Optimizing the Effectiveness of Routine Post-treatment Surveillance in Prostate Cancer Survivors
Study Details
Study Description
Brief Summary
Through this study, the investigators seek to identify the benefits (improved survival) and harms (more procedures, more treatment, side effects, and quality-of-life impact) from different surveillance frequencies-every three vs. six vs. 12 months. Using the National Cancer Database and quality-of-life data from a large group of prostate cancer survivors, the investigators aim to compare survival, procedures/tests, treatments, and side effects in prostate cancer survivors who are followed with alternative surveillance frequencies and compare quality-of-life outcomes. The overall goal of the study is to provide high-quality data that will allow development of a personalized, risk-based tailored approach to post-treatment surveillance for prostate cancer.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Detailed Description
We seek to identify the benefits (improved survival) and harms (more procedures, more treatment, side effects, and quality-of-life impact) from different surveillance frequencies--every three vs. six vs. 12 months. We hypothesize that patients with a low risk of recurrence may experience more harm than benefit, while patients with a high risk of recurrence may have improved survival from frequent surveillance.
Specific aims: The specific aims are 1) compare survival, procedures/tests, treatments, and side effects in prostate cancer survivors who are followed with alternative surveillance frequencies; and 2) compare quality-of-life outcomes.
Methods:
Aim 1 will use the National Cancer Database, which includes 70 percent of cancer patients across the United States, and will provide results representative of outcomes of prostate cancer survivors. We will compare the effectiveness of the three most common surveillance frequencies (PSA testing every 3 months vs. 6 months vs. 12 months) stratified by risk of recurrence (low-risk, intermediate-risk, high-risk; as defined by the National Comprehensive Cancer Network (NCCN)) and initial treatment (surgery or radiation). The objective of this aim is to quantify the potential benefits (survival) and harms (procedures/tests, treatments, morbidity consequences) of different PSA surveillance frequencies in the 6 patient groups.
The objective of Aim 2 is to quantify the impact of different surveillance frequencies from the patient's perspective. This aim will use quality-of-life data from the North Carolina Prostate cancer Comparative Effectiveness & Survivorship Study (NC ProCESS), PI Ronald Chen, a prospective population-based cohort of >1,000 patients with newly diagnosed prostate cancer, enrolled from January 2011 through June 2013. Comparison groups are the same as Aim
- PSA frequency will be similarly defined using medical record abstraction.
Patient and stakeholder engagement: Through a five-year process, patients have worked with the PI in all phases of this research, including 1) identifying the highest priority research topic, 2) defining the study population/comparators, and 3) identifying outcomes of highest relevance to patients. Patients and other stakeholders will continue to 4) monitor study conduct and progress and 5) design dissemination activities.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
National Cancer Data Base Patients within the National Cancer Database with newly diagnosed prostate cancer between 2004 and 2010. Participating institutions each provided a random of sample of 10 patients to be included in the final cohort. |
|
NC ProCESS The North Carolina Prostate cancer Comparative Effectiveness & Survivorship Study (NC ProCESS) is a prospective population-based cohort of >1,000 patients with newly diagnosed prostate cancer, enrolled from January 2011 through June 2013. |
Outcome Measures
Primary Outcome Measures
- Overall Survival [From completion of primary treatment with surgery or radiation to the earliest occurrence of death, loss to follow-up, or the end of the study period.]
Time to death or date of last follow-up after primary treatment with surgery or radiation.
- Prostate Cancer Anxiety [12 to 60 months after participant enrollment]
Prostate cancer anxiety was measured annually (starting 12 months after participant enrollment) using the validated Memorial Anxiety Scale for Prostate Cancer (MAX-PC). The instrument contains 18 questions across 3 subscales assessing anxiety related to prostate cancer (11 items), PSA testing (3 items), and fear of recurrence (4 items). Each item was scored on a Likert-type scale (1 to 4), with a higher score indicating greater anxiety. The subscale means represent the average scores across the items in that sub-scale. The mean Total MAX-PC scores represent the average scores across the 3 subscales (anxiety related to prostate cancer; anxiety related to PSA testing; and anxiety related to prostate cancer recurrence).
Secondary Outcome Measures
- Time to Prostate Cancer Recurrence [Completion of primary treatment with surgery or radiation to earliest of prostate cancer recurrence, loss to follow-up, or end of study period]
Time to recurrence represents the period between completion of the first course of treatment (i.e., radiation or surgery) and the date of prostate cancer recurrence (if prostate cancer recurrence occurred).
