Chemotherapy Decisions and Outcomes in Older Women With Newly Diagnosed Breast Cancer
Recruitment status was Active, not recruiting
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Purpose
RATIONALE: Studying how older women make treatment decisions and how these decisions affect the outcome of treatment may help doctors plan more effective treatments and improve patient quality of life.
PURPOSE: This clinical trial is studying how a patient's treatment preferences and decisions about chemotherapy affect the outcome of treatment in older women with newly diagnosed breast cancer.
| Condition | Intervention |
|---|---|
|
Breast Cancer Psychosocial Effects of Cancer and Its Treatment |
Procedure: psychosocial assessment and care Procedure: quality-of-life assessment |
| Study Type: | Interventional |
| Official Title: | Observational Cohort Study: Chemotherapy Decisions and Outcomes in Women Age 65 or Older With Operable, Newly Diagnosed Breast Cancer |
| Estimated Enrollment: | 1360 |
| Study Start Date: | August 2003 |
| Estimated Primary Completion Date: | July 2005 (Final data collection date for primary outcome measure) |
OBJECTIVES:
- Determine the relationship between preferences and chemotherapy decisions in women age 65 and over with operable, newly diagnosed breast cancer.
- Determine how factors that could be targets for intervention affect the relationship between preferences and chemotherapy decisions in these patients.
- Determine the relationships between preference-based chemotherapy decisions, quality of life, and satisfaction with treatment decisions in these patients.
- Determine the disease-free survival and competing causes of mortality of these patients.
- Determine the types of physician providers who care for older breast cancer survivors after initial cancer treatment is completed and explore how women decide about which physicians to see.
- Measure quality indicators for the survivorship phase of care and evaluate if quality varies by type of physician provider model.
- Determine if long-term patient-reported satisfaction varies as a function of physician model for providing follow-up care post-treatment.
- Determine whether physician-patient communication and coordination of care after treatment ends mediate follow-up quality and outcomes post-treatment.
OUTLINE: This is a cohort study.
Patients participate in interviews over 30-45 minutes at baseline, at 6 months, and at 1 and 2 years.
Patients are followed annually for at least 5 years.
PROJECTED ACCRUAL: A total of 1,296 patients will be accrued for this study within 18-24 months.
Eligibility| Ages Eligible for Study: | 65 Years and older |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Histologically confirmed primary adenocarcinoma of the breast
- Operable disease
- Invasive and unilateral tumor
- No more than 20 weeks since diagnosis
- T1-4 (tumor size ≥ 1 cm), N0, M0 OR
- T1-4, N1-3, M0
- No prior carcinoma in situ, lobular carcinoma in situ, ductal carcinoma in situ, or invasive breast cancer
Hormone receptor status:
- Any estrogen receptor status
PATIENT CHARACTERISTICS:
Age
- 65 and over
Sex
- Female
Menopausal status
- Not specified
Performance status
- Any performance status
Life expectancy
- Not specified
Hematopoietic
- Not specified
Hepatic
- Not specified
Renal
- Not specified
Other
- No other malignancy except those for which the patient has completed treatment AND is considered to be at less than 30% risk of recurrence
- History of non-melanoma skin cancer allowed
- Sufficient cognitive function to consent to and complete interviews
- English or Spanish speaking
PRIOR CONCURRENT THERAPY:
Biologic therapy
- Not specified
Chemotherapy
- Not specified
Endocrine therapy
- Not specified
Radiotherapy
- Not specified
Surgery
- Not specified
Contacts and Locations
Hide Study Locations| United States, California | |
| Camino Medical Group - Treatment Center | |
| Mountain View, California, United States, 94040 | |
| Palo Alto Medical Foundation | |
| Palo Alto, California, United States, 94301 | |
| Pismo Beach, California, United States, 93449 | |
| United States, Connecticut | |
| Bendheim Cancer Center at Greenwich Hospital | |
| Greenwich, Connecticut, United States, 06830 | |
| United States, District of Columbia | |
| Walter Reed Army Medical Center | |
| Washington, District of Columbia, United States, 20307-5001 | |
| Washington Cancer Institute at Washington Hospital Center | |
| Washington, District of Columbia, United States, 20010 | |
| United States, Florida | |
| Cancer Center of South Florida Foundation, Incorporated | |
| Lake Worth, Florida, United States, 33461 | |
| United States, Illinois | |
| Louis A. Weiss Memorial Hospital | |
| Chicago, Illinois, United States, 60640 | |
| University of Chicago Cancer Research Center | |
| Chicago, Illinois, United States, 60637-1470 | |
| La Grange Memorial Hospital | |
| La Grange, Illinois, United States, 60525 | |
| Center for Cancer Care at OSF Saint Anthony Medical Center | |
| Rockford, Illinois, United States, 61108 | |
| United States, Indiana | |
| Michiana Hematology-Oncology, PC - Elkhart | |
| Elkhart, Indiana, United States, 46514 | |
| Elkhart General Hospital | |
| Elkhart, Indiana, United States, 46515 | |
| Elkhart Clinic, LLC | |
| Elkhart, Indiana, United States, 46514-2098 | |
| Howard Community Hospital | |
| Kokomo, Indiana, United States, 46904 | |
| Center for Cancer Therapy at LaPorte Hospital and Health Services | |
| La Porte, Indiana, United States, 46350 | |
| Suniti Medical Corporation | |
| Merrillville, Indiana, United States, 46410 | |
| Michiana Hematology-Oncology, PC - South Bend | |
| Mishawaka, Indiana, United States, 46545-1470 | |
| Saint Joseph Regional Medical Center | |
| Mishawaka, Indiana, United States, 46545-1470 | |
| Michiana Hematology Oncology PC - Plymouth | |
| Plymouth, Indiana, United States, 46563 | |
| South Bend Clinic | |
| South Bend, Indiana, United States, 46617 | |
| Memorial Hospital of South Bend | |
| South Bend, Indiana, United States, 46601 | |
| CCOP - Northern Indiana CR Consortium | |
| South Bend, Indiana, United States, 46601 | |
| Michiana Hematology Oncology PC - La Porte | |
| Westville, Indiana, United States, 46391 | |
| United States, Maine | |
| Maine Center for Cancer Medicine and Blood Disorders - Scarborough | |
| Scarborough, Maine, United States, 04074 | |
| United States, Maryland | |
| Harry and Jeanette Weinberg Cancer Institute at Franklin Square Hospital Center | |
| Baltimore, Maryland, United States, 21237 | |
| United States, Massachusetts | |
| Sturdy Memorial Hospital | |
| Attleboro, Massachusetts, United States, 02703 | |
| Dana-Farber/Harvard Cancer Center at Dana-Farber Cancer Institute | |
| Boston, Massachusetts, United States, 02115 | |
| Dana-Farber/Brigham and Women's Cancer Center | |
| Boston, Massachusetts, United States, 02115 | |
| Massachusetts General Hospital | |
| Boston, Massachusetts, United States, 02114 | |
| Addison Gilbert Hospital | |
| Gloucester, Massachusetts, United States, 01930 | |
| Cape Cod Hospital | |
| Hyannis, Massachusetts, United States, 02601 | |
| Lowell General Hospital | |
| Lowell, Massachusetts, United States, 01854 | |
| United States, Michigan | |
| Battle Creek Health System Cancer Care Center | |
| Battle Creek, Michigan, United States, 49017 | |
| Mecosta County Medical Center | |
| Big Rapids, Michigan, United States, 49307 | |
| CCOP - Grand Rapids | |
| Grand Rapids, Michigan, United States, 49503 | |
| Lacks Cancer Center at Saint Mary's Health Care | |
| Grand Rapids, Michigan, United States, 49503 | |
| Butterworth Hospital at Spectrum Health | |
| Grand Rapids, Michigan, United States, 49503 | |
| Mercy General Health Partners | |
| Muskegon, Michigan, United States, 49443 | |
| Michiana Hematology Oncology PC - Niles | |
| Niles, Michigan, United States, 49120 | |
| Lakeside Cancer Specialists, PLLC | |
| Saint Joseph, Michigan, United States, 49085 | |
| Lakeland Regional Cancer Care Center - St. Joseph | |
| St. Joseph, Michigan, United States, 49085 | |
| Munson Medical Center | |
| Traverse City, Michigan, United States, 49684 | |
| Metro Health Hospital | |
| Wyoming, Michigan, United States, 49519 | |
| United States, Missouri | |
| Saint Luke's Hospital | |
| Chesterfield, Missouri, United States, 63017 | |
| Ellis Fischel Cancer Center at University of Missouri - Columbia | |
| Columbia, Missouri, United States, 65203 | |
| Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis | |
| Saint Louis, Missouri, United States, 63110 | |
| St. Anthony's Cancer Center | |
| Saint Louis, Missouri, United States, 63128 | |
| United States, Nebraska | |
| Saint Francis Cancer Treatment Center at Saint Francis Memorial Health Center | |
| Grand Island, Nebraska, United States, 68803 | |
| Callahan Cancer Center at Great Plains Regional Medical Center | |
| North Platte, Nebraska, United States, 69103 | |
| UNMC Eppley Cancer Center at the University of Nebraska Medical Center | |
| Omaha, Nebraska, United States, 68198-6805 | |
| United States, Nevada | |
| CCOP - Nevada Cancer Research Foundation | |
| Las Vegas, Nevada, United States, 89106 | |
| University Medical Center of Southern Nevada | |
| Las Vegas, Nevada, United States, 89102 | |
| United States, New Hampshire | |
| New Hampshire Oncology - Hematology, PA at Payson Center for Cancer Care | |
| Concord, New Hampshire, United States, 03301 | |
| Center for Cancer Care at Exeter Hospital | |
| Exeter, New Hampshire, United States, 03833 | |
| New Hampshire Oncology - Hematology, PA - Hooksett | |
| Hooksett, New Hampshire, United States, 03106 | |
| Lakes Region General Hospital | |
| Laconia, New Hampshire, United States, 03246 | |
| Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center | |
| Lebanon, New Hampshire, United States, 03756-0002 | |
| Elliot Regional Cancer Center at Elliot Hospital | |
| Manchester, New Hampshire, United States, 03103 | |
| Norris Cotton Cancer Center at Catholic Medical Center | |
| Manchester, New Hampshire, United States, 03102 | |
| Foundation Medical Partners | |
| Nashua, New Hampshire, United States, 03060 | |
| Oncology Center at St. Joseph Hospital | |
| Nashua, New Hampshire, United States, 03060 | |
| United States, New Jersey | |
| St. Barnabas Medical Center Cancer Center | |
| Livingston, New Jersey, United States, 07039 | |
| United States, New York | |
| Roswell Park Cancer Institute | |
| Buffalo, New York, United States, 14263-0001 | |
| CCOP - Hematology-Oncology Associates of Central New York | |
| East Syracuse, New York, United States, 13057 | |
| Queens Cancer Center of Queens Hospital | |
| Jamaica, New York, United States, 11432 | |
| Memorial Sloan-Kettering Cancer Center | |
| New York, New York, United States, 10065 | |
| Lipson Cancer and Blood Center at Rochester General Hospital | |
| Rochester, New York, United States, 14621 | |
| United States, North Carolina | |
| Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill | |
| Chapel Hill, North Carolina, United States, 27599-7295 | |
| Duke Comprehensive Cancer Center | |
| Durham, North Carolina, United States, 27710 | |
| Cape Fear Valley Medical Center Cancer Center | |
| Fayetteville, North Carolina, United States, 28302-2000 | |
| Maria Parham Medical Center | |
| Henderson, North Carolina, United States, 27536 | |
| Southeastern Regional Medical Center | |
| Lumberton, North Carolina, United States, 28359 | |
| Granville Medical Center | |
| Oxford, North Carolina, United States, 27565 | |
| FirstHealth Moore Regional Community Hospital Comprehensive Cancer Center | |
| Pinehurst, North Carolina, United States, 28374 | |
| Duke Health Raleigh Hospital | |
| Raleigh, North Carolina, United States, 27609 | |
| Person Memorial Hospital | |
| Roxboro, North Carolina, United States, 27573 | |
| Marion L. Shepard Cancer Center at Beaufort County Hospital | |
| Washington, North Carolina, United States, 27889 | |
| United States, South Carolina | |
| Keyserling Cancer Center at Beaufort Memorial Hospital | |
| Beaufort, South Carolina, United States, 29902 | |
| South Carolina Oncology Associates, PA | |
| Columbia, South Carolina, United States, 29210 | |
| Coastal Cancer Center - Myrtle Beach | |
| Myrtle Beach, South Carolina, United States, 29572 | |
| United States, Vermont | |
| Mountainview Medical | |
| Berlin, Vermont, United States, 05602 | |
| Fletcher Allen Health Care - University Health Center Campus | |
| Burlington, Vermont, United States, 05401 | |
| United States, Virginia | |
| Medical Oncology and Hematology Associates of North Virginia - Fairfax | |
| Fairfax, Virginia, United States, 22031 | |
| United States, West Virginia | |
| St. Mary's Regional Cancer Center at St. Mary's Medical Center | |
| Huntington, West Virginia, United States, 25702 | |
| Study Chair: | Jeanne Mandelblatt, MD, MPH | Lombardi Cancer Research Center |
| Investigator: | Alice B. Kornblith, PhD | Dana-Farber Cancer Institute |
| Investigator: | Hyman B. Muss, MD | University of Vermont |
| Investigator: | Stephen B. Edge, MD | Roswell Park Cancer Institute |
More Information
Additional Information:
Publications:
| ClinicalTrials.gov Identifier: | NCT00068328 History of Changes |
| Other Study ID Numbers: | CDR0000321396, CALGB-369901 |
| Study First Received: | September 10, 2003 |
| Last Updated: | February 18, 2011 |
| Health Authority: | United States: Federal Government |
Keywords provided by National Cancer Institute (NCI):
|
psychosocial effects of cancer and its treatment stage II breast cancer stage IIIA breast cancer stage IIIB breast cancer stage IIIC breast cancer |
stage IA breast cancer stage IB breast cancer estrogen receptor-negative breast cancer estrogen receptor-positive breast cancer |
Additional relevant MeSH terms:
|
Breast Neoplasms Neoplasms by Site Neoplasms Breast Diseases Skin Diseases |
ClinicalTrials.gov processed this record on May 21, 2013