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Evaluation of a Patient-Reported Symptom Index for NMIBC

Completed
Conditions
Superficial Bladder Cancer
Registration Number
NCT03091764
Lead Sponsor
University of Sydney
Brief Summary

This project will develop and evaluate a patient-reported symptom index to assess the impact of treatment for non-muscle invasive bladder cancer on patient burden, toxicity, symptoms and side effects. The symptom index will provide a method for assessing treatments from the patient's perspective; help healthcare professionals make better informed treatment decisions, and provide a method to be able to effectively evaluate treatments for non-muscle invasive bladder cancer.

Detailed Description

The overarching aim of this research is to develop and evaluate a patient-reported Symptom Index (SI) for individuals with NMIBC (the NMIBC-SI) that is acceptable to patients, reliable, valid and responsive, and fit for purpose in clinical trials and clinical practice.

Specific clinical aims:

* Assess and compare key Patient-Reported Outcomes (PROs) across the full range of contemporary treatments for NMIBC, and over the disease trajectory including acute treatment and 1year survivorshipอพ

* Compare PROs between patients with low, intermediate, and high risk NMIBC.

In field test 1, 200 participants will complete one questionnaire either in hard copy (pencil and paper) or online, at a time that is convenient for the participant. The questionnaire may take up to 20 minutes to complete.

In field test 2, 250 participants will complete quality of life questionnaires at four different time pointsอพ 1) before tumour resection, 2) 1 week after resection, 3) 8 weeks after resection, and 4) 1 year after resection. The questionnaires can be completed in the clinic or at home, either in hard copy (pencil and paper) or online, at a time that is convenient for the participant but still within the relevant time point. The questionnaires may take up to 30 minutes to complete.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
498
Inclusion Criteria
  • diagnosed NMIBC
  • Adult (>18yrs)
  • able to read and understand English
  • undergoing active treatment (i.e. one week after tumour resection or intravesical therapy) or completed final treatment for NMIBC within the last week
Exclusion Criteria
  • unconscious or confused
  • have cognitive impairment
  • unable to speak, read and/or write in English
  • diagnosed with muscle invasive disease
  • unable to provide informed consent

Field test 2:

Inclusion Criteria:

  • newly diagnosed NMIBC
  • Adult (>18yrs)
  • able to read and understand English
  • after imaging or flexible cystoscopy, and before active treatment
  • either before endoscopic resection, or more than 4 weeks since endoscopic resection, but before active/ongoing treatment

Exclusion Criteria:

  • unconscious or confused
  • have cognitive impairment
  • unable to speak, read and/or write in English
  • diagnosed with muscle invasive disease
  • unable to provide informed consent
  • currently undergoing active treatment for any bladder cancer, or finished treatment within last 3 years.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
NMIBC-SI development and validationField test 1: once only (cross-sectional). Field test 2: baseline to post-treatment (longitudinal)

non-muscle invasive bladder cancer symptom index (questionnaire being developed and evaluated in this study)

Secondary Outcome Measures
NameTimeMethod
QLQC-30Field test 2: four time-points over 1 year

EORTC cancer quality of life questionnaire

NMIBC24Field test 2: four time-points over 1 year

EORTC superficial bladder cancer questionnaire

NMIBC-SI long termField test 2: four time-points over 1 year

non-muscle invasive bladder cancer symptom index (long-term follow-up, and differences between groups)

Trial Locations

Locations (19)

Royal North Shore Hospital

๐Ÿ‡ฆ๐Ÿ‡บ

St Leonards, New South Wales, Australia

University of Kansas

๐Ÿ‡บ๐Ÿ‡ธ

Kansas City, Kansas, United States

Concord Hospital

๐Ÿ‡ฆ๐Ÿ‡บ

Concord, New South Wales, Australia

The Urological Cancer Centre, Westmead Specialist Centre

๐Ÿ‡ฆ๐Ÿ‡บ

Westmead, New South Wales, Australia

Riverina Cancer Care Centre

๐Ÿ‡ฆ๐Ÿ‡บ

Wagga Wagga, New South Wales, Australia

Westmead Hospital

๐Ÿ‡ฆ๐Ÿ‡บ

Westmead, New South Wales, Australia

Mater Misericordiae Limited

๐Ÿ‡ฆ๐Ÿ‡บ

South Brisbane, Queensland, Australia

Box Hill Hospital

๐Ÿ‡ฆ๐Ÿ‡บ

Box Hill, Victoria, Australia

Austin Health

๐Ÿ‡ฆ๐Ÿ‡บ

Heidelberg, Victoria, Australia

Alfred Health

๐Ÿ‡ฆ๐Ÿ‡บ

Melbourne, Victoria, Australia

Salford Royal NHS Foundation Trust

๐Ÿ‡ฌ๐Ÿ‡ง

Salford, Manchester, United Kingdom

Monash Health

๐Ÿ‡ฆ๐Ÿ‡บ

Moorabbin, Victoria, Australia

Mayo Clinic

๐Ÿ‡บ๐Ÿ‡ธ

Rochester, Minnesota, United States

University of British Columbia

๐Ÿ‡จ๐Ÿ‡ฆ

Vancouver, British Columbia, Canada

University of Minnesota

๐Ÿ‡บ๐Ÿ‡ธ

Minneapolis, Minnesota, United States

Royal Melbourne Hospital

๐Ÿ‡ฆ๐Ÿ‡บ

Parkville, Victoria, Australia

Canterbury Urology Research Trust

๐Ÿ‡ณ๐Ÿ‡ฟ

Christchurch, New Zealand

Fiona Stanley Hospital

๐Ÿ‡ฆ๐Ÿ‡บ

Murdoch, Western Australia, Australia

Tauranga Urology Research

๐Ÿ‡ณ๐Ÿ‡ฟ

Tauranga, New Zealand

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