- Treatment for Prostate Cancer Recurrence [Completion of primary treatment with surgery or radiation to earliest of prostate cancer recurrence, loss to follow-up, or end of study period]
Receipt of subsequent treatment when prostate cancer has recurred after primary treatment with either surgery or radiation.
- Prostate Cancer-Specific Health-Related Quality of Life [12 to 60 months after participant enrollment]
Prostate cancer-specific health-related quality of life was assessed using the validated and well-published Prostate Cancer Symptom Indices (PCSI). PCSI assesses treatment-related morbidity and includes scales that measure sexual, bowel, and urinary symptoms. Patient responses are converted to a score from 0 (no symptoms) to 100 (maximum symptoms). A higher score indicates greater morbidity and poorer organ system function. PCSI was assessed at baseline, 3 months, 12 months and annually thereafter.
- Global Health-Related Quality of Life [12 to 60 months after participant enrollment]
Global health-related quality of life was assessed using the validated Short-Form 12 (SF-12). The SF-12 survey consists of Likert response formats and assesses overall health, mental health, vitality, social functioning, and whether one's daily physical activities are limited by their health or pain. The SF-12 also includes four binary response (yes or no) questions that assess limitations in function due to physical and emotional health. The SF-12 provides a Mental Component Score and a Physical Component Score, each calculated using norm-based scoring, with a mean score of 50 and standard deviation of 10. A lower score indicates lower health-related quality of life. SF-12 was assessed at baseline, 3 months, 12 months and annually thereafter.
Eligibility Criteria
Criteria
Inclusion Criteria for the National Cancer Data Base cohort:
-
Patient data part of the NCDB
-
Diagnosed with prostate cancer in 2004-2005.
-
Treated for prostate cancer with surgery (prostatectomy) or radiation therapy
Inclusion/Exclusion Criteria for the NC ProCESS cohort:
Inclusion Criteria:
-
Newly-diagnosed, histologically-proven, localized prostate adenocarcinoma.
-
Completion of baseline interview prior to initiating therapy.
-
Patient ability to complete study interview: no cognitive impairment, language or hearing problems.
-
Not diagnosed with prostate cancer through transurethral resection of the prostate (TURP).
-
Age 35-80.
-
English speaking.
-
Has telephone.
Exclusion Criteria:
-
Initiation of treatment for prostate cancer prior to completion of baseline interview.
-
Cognitive impairment.
-
Hearing problems.
-
Inability to speak or understand English.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Alliance Foundation Trials, LLC.
- Patient-Centered Outcomes Research Institute
Investigators
- Principal Investigator: Ronald Chen, MD, MPH, University of North Carolina, Chapel Hill
Study Documents (Full-Text)
More Information
Publications
None provided.- AFT-30
Study Results
Participant Flow
Recruitment Details | |
---|---|
Pre-assignment Detail |
Arm/Group Title | National Cancer Data Base | NC ProCESS |
---|---|---|
Arm/Group Description | Patients within the National Cancer Database with newly diagnosed prostate cancer between 2004 and 2010. Participating institutions each provided a random of sample of 10 patients to be included in the final cohort. | The North Carolina Prostate cancer Comparative Effectiveness & Survivorship Study (NC ProCESS) is a prospective population-based cohort of >1,000 patients with newly diagnosed prostate cancer, enrolled from January 2011 through June 2013. |
Period Title: Overall Study | ||
STARTED | 10479 | 835 |
COMPLETED | 10479 | 835 |
NOT COMPLETED | 0 | 0 |
Baseline Characteristics
Arm/Group Title | National Cancer Data Base | NC ProCESS | Total |
---|---|---|---|
Arm/Group Description | Patients within the National Cancer Database with newly diagnosed prostate cancer between 2004 and 2010. Participating institutions each provided a random of sample of 10 patients to be included in the final cohort. | The North Carolina Prostate cancer Comparative Effectiveness & Survivorship Study (NC ProCESS) is a prospective population-based cohort of >1,000 patients with newly diagnosed prostate cancer, enrolled from January 2011 through June 2013. | Total of all reporting groups |
