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Assessing Quality of Life of Patients With Stomach Cancer

Completed
Conditions
Gastric Cancer
Interventions
Other: quality-of-life assessment
Registration Number
NCT00020826
Lead Sponsor
European Organisation for Research and Treatment of Cancer - EORTC
Brief Summary

RATIONALE: Assessing quality of life in patients who are undergoing cancer treatment may help determine the effect of treatment on these patients.

PURPOSE: Clinical trial to study the effectiveness of a quality of life assessment in patients who are receiving treatment for stomach cancer.

Detailed Description

OBJECTIVES:

* Determine the scale structure, reliability, and validity of the tumor-specific questionnaire, QLQ-STO22, in assessing the quality of life of patients with gastric cancer.

* Determine the questionnaire's sensitivity to change in clinical health status in these patients.

OUTLINE: Patients are stratified according to type of treatment (potentially curative vs potentially palliative), disease stage (local and locoregional vs metastatic), Karnofsky performance status (less than 80% vs more than 80%), and initial weight gain (none vs less than 10% of total body weight vs 10% or more of total body weight).

* Curatively Treated Group: Quality of life is assessed at 4 weeks prior to surgery and 3 months after surgery in patients receiving total or partial gastrectomy with curative intent; at 4 weeks prior to chemotherapy and/or radiotherapy, 4 weeks prior to surgery, and 3 months after surgery in patients receiving neoadjuvant chemotherapy and/or radiotherapy followed by total or partial gastrectomy with curative intent; at 4 weeks prior to chemotherapy and/or radiotherapy and 6 weeks after completion of therapy in patients receiving adjuvant chemotherapy and/or radiotherapy following total or partial gastrectomy; and at 4 weeks prior to therapy and 3 months after completion of therapy in patients receiving endoscopic mucosal resection or laparoscopic wedge resection.

* Palliatively Treated Group: Quality of life is assessed at 3 weeks prior to palliative therapy and 4 weeks after beginning palliative therapy.

PROJECTED ACCRUAL: Approximately 220 patients (110 per group) will be accrued for this study within 2 years.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
267
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
gastric adenocarcinomaquality-of-life assessmentNo protocol specific interventions. Both palliative or curative treatment allowed.
Primary Outcome Measures
NameTimeMethod
psychometric validity of the STO22 moduleThe EORTC QLQ-C30 and the gastric cancer module (QLQ-STO22) will be prospectively administered once before and once after primary treatment.

Quality of life scores will be evaluated for psychometric validity by:

* Scale structure using multi-trait scaling analysis

* Reliability using tests of internal consistency

* Test-retest reliability in patients recruited in the UK

* Validity using inter-scale correlations and known group comparisons

* Sensitivity to change using two measurements of Quality of Life and ANOVA to look for the significance of changes in quality of life scores as a function of observed changes in clinical status over time.

Secondary Outcome Measures
NameTimeMethod
debriefing questionnaire informationat baseline

Patients will be asked to complete a short debriefing questionnaire covering questions about the time taken to complete the EORTC QLQ-C30 and QLQ-STO22; the need for help in completing the questionnaires and querying whether any of the questionnaire items were confusing; difficult to answer or upsetting.

Trial Locations

Locations (7)

Sahlgrenska University Hospital

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Gothenburg (Goteborg), Sweden

Centre Alexis Vautrin

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Vandoeuvre-les-Nancy, France

University of Marburg

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Marburg, Germany

Universitaetsklinikum Charite

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Berlin, Germany

Hospital De Navarra

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Pamplona, Spain

Royal Infirmary

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Glasgow, Scotland, United Kingdom

Bristol Haematology and Oncology Centre

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Bristol, England, United Kingdom

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