Towards an Understanding of Barriers and Delays in the Diagnosis of Anal Cancer
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 300
- 试验地点
- 32
- 主要终点
- First symptom(s) and the histological diagnosis
研究概览
简要总结
This study examines care pathways in 300 patients with anal squamous cell carcinoma to identify barriers and delays in diagnosis, assess the impact of screening and access to care, and improve awareness, screening practices, and early diagnosis.
详细描述
This situational analysis will make it possible to identify barriers and delays in diagnosis, to assess waiting times for access to consultations, and to evaluate the existence of potential fast-track diagnostic pathways.
It will analyze the proportion of cancers diagnosed through screening as well as the proportion of eligible patients who did not benefit from screening.
Assessing patient reluctance, the impact of socio-economic conditions, and patients' knowledge of the link between HPV and anal cancer will help better target public information efforts.
Ultimately, the aim of the study is to improve care pathways in order to enhance public and healthcare professional awareness and promote earlier diagnosis.
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
- •Male or female ≥ 18 years
- •Histologically proven invasive or microinvasive squamous cell carcinoma of the anus
- •Having read and understood the information letter provided, either:
- •i. After disclosure of the diagnosis, or ii. At the latest 6 months after initiation of treatment (surgical excision, radiotherapy, or chemoradiotherapy)
- •Affiliated with a social security system
排除标准
- •Refusal to participate in the protocol
- •Other histological types: lymphoma, adenocarcinoma, neuroendocrine tumor, etc.
- •Time since treatment initiation greater than 6 months
- •Protected persons (pregnant women, breastfeeding women, individuals under guardianship or curators, minors, persons deprived of liberty, or persons unable to express informed consent).
研究组 & 干预措施
Patients diagnosed with squamous cell carcinoma of the anal canal
Adult patients diagnosed with histologically confirmed anal squamous cell carcinoma.
干预措施: self-administered questionnaire (Other)
结局指标
主要结局
First symptom(s) and the histological diagnosis
时间窗: At the inclusion
Time between the first symptom(s) and the histological diagnosis of anal squamous cell carcinoma.
次要结局
- Primary tumor, regional nodes, metastasis (TNM) ) stage comparison(At the inclusion)
- Assessment of Deprivation and Health Inequalities for Health Examination Centers, French(At the inclusion)
- Link between HPV and anal cancer(At the inclusion)
- Performing a rectal examination at the first consultation(At the inclusion)