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Brief Title: Prospective Evaluation of Lymphoedema Among Patients With Gynaecological Cancer
Official Title: Prospective Evaluation of Lymphoedema Among Patients With Gynaecological Cancer
Study ID: NCT00604994
Brief Summary: This project will conduct a prospective, longitudinal, observational cohort study to assess the onset and incidence of lymphoedema, as well as investigate factors associated with its development among women newly diagnosed with gynaecological cancers in 2008 to 2011.
Detailed Description: Pathological swelling of the lower limbs (lymphoedema) is widely accepted to be a common consequence of treatment for gynaecological cancer. It is both a serious and debilitating complication, associated with significant morbidity, which impacts physically and emotionally on otherwise healthy women. Lymphoedema can also affect patients' ability to earn an income, especially if their work requires prolonged periods of standing or walking. The causes of lymphoedema are largely unknown with clinical data scarce regarding its onset time and incidence after gynaecological cancer treatment. The following hypotheses will be tested to address the aims of the project: 1. At least 20% of patients will develop lower-limb lymphoedema following gynaecological cancer treatment. 2. Patient's age, as well as their body mass index (BMI), area of residence, degree of physical exercise, type of disease (uterine, cervical, ovarian, vulval/vaginal cancer; benign disease), mode of treatment (extent of lymph node dissection, radiotherapy, chemoradiation) and delay in wound healing are independent risk factors for lower-limb lymphoedema. 3. Patients who develop lymphoedema after gynaecological cancer treatment, will experience increased pain, lower quality of life (including worse body-image), and decreased sexual \& financial well-being, compared to those who do not develop lymphoedema. 4. There will be at least 10% difference in the incidence of lower-limb lymphoedema between patients treated for gynaecological cancer compared to benign diseases.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: FEMALE
Healthy Volunteers: No
Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
The Wesley Hospital, Auchenflower, Queensland, Australia
Greenslopes Private Hospital, Greenslopes, Queensland, Australia
Royal Brisbane and Women's Hospital, Herston, Queensland, Australia
Mater Health Services, South Brisbane, Queensland, Australia
Royal Women's Hospital, Carlton, Victoria, Australia
Name: Andreas Obermair, MD FRANZCOG CGO
Affiliation: Queensland Centre for Gynaecological Cancer
Role: PRINCIPAL_INVESTIGATOR