Overall Participants | 10479 | 835 | 11314 |
Age, Customized (Count of Participants) | |||
<55 |
1329
12.7%
|
115
13.8%
|
1444
12.8%
|
55-64 |
4059
38.7%
|
334
40%
|
4393
38.8%
|
65-75 |
5091
48.6%
|
345
41.3%
|
5436
48%
|
>75 |
0
0%
|
41
4.9%
|
41
0.4%
|
Sex: Female, Male (Count of Participants) | |||
Female |
0
0%
|
0
0%
|
0
0%
|
Male |
10479
100%
|
835
100%
|
11314
100%
|
Race/Ethnicity, Customized (Count of Participants) | |||
Non-Hispanic White |
7561
72.2%
|
550
65.9%
|
8111
71.7%
|
Non-Hispanic Black |
1375
13.1%
|
248
29.7%
|
1623
14.3%
|
Other |
1543
14.7%
|
37
4.4%
|
1580
14%
|
Region of Enrollment (participants) [Number] | |||
United States |
10479
100%
|
835
100%
|
11314
100%
|
Outcome Measures
Title | Overall Survival |
---|---|
Description | Time to death or date of last follow-up after primary treatment with surgery or radiation. |
Time Frame | From completion of primary treatment with surgery or radiation to the earliest occurrence of death, loss to follow-up, or the end of the study period. |
Outcome Measure Data
Analysis Population Description |
---|
Analysis population comprised patients in the National Cancer Data Base, stratified by risk group (low, intermediate, high) and treatment (radiation or surgery). Survival data on patients in NC ProCESS were not collected for this assessment. |
Arm/Group Title | Low Risk/Radiation | Low Risk/Surgery | Intermediate Risk/Radiation | Intermediate Risk/Surgery | High Risk/Radiation | High Risk/Surgery |
---|---|---|---|---|---|---|
Arm/Group Description | Patients with low-risk prostate cancer treated with radiation therapy | Patients with low risk prostate cancer treated with radical prostatectomy (i.e. surgery) | Patients with intermediate risk prostate cancer treated with radiation therapy | Patients with intermediate risk prostate cancer treated with radical prostatectomy (i.e. surgery) | Patients with high risk prostate cancer treated with radiation therapy | Patients with high risk prostate cancer treated with radical prostatectomy (i.e. surgery) |
Measure Participants | 1891 | 1772 | 1818 | 2311 | 1326 | 1336 |
Participants with <= 1 PSA test in the first year after treatment |
8.7
|
8.8
|
8.6
|
9.0
|
8.8
|
8.9
|
Participants with 2 PSA tests in the first year after treatment |
8.2
|
8.4
|
8.3
|
8.7
|
8.6
|
8.6
|
Participants with >=3 PSA tests in the first year after treatment |
8.2
|
8.6
|
8.3
|
8.9
|
8.36
|
8.9
|
Title | Prostate Cancer Anxiety |
---|---|
Description | Prostate cancer anxiety was measured annually (starting 12 months after participant enrollment) using the validated Memorial Anxiety Scale for Prostate Cancer (MAX-PC). The instrument contains 18 questions across 3 subscales assessing anxiety related to prostate cancer (11 items), PSA testing (3 items), and fear of recurrence (4 items). Each item was scored on a Likert-type scale (1 to 4), with a higher score indicating greater anxiety. The subscale means represent the average scores across the items in that sub-scale. The mean Total MAX-PC scores represent the average scores across the 3 subscales (anxiety related to prostate cancer; anxiety related to PSA testing; and anxiety related to prostate cancer recurrence). |
Time Frame | 12 to 60 months after participant enrollment |
Outcome Measure Data
Analysis Population Description |
---|
The analysis population comprised participants from the North Carolina Prostate Cancer Comparative Effectiveness & Survivorship Study who received primary treatment with either radiation therapy or surgery. Data were not collected from the National Cancer Data Base for this assessment. |
Arm/Group Title | <= 1 PSA Test in Year 1 After Treatment | 2 PSA Tests in Year 1 After Treatment | >= 3 PSA Tests in Year 1 After Treatment |
---|---|---|---|
