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Formal hypnosis is a non-drug technique known to decrease anxiety and pain during the preoperative procedure.
In brachytherapy, the practice of hypnosis has been shown to be feasible and beneficial for patients treated for prostate cancer The goal of the study is to demonstrate the added value of hypnosis during a brachytherapy detachment by improving the comfort of the patient.
The investigators want to evaluate the contribution of hypnosis during brachytherapy detachment by quantifying the anxiety and pain felt by the patient during the procedure.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| experimental | Experimental | patients to benefit from brachytherapy detachment under KALINOX and formal hypnosis |
|
| active comparator | Active Comparator | patients to benefit from brachytherapy detachment under KALINOX |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| formal hypnosis | Other | patients will have brachytherapy detachment under Kalinox and formal hypnosis |
|
| Measure | Description | Time Frame |
|---|---|---|
| Anxiety evaluation | The patient's anxiety will be assessed using the State-Trait Anxiety Inventory scale ("state of anxiety") before premedication (in the bedroom) and immediately after the brachytherapy detachment (in the examination room) during brachytherapy detachment using two care management: standard care versus standard care with formal hypnosis. The State-Trait Anxiety Inventory (STAI) is a commonly used measure of trait and state anxiety (Spielberger et al, 1983). The scale include 20 items. Higher scores indicate greater anxiety | 1day |
| Measure | Description | Time Frame |
|---|---|---|
| Pain evaluation: numeric scale | Pain will be evaluated by a numeric scale before premedication (in the room), just before and just after the brachytherapy detachment (in the examination room). Patient inform their level of pain from 0 to 10 (11 point scale) with the understanding that 0 is equal to no pain and 10 is equal to worst possible pain | 1 day |
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Inclusion Criteria:
Adult patients ≥ 18 and ≤ 80 years
Patients expected to benefit a brachytherapy detachment Under KALINOX® for one of the types of applications described below:
Ability to provide written informed consent
Patients affiliated to the social security system
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sophie RENARD, Md | Institut de Cancérologie de Lorraine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institut de Cancérologie de Lorraine | Vandœuvre-lès-Nancy | 54519 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40883194 | Result | Lemoine L, Adam V, Salleron J, Cuisinier C, Perrin J, Brunaud CC, Jean-Francois P, Bruand M, Peiffert D, Etienne R, Schohn CH, Renard S. Randomized trial comparing hypnosis versus standard management on patient anxiety and pain during pelvic brachytherapy applicator removal. Brachytherapy. 2025 Nov-Dec;24(6):854-862. doi: 10.1016/j.brachy.2025.07.010. Epub 2025 Aug 28. |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| C534042 | kalinox |
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| Kalinox | Drug | patients will have brachytherapy detachment under Kalinox |
|
| Anxiety evaluation | Anxiety will be evaluated by a numeric scale just before and just after the brachytherapy detachment. Patient inform their level of anxiety from 0 to 10 (11 point scale) with the understanding that 0 is equal to no anxiety and 10 is equal to worst possible anxiety | 1 day |
| Patient's perception of the care | The patient's perception of the care will be evaluated by a semi-directive phone interview conducted by the medical staff between day 3 and day 5 after the brachytherapy detachment | 1day |
| Time of brachytherapy detachment | The time of brachytherapy detachment will be noted from the entrance to the patient's examination room until the end of the brachytherapy detachment | 1day |
| Realization of the brachytherapy detachment | The ease of realization of the brachytherapy detachment and the comfort of the medical staff will be evaluated by an numeric scale at the end of the care and by a self-survey | 1day |