Understanding Low Gynecological Cancer Delay and Help-seeking Behavior in Older Patients.

Completed

• Conditions: Gynecologic Cancer; Aged; Symptoms and Signs

• Registration Number: NCT03336177
• Lead Sponsor: Institut de Cancérologie de Lorraine

Brief Summary

Systematic screening for cervical cancer stops in France at 65 years old. The incidence of certain types of gynecological neoplasia increases with age (endometrium, vulva). Diagnosis delay of 8 months has been described for uterine cancer and longer delays for vulvar cancer.

The aim of our study is to understand help-seeking behavior and its delay for this type of cancer among patients older than 65.

Detailed Description

Our study assess the reasons for which the patient took time to go to the doctor despite of their symptoms. We use a qualitative methodology. Our study categorizes lived experiences, recorded in semistructured interview transcripts. We use psychodynamic and semiopragmatic analyses of the discourse to obtain hypotheses about possible reasons of the delay in the help-seeking process."

Study Timeline

• Study First Submitted: 2017-10-19
• Study Start: 2017-10-30
• Study First Submitted QC: 2017-11-07
• Study First Posted: 2017-11-08
• Primary Completion: 2018-03-12
• Study Completion: 2018-07-27
• Status Verified: 2018-08
• Last Update Submitted: 2018-08-07
• Last Update Posted: 2018-08-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 12

Inclusion Criteria

• Women of 65 years or more treated or followed at Lorraine Institute of Oncology
• Diagnosed after 65 years or later of a low gynecological cancer
• Without diagnosis of dementia
• Retained ability to express by herself without assistance
• Affiliated to public health system
• Informed and having expressed her non-opposition

Exclusion Criteria

• Women under 65 or diagnosed before being 65 of a low gynecological cancer
• Diagnosed of dementia
• No longer to express herself
• Patient deprived of freedom

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Experience of help-seeking period for low gynecological cancers.	1 day	Qualitative interview performed at one occasion where the patient describes the experience of the help seeking period she has passed through.

Secondary Outcome Measures

Name	Time	Method
Motivators and barriers to help-seeking for low gynecological cancers.	1 day	qualitative methodology using verbal data analysis of semi-structured interview.

Trial Locations

Locations (1)

Institut de Cancérologie de Lorraine (ICL); 🇫🇷 Vandœuvre-lès-Nancy, France