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Main Goal : evaluation of quality of life for patient having a brain metastasis and allowed to have either surgery and radiosurgery of the surgical site or only hypofractionned radiosurgery on the lesion.
second objectives : evaluation of the local control of the disease evaluation of the overall survival interval without progression evaluation of the medico economic performance of each treatment protocol neuro cognitive evaluation at the end of the protocol
A patient with a brain metastasis may have the choice between surgery and focal radiosurgery of the surgical site and only hypofractionned radiosurgery on the lesion.
No previous study has focused on quality of life regarding these two treatments options.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| surgery and focal radiosurgery of the surgical site | Active Comparator |
| |
| hypofractionned radiosurgery | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| surgery and focal radiosurgery of the surgical bed | Procedure | hypofractionned radiosurgery of the lesion |
|
| Measure | Description | Time Frame |
|---|---|---|
| quality of life EORTC QLQ C30 | score European Organisation for Research and Treatment of Cancer Quality Life Quotation C30 | change between baseline and 6 month |
| Measure | Description | Time Frame |
|---|---|---|
| local control of the desease | baseline up to 24 month | |
| survival without progression | 24 month | |
| overall survival |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU CAEN | Recruiting | Caen | 14000 | France |
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| ID | Term |
|---|---|
| D001932 | Brain Neoplasms |
| ID | Term |
|---|---|
| D016543 | Central Nervous System Neoplasms |
| D009423 | Nervous System Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D013514 | Surgical Procedures, Operative |
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randomization between surgery and focal radiosurgery of the surgical site and hypofractionned radiosurgery of the tumor
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|
| 24 month |
| medico economic evaluation | cost-utility analysis | 24 month |
| neuro cognitive evaluation | BOSTON NAMING TEST | 12 and 24 month |
| D001927 |
| Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |