Study of Physical and Psychosocial Rehabilitation Needs of Patients After Diagnosis and Treatment of Upper Gastrointestinal Cancer or Gynecological Cancer

Study Overview
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Brief Summary
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RATIONALE: Gathering information from patients who have undergone treatment for upper gastrointestinal cancer or gynecological cancer may help doctors learn more about patients' physical and psychosocial rehabilitation needs and plan the best treatment. PURPOSE: This clinical trial is studying the physical and psychosocial rehabilitation needs of patients after diagnosis and treatment of upper gastrointestinal cancer or gynecological cancer.

Detailed Description
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OBJECTIVES: Primary To explore the patients' perspective of their physical and psychosocial rehabilitation needs following the diagnosis and treatment for an upper gastrointestinal or a gynecological cancer. To assess patients' experiences of the physical and social impact of cancer in the treatment and post-treatment phase. To explore patients' met and un-met needs. To explore the patients' opinion of how it might be possible to manage any of the issues that arise. Secondary To generate theories and a hypothesis from the data collected for use in a future interventional study. OUTLINE: The study consist of a series of focus groups that take place in a private room within the Royal Marsden Hospital in the United Kingdom. Patients attend only one focus group session, which is audio-tape recorded. The focus groups discuss and explore the patient's needs and experiences using a semi-structured interview question schedule over 60-90 minutes. The groups are single-sex groups to allow the patients to express themselves freely with respect to any sensitive topics they may wish to discuss. If individual patient issues arise from the group discussions, the lead researcher may refer the patient to a member of the hospital team, the patient's physician, or for appropriate psychological support. Data from the focus group dialogue and patients' baseline demographic information are analyzed. The results from this study are used to design an interventional study in the Rehabilitation Department.

Official Title
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The Rehabilitation Needs of People Who Have Had an Upper Gastrointestinal or a Gynecological Cancer

Conditions
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Adenocarcinoma of the Gastroesophageal Junction, Cervical Cancer, Endometrial Cancer, Esophageal Cancer, Fallopian Tube Cancer, Gastric Cancer, Ovarian Cancer, Sarcoma, Vaginal Cancer, Vulvar Cancer

Intervention / Treatment
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* Other: informational intervention
* Procedure: assessment of therapy complications
* Procedure: psychosocial assessment and care


Participation Criteria
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Eligibility Criteria
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DISEASE CHARACTERISTICS: Diagnosis of upper gastrointestinal (GI) or gynecological cancer Must have completed initial treatment for upper GI or gynecological cancer Received primary treatment within the Royal Marsden NHS Foundation Trust Will be on a treatment pathway with radical intent or be post-treatment Reported that they have experienced a physical or psychosocial need resulting from the disease or its treatment PATIENT CHARACTERISTICS: Able to attend the specialist center for a focus group session Willing and able to articulate their experiences in English Not eligible for or receiving palliative or end-of-life care PRIOR CONCURRENT THERAPY: See Disease Characteristics

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 120 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: informational intervention|nan|
|Procedure: assessment of therapy complications|nan|
|Procedure: psychosocial assessment and care|nan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patients' perspective of their physical and psychosocial rehabilitation needs following their diagnosis and treatment |  |  | 
| Patients' experiences of the physical and social impact of cancer in the treatment and post-treatment phase |  |  | 
| Patients' met and un-met needs |  |  | 
| Patients' opinion of how to manage any of the issues that arise |  |  | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Theories and a hypothesis from data collected for use in a future interventional study |  |  | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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esophageal cancer, gastric cancer, cervical cancer, fallopian tube cancer, ovarian epithelial cancer, ovarian germ cell tumor, ovarian sarcoma, ovarian stromal cancer, endometrial cancer, uterine sarcoma, vaginal cancer, vulvar cancer, adenocarcinoma of the gastroesophageal junction