Workshops and Exchange Groups for Laryngectomized Patients
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Differences in quality of life scores before and after the program, between the program and non-program control groups.
研究概览
简要总结
This research is conducted with the aim of improving the quality of life of laryngectomized patients and their entourage. Worldwide, there are 185,000 new cases of laryngeal cancer per year. In Europe, between 2000 and 2007, the crude annual incidence rates of these cancers were 4.6/100,000 with a 5-year survival rate of 61%.
In France, about 30 to 35% of cancers of the upper aerodigestive tract are localized to the larynx, or about 43,000 cases per year. Most patients are men (89%) between 50 and 70 years old. One of the treatments for these cancers is to perform an excision of the larynx thus removing the entire tumor, it is the total laryngectomy. The trachea is thus permanently removed from the skin and the digestive tract becomes independent.
详细描述
In the ENT department of Bichat Hospital, there is an average of fourteen surgeries of this type per year, over the last three years. The direct consequences of total laryngectomy are multiple:
- loss of phonation (voice) and need to learn to speak again through speech therapy;
- Disappearance of oral-nasal breathing (and therefore loss of smell, or even taste);
- Disappearance of the capacity of the effort with closed glottis (used in the acts of daily life: defecation, sexual act in men, etc.);
- Impairment of body image and sometimes self-esteem.
For these reasons, it is essential to accompany patients post-operative to help them understand their body image and mitigate the direct and indirect consequences of this intervention. There are very few organizations to assist these patients in this life change.
To support laryngectomized patients, the study will test and validate the creation of self-help and support groups. The study will include laryngectomized patients who wish and can participate in these groups.
The sessions will take place as follows:
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 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Have had a total laryngectomy at Bichat Hospital or HEGP within the last four years
- •Have completed all the specific care of the pathology that required the total laryngectomy
- •Be able to travel to Bichat Hospital for all four sessions
- •Be over 18 years of age
- •Have received informed information about the conduct of the research.
排除标准
- •WHO simplified autonomy scale greater than 2, i.e. from normal activity to ambulant and able to take care of themselves, but unable to provide work and bedridden for less than 50% of their time
- •Patient who does not speak or understand French
- •Lack of affiliation to a social security scheme or CMU
- •Patient benefiting from legal protection measures (guardianship or curatorship)
- •Patient who has communicated an objection to their inclusion, after informed information.
结局指标
主要结局
Differences in quality of life scores before and after the program, between the program and non-program control groups.
时间窗: 4 months
The aim is to show a difference in patients' overall quality of life scores via the WHOQOL-BREF questionnaire, before and after the program.
次要结局
- For ENT-specific quality of life using the EORTC QLQH&n43 questionnaire, comparison of the average patient scores, before and after exchange groups.(4 months)
- Evaluation of the participation rate (number of patients present out of the number of patients enrolled), during each session via the OVET software.(4 months)
- For overall quality of life using the WHOQOL-BREF questionnaire, comparison of the average patient scores, before and after exchange groups.(4 months)