patients and their close relatives experience the recurrence and the decision-making process.

The objective of this study is therefore to explore the perspectives, experiences and needs in patients and their close relatives in relation to the decision-making process at time of recurrence.

Data will be generated through semi-structured interviews. Interviews will be analysed and interpreted using a Ricoeur inspired method of qualitative analysis.

The study is part of a larger PhD-study.

Study Design
Layout table for study information
Study Type : Observational
Estimated Enrollment : 25 participants
Observational Model: Cohort
Time Perspective: Retrospective
Official Title: Recurrent High-grade Glioma: Experiences of Patients and Their Close Relatives During the Treatment Decision-making Process.
Actual Study Start Date : May 6, 2019
Estimated Primary Completion Date : July 2020
Estimated Study Completion Date : March 2022
Arms and Interventions
Group/Cohort
Patients
Patients with recurrent high-grade glioma
Relatives
Close relatives of patients with recurrent high-grade glioma
Outcome Measures
Primary Outcome Measures :
  1. Experiences of patients and relatives [ Time Frame: Interviews are performed 2-6 weeks after the decision-making ]
    How patients and their close relatives experience the decision-making process

  2. Involvement preferences [ Time Frame: Interviews are performed 2-6 weeks after the decision-making ]
    The preferences of patients and relatives for being involved in the decision-making.


Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population

Two study populations:

  1. - Adult patients with recurrence of high-grade glioma who are offered surgical treatment as one of the treatment possibilities.
  2. - The adult relative most involved in the decision-making. The relative is apointed by the patient and the patient gives written concent to the relative' participation.
Criteria

Inclusion Criteria:

  • The patient is offered surgical treatment (after an assesment done by the multidisciplinary team)
  • Able to speak and understand danish
  • Able to participate in an interview
  • Able to give informed concent for participation

Exclusion Criteria:

  • Patients with severe cognitive impairment which prohibits them from either giving informed concent or participating in interview.
  • Relatives are excluded if the patient do not give concent for the participation of relatives
Contacts and Locations

Contacts
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Contact: Helle von Essen, PhD-student +45 2388 1722 helle.sorensen.von.essen@rsyd.dk
Contact: Karin Piil, Ass. profes. +45 3545 0733 Karin.Piil@regionh.dk

Locations
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Denmark
Copenhagen University Hospital; Rigshospitalet Not yet recruiting
Copenhagen, Denmark
Contact: Helle von Essen, PhD-student    +45 23881722    helle.sorensen.von.essen@rsyd.dk   
Odense University Hospital Recruiting
Odense, Denmark
Contact: Helle von Essen, PhD-student    +4523881722    helle.sorensen.von.essen@rsyd.dk   
Sponsors and Collaborators
Odense University Hospital
Rigshospitalet, Denmark
Region of Southern Denmark
Danish Cancer Society
Novo Nordisk A/S
Investigators
Layout table for investigator information
Study Director: Frantz Rom Poulsen, Professor Department of Neurosurgery Odense University Hospital DK-5000 Odense C DENMARK
Tracking Information
First Submitted Date July 8, 2019
First Posted Date July 10, 2019
Last Update Posted Date July 12, 2019
Actual Study Start Date May 6, 2019
Estimated Primary Completion Date July 2020   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: July 8, 2019)
  • Experiences of patients and relatives [ Time Frame: Interviews are performed 2-6 weeks after the decision-making ]
    How patients and their close relatives experience the decision-making process
  • Involvement preferences [ Time Frame: Interviews are performed 2-6 weeks after the decision-making ]
    The preferences of patients and relatives for being involved in the decision-making.
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures Not Provided
Original Secondary Outcome Measures Not Provided
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Treatment Decision-making in Patients With Recurrent High-grade Glioma
Official Title Recurrent High-grade Glioma: Experiences of Patients and Their Close Relatives During the Treatment Decision-making Process.
Brief Summary This qualitative study explores the lived experience of high-grade glioma patients and their close relatives at time of recurrence. With focus on the decision-making about treatment and care..
Detailed Description

High-Grade Glioma is a life-threatening disease that can cause the patient substantial physical, mentally and psychosocially impairment. The life expectancy is short, and a majority of patients experience recurrence of tumour growth. At time of recurrence, the treatment possibilities can include surgery, oncological treatment and/or palliative care.

In this situation the patients and their close relatives need to make a difficult balancing between benefits and trade offs.

Little is known about how the patients and their close relatives experience the recurrence and the decision-making process.

The objective of this study is therefore to explore the perspectives, experiences and needs in patients and their close relatives in relation to the decision-making process at time of recurrence.

Data will be generated through semi-structured interviews. Interviews will be analysed and interpreted using a Ricoeur inspired method of qualitative analysis.

The study is part of a larger PhD-study.

Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Retrospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Probability Sample
Study Population

Two study populations:

  1. - Adult patients with recurrence of high-grade glioma who are offered surgical treatment as one of the treatment possibilities.
  2. - The adult relative most involved in the decision-making. The relative is apointed by the patient and the patient gives written concent to the relative' participation.
Condition
  • Malignant Glioma
  • Life Experiences
Intervention Not Provided
Study Groups/Cohorts
  • Patients
    Patients with recurrent high-grade glioma
  • Relatives
    Close relatives of patients with recurrent high-grade glioma
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: July 8, 2019)
25
Original Estimated Enrollment Same as current
Estimated Study Completion Date March 2022
Estimated Primary Completion Date July 2020   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • The patient is offered surgical treatment (after an assesment done by the multidisciplinary team)
  • Able to speak and understand danish
  • Able to participate in an interview
  • Able to give informed concent for participation

Exclusion Criteria:

  • Patients with severe cognitive impairment which prohibits them from either giving informed concent or participating in interview.
  • Relatives are excluded if the patient do not give concent for the participation of relatives
Sex/Gender
Sexes Eligible for Study: All
Ages 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers No
Contacts
Contact: Helle von Essen, PhD-student +45 2388 1722 helle.sorensen.von.essen@rsyd.dk
Contact: Karin Piil, Ass. profes. +45 3545 0733 Karin.Piil@regionh.dk
Listed Location Countries Denmark
Removed Location Countries  
 
Administrative Information
NCT Number NCT04013828
Other Study ID Numbers OP870
Has Data Monitoring Committee Not Provided
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: No
Responsible Party Helle Sørensen von Essen, Odense University Hospital
Study Sponsor Odense University Hospital
Collaborators
  • Rigshospitalet, Denmark
  • Region of Southern Denmark
  • Danish Cancer Society
  • Novo Nordisk A/S
Investigators
Study Director: Frantz Rom Poulsen, Professor Department of Neurosurgery Odense University Hospital DK-5000 Odense C DENMARK
PRS Account Odense University Hospital
Verification Date July 2019