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| Name | Class |
|---|---|
| University of California, San Francisco | OTHER |
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The complexity of cancer patients' symptoms and health problems constitutes considerable distress and burden for patients and their family caregivers. To help them manage the illness effectively, there is a need to better understand the complexity of symptoms and symptom clusters in patients and caregivers. Therefore, the purpose of this research is to explore a set of important fundamental research questions to advance the scientific knowledge of cancer patients' and caregivers' symptoms, symptom clusters and health-related quality of life. The investigators will follow 500 cancer patients and their caregivers with repeated measures over 6 months to assess their symptoms, symptom clusters, and quality of life over time. Caregiver burden will also be examined in the caregivers.
The specific aims of the study, where we will follow 500 cancer patients and their caregivers with repeated measures over 6 months, are to:
Patients will be asked to complete questionnaires to collect demographic characteristics and self-reported medical history information, a general symptom inventory, specific measures of the symptoms of pain, sleep disturbance, fatigue, depression, functional status and quality of life. The patients' medical record will be reviewed for disease and treatment information.
The caregivers will also be asked to complete questionnaires about a general symptom inventory, specific measures of the symptoms of pain, sleep disturbance, fatigue, depression, functional status, quality of life and caregiver burden.
Data Analyses will be done to identify symptom clusters of the different symptoms, and to identify patient subgroups based on their symptom experience and quality of life. Variations in symptom clusters and quality of life over time will also be evaluated. Genetic analyses will also be done in the patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Not hospitalized cancer patients under active treatment | ||
| 2 | Caregivers of these cancer patients |
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| Measure | Description | Time Frame |
|---|---|---|
| Physical functioning and quality of life | 5 to 8 times during 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Symptoms will be measured both in patients and caregivers. Caregiver burden will be measured in the caregivers. A blood sample for genetic testing will be taken from the patients once | 5 to 8 times during 6 months for patients. Three times during 6 months for caregivers. |
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Inclusion Criteria for patients are:
Inclusion criteria for caregivers:
Exclusion Criteria:
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500 cancer outpatients (125 with breast cancer and 125 with head and neck cancer receiving radiation therapy and 125 ovarian cancer patients and 125 colon cancer patients receiving chemotherapy)
and their caregivers
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| Name | Affiliation | Role |
|---|---|---|
| Tone Rustøen, PhD | Oslo University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sykehuset Østfold | Fredrikstad | 1603 | Norway | |||
| Oslo University Hopsital, Rikshospitalet |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D010146 | Pain |
| D005221 | Fatigue |
| D003863 | Depression |
| D020447 | Parasomnias |
| D007319 | Sleep Initiation and Maintenance Disorders |
| D000084802 | Caregiver Burden |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001526 | Behavioral Symptoms |
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DNA analyses for genotyping subgroups of patients based on their experience with pain, fatigue, sleep disturbance and depression will test the hypothesis that gene polymorphisms within the selected candidate genes will exhibit significant differences in frequency distribution among the different patient subgroups that are identified through cluster analysis.
| Oslo |
| 0027 |
| Norway |
| Rikshospitalet | Oslo | 0027 | Norway |
| D001519 | Behavior |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D001523 | Mental Disorders |
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D013315 | Stress, Psychological |