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Trial registered on ANZCTR
Registration number
ACTRN12614000078651
Ethics application status
Approved
Date submitted
15/01/2014
Date registered
22/01/2014
Date last updated
22/03/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Immediate expander/implant breast reconstruction followed by post-mastectomy radiotherapy for breast cancer: Aesthetic and quality of life outcomes.
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Scientific title
A retrospective observational study of women with breast cancer who have had mastectomy, immediate breast reconstruction and post-mastectomy radiotherapy (PMRT), and one-off assessment at six months post-stage 2 reconstruction, of aesthetic and quality of life outcomes.
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Secondary ID [1]
283873
0
Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Breast cancer
290857
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Condition category
Condition code
Cancer
291218
291218
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0
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Breast
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Intervention/exposure
Study type
Observational
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Patient registry
True
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Target follow-up duration
Six
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Target follow-up type
Months
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Description of intervention(s) / exposure
Quality of life and aesthetic outcomes in women following mastectomy, immediate breast reconstruction and PMRT, as measured by a one-off set of surveys six months after second-stage reconstruction. A subset of these women will also have a clinical examination and photos taken, at a minimum of six months post-stage 2 reconstruction, as part of their routine follow up.
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Intervention code [1]
288548
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Not applicable
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Comparator / control treatment
Not applicable - Observational study
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
291212
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To assess the psychological and quality of life outcomes of patients undergoing mastectomy, immediate reconstruction and PMRT through the following surveys:
Breast Q - reconstruction module (post operative)
Body Image Scale
Impact of Event Scale
Decision Regret Scale
FACT-B
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Assessment method [1]
291212
0
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Timepoint [1]
291212
0
Six months following second-stage reconstruction.
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Primary outcome [2]
291308
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To assess the surgical, radiotherapy and oncological outcomes of patients undergoing mastectomy, immediate reconstruction and PMRT through patient records and clinical examination.
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Assessment method [2]
291308
0
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Timepoint [2]
291308
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Six months following second-stage reconstruction.
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Primary outcome [3]
291309
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To assess the aesthetic outcomes of patients undergoing mastectomy, immediate reconstruction and PMRT through patient surveys (Breast Q). In addition, a sub-set of these women will have a clinical assessment form completed by the surgeon and photos taken.
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Assessment method [3]
291309
0
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Timepoint [3]
291309
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A minimum of six months following second-stage reconstruction.
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Secondary outcome [1]
306245
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To report types of breast reconstruction chosen by women undergoing post-mastectomy radiotherapy.
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Assessment method [1]
306245
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Timepoint [1]
306245
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At end of final breast reconstruction.
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Eligibility
Key inclusion criteria
1) Female gender
2) Undergoing mastectomy for breast cancer (unilateral or bilateral)
3) Undergoing immediate reconstruction with implant/tissue expander
4) Undergoing post-mastectomy radiotherapy
5) Willing to give written informed consent.
6) Willingness to participate to and comply with the study requirements.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Male
2. Women unable to read and write English to a level required for completion of informed consent form and questionnaires.
3. Women unwilling to give consent for the study.
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Study design
Purpose
Psychosocial
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Retrospective
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Statistical methods / analysis
Sample size will be determined by the number of eligible patients identified from the database, but a sample size of 50 is anticipated. Descriptive statistics will be used to analyse and describe the data obtained from questionnaires and surgeon aesthetic ratings.
The questionnaires are all standardised and validated, and will be scored according to standard scoring criteria published in the literature. Comparison of subgroups may be possible in some cases, for example if there are variations in dose of radiation, aesthetic and psychological outcomes at different doses will be analysed. Options for analysis of outcomes in different age groups and body habitus may also be explored.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
30/03/2012
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Actual
29/05/2012
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Date of last participant enrolment
Anticipated
29/08/2014
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Actual
6/08/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
50
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Accrual to date
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Final
50
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
1941
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Mater Sydney - North Sydney
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Recruitment postcode(s) [1]
7684
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2060 - North Sydney
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Funding & Sponsors
Funding source category [1]
288518
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Hospital
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Name [1]
288518
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Mater Hospital
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Address [1]
288518
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Rocklands Rd, North Sydney
NSW, 2060
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Country [1]
288518
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Australia
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Primary sponsor type
Other
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Name
Breast & Surgical Oncology at the Poche Centre
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Address
40 Rocklands Rd, North Sydney
NSW 2060
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Country
Australia
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Secondary sponsor category [1]
287224
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None
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Name [1]
287224
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Address [1]
287224
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Country [1]
287224
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
290382
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St Vincent's Hospital
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Ethics committee address [1]
290382
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390 Victoria St, Darlinghurst, NSW, 2010.
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Ethics committee country [1]
290382
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Australia
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Date submitted for ethics approval [1]
290382
0
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Approval date [1]
290382
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19/12/2011
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Ethics approval number [1]
290382
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11/156
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Summary
Brief summary
This study will assess the quality of life of women from a surgical oncology practice in North Sydney, Australia, who have undergone mastectomy for breast cancer, have chosen to have immediate breast reconstruction (IBR) and have also required post-mastectomy radiotherapy (PMRT). The purpose of this research is to provide evidence about the oncological safety and levels of patient satisfaction in this group of women. Study details All participants in this study will be asked to complete five surveys, six months after their final breast reconstruction operation, about their satisfaction with the aesthetic outcomes of their surgery, and its affect on their psychological wellbeing and quality of life. These patient-reported outcomes will be assessed alongside measures of their clinical outcomes, including any post-operative or post-radiotherapy complications, taken from their patient record. A subset of these women will also have a clinical examination and photos taken at six months following their final reconstruction procedure.
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Trial website
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Trial related presentations / publications
The following journal article is under review with Plastic and Reconstructive Surgery. Immediate expander/implant breast reconstruction followed by post-mastectomy radiotherapy for breast cancer: Aesthetic, surgical, satisfaction and quality of life outcomes in women with high-risk breast cancer.
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Public notes
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Contacts
Principal investigator
Name
45406
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A/Prof Andrew Spillane
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Address
45406
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Breast & Surgical Oncology at The Poche Centre
40 Rocklands Rd, North Sydney,
NSW 2060.
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Country
45406
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Australia
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Phone
45406
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+61 2 99117381
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Fax
45406
0
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Email
45406
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[email protected]
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Contact person for public queries
Name
45407
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Kathy Flitcroft
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Address
45407
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Breast & Surgical Oncology at The Poche Centre
40 Rocklands Rd, North Sydney,
NSW 2060.
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Country
45407
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Australia
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Phone
45407
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+61 2 99117381
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Fax
45407
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Email
45407
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[email protected]
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Contact person for scientific queries
Name
45408
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Meagan Brennan
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Address
45408
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Breast & Surgical Oncology at The Poche Centre
40 Rocklands Rd, North Sydney,
NSW 2060.
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Country
45408
0
Australia
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Phone
45408
0
+61 2 99117381
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Fax
45408
0
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Email
45408
0
[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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