Comparing Options for Management: Patient Centered Results for Uterine Fibroids
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 3,094
- 试验地点
- 9
- 主要终点
- change in symptom relief (patient interview)
研究概览
简要总结
The overall goal of this project is to better enable patients with uterine fibroids (UF) to make informed decisions about treatment options by leveraging the highest possible evidence of healthcare quality. The foundation of this project will be a multi-site, prospective registry of a diverse group of women who have undergone either medical or surgical treatment for UF.
Specifically, the investigators are interested in: comparing management options for symptom relief; comparing management options for preserving reproductive function; and comparing effectiveness among different subpopulations, including consideration of patient needs and preferences of treatment options.
详细描述
COMPARE UF will enroll approximately 10,000 subjects across 9 clinical enrolling centers in the US. We anticipate recruitment to last approximately 24 months. Sites will consent interested patients and have them complete a patient contact information form to be used to contact the patient for telephone interviews. Following informed consent, the site will collect clinical information and several patient-reported outcomes scales, including the Uterine Fibroid Symptom Quality of Life Questionnaire (UFS-QOL), the Menopausal Rating Scale, and the EQ-5D, a standardized measure of general health outcomes.
In year 01 of this study, among patients receiving a procedure to treat their UF, 1000 will be asked to provide two blood samples: the first at time of enrollment (before the procedure) and the second at 12 months after the procedure. Samples will be evaluated for ovarian reserve via a blood assay measurement of anti-mullerian hormone.
Additionally, for patients who have a procedure to treat their UF, they will have a routine clinic follow-up visit, sometime between 6 - 12 weeks post procedure. Additional clinical data will be collected at this time.
For patients who are treated medically, there will be no further study-related clinic visits. Follow-up will occur exclusively by telephone.
All consented patients will complete telephone interviews at approximately 12, 24, and 36 months following the initial procedure. It is anticipated that patients enrolled during the first study year will complete a maximum of three years of follow-up. However, if additional funds become available, the investigators plan to extend the follow-up of enrolled patients to five years.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 54 Years(Adult)
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Diagnosis of UF by imaging or pathology report within 2 years of enrollment initiation.
- •Menstrual period within 12 months
排除标准
- •Post-menopausal
- •55 years old or older
研究组 & 干预措施
Medical
Patients who receive medical therapy only for treatment of their uterine fibroids
干预措施: Medical Therapy (Drug)
Procedure
Patients who have a hysterectomy, myomectomy, uterine arterial embolization, endometrial ablation, radiofrequency ablation, or magnetic resonance guided focused ultrasound to treat their UF.
干预措施: hysterectomy (Procedure)
Procedure
Patients who have a hysterectomy, myomectomy, uterine arterial embolization, endometrial ablation, radiofrequency ablation, or magnetic resonance guided focused ultrasound to treat their UF.
干预措施: Uterine arterial embolization (Procedure)
Procedure
Patients who have a hysterectomy, myomectomy, uterine arterial embolization, endometrial ablation, radiofrequency ablation, or magnetic resonance guided focused ultrasound to treat their UF.
干预措施: myomectomy (Procedure)
Procedure
Patients who have a hysterectomy, myomectomy, uterine arterial embolization, endometrial ablation, radiofrequency ablation, or magnetic resonance guided focused ultrasound to treat their UF.
干预措施: endometrial ablation (Procedure)
Procedure
Patients who have a hysterectomy, myomectomy, uterine arterial embolization, endometrial ablation, radiofrequency ablation, or magnetic resonance guided focused ultrasound to treat their UF.
干预措施: magnetic resonance guided focused ultrasound (Procedure)
Procedure
Patients who have a hysterectomy, myomectomy, uterine arterial embolization, endometrial ablation, radiofrequency ablation, or magnetic resonance guided focused ultrasound to treat their UF.
干预措施: radiofrequency ablation (Procedure)
结局指标
主要结局
change in symptom relief (patient interview)
时间窗: 12, 24, 36 months
degree to which bleeding and pain from uterine fibroids is alleviated
次要结局
- change in preservation reproductive function (patient interview)(12, 24, 36 months)