Arm/Group Description | Participants in the North Carolina Prostate Cancer Comparative Effectiveness & Survivorship Study who received primary treatment with radiation therapy or surgery and <=1 PSA tests in the first year after treatment. | Participants in the North Carolina Prostate Cancer Comparative Effectiveness & Survivorship Study who received primary treatment with radiation therapy or surgery and 2 PSA tests in the first year after treatment. | Participants in the North Carolina Prostate Cancer Comparative Effectiveness & Survivorship Study who received primary treatment with radiation therapy or surgery and >=3 PSA tests in the first year after treatment. |
Measure Participants | 97 | 183 | 309 |
Prostate Cancer Anxiety (Subscale 1) at 12 months |
1.56
(0.70)
|
1.60
(0.74)
|
1.52
(0.62)
|
Prostate Cancer Anxiety (Subscale 1) at 24 months |
1.35
(0.57)
|
1.57
(0.70)
|
1.45
(0.60)
|
Prostate Cancer Anxiety (Subscale 1) at 48 months |
1.40
(0.44)
|
1.51
(0.53)
|
1.47
(0.55)
|
Prostate Cancer Anxiety (Subscale 1) at 36 months |
1.40
(0.57)
|
1.51
(0.64)
|
1.46
(0.63)
|
Prostate Cancer Anxiety (Subscale 1) at 60 months |
1.37
(0.64)
|
1.47
(0.63)
|
1.39
(0.61)
|
PSA Test Anxiety (Subscale 2) at 12 months |
1.19
(0.55)
|
1.22
(0.49)
|
1.15
(0.39)
|
PSA Test Anxiety (Subscale 2) at 24 months |
1.10
(0.32)
|
1.23
(0.53)
|
1.13
(0.39)
|
PSA Test Anxiety (Subscale 2) at 36 months |
1.16
(0.39)
|
1.25
(0.55)
|
1.16
(0.41)
|
PSA Test Anxiety (Subscale 2) at 48 months |
1.10
(0.26)
|
1.23
(0.51)
|
1.16
(0.48)
|
PSA Test Anxiety (Subscale 2) at 60 months |
1.11
(0.30)
|
1.19
(0.48)
|
1.11
(0.34)
|
Prostate Cancer Recurrence Anxiety (Subscale 3) at 12 months |
1.70
(0.68)
|
1.82
(0.69)
|
1.71
(0.60)
|
Prostate Cancer Recurrence Anxiety (Subscale 3) at 24 months |
1.68
(0.63)
|
1.78
(0.61)
|
1.70
(0.66)
|
Prostate Cancer Recurrence Anxiety (Subscale 3) at 36 months |
1.60
(0.63)
|
1.85
(0.73)
|
1.68
(0.63)
|
Prostate Cancer Recurrence Anxiety (Subscale 3) at 48 months |
1.64
(0.58)
|
1.73
(0.62)
|
1.75
(0.71)
|
Prostate Cancer Recurrence Anxiety (Subscale 3) at 60 months |
1.70
(0.70)
|
1.77
(0.59)
|
1.69
(0.65)
|
Total MAX-PC (average of subscale means) at 12 months |
1.53
(0.59)
|
1.59
(0.60)
|
1.50
(0.49)
|
Total MAX-PC (average of subscale means) at 24 months |
1.38
(0.47)
|
1.57
(0.55)
|
1.45
(0.50)
|
Total MAX-PC (average of subscale means) at 36 months |
1.43
(0.51)
|
1.57
(0.56)
|
1.44
(0.49)
|
Total MAX-PC (average of subscale means) at 48 months |
1.40
(0.44)
|
1.51
(0.53)
|
1.47
(0.55)
|
Total MAX-PC (average of subscale means) at 60 months |
1.40
(0.53)
|
1.49
(0.51)
|
1.42
(0.49)
|
Title | Time to Prostate Cancer Recurrence |
---|---|
Description | Time to recurrence represents the period between completion of the first course of treatment (i.e., radiation or surgery) and the date of prostate cancer recurrence (if prostate cancer recurrence occurred). |
Time Frame | Completion of primary treatment with surgery or radiation to earliest of prostate cancer recurrence, loss to follow-up, or end of study period |
Outcome Measure Data
Analysis Population Description |
---|
Analysis population comprised patients in the National Cancer Data Base, stratified by risk group (low, intermediate, high) and treatment (radiation or surgery). Prostate cancer recurrence was assessed within each strata by PSA testing frequency. Recurrence data on patients in NC ProCESS were not collected for this assessment. |
Arm/Group Title | Low Risk/Radiation | Low Risk/Surgery | Intermediate Risk/Radiation | Intermediate Risk/Surgery | High Risk/Radiation | High Risk/Surgery |
---|---|---|---|---|---|---|
Arm/Group Description | Patients with low-risk prostate cancer treated with radiation therapy | Patients with low risk prostate cancer treated with radical prostatectomy (i.e. surgery) | Patients with intermediate risk prostate cancer treated with radiation therapy | Patients with intermediate risk prostate cancer treated with radical prostatectomy (i.e. surgery) | Patients with high risk prostate cancer treated with radiation therapy | Patients with high risk prostate cancer treated with radical prostatectomy (i.e. surgery) |
Measure Participants | 1807 | 1713 | 1760 | 2238 | 1273 | 1292 |
<= 1 PSA test |
4.4
(2.9)
|
3.2
(3.2)
|
4.4
(2.8)
|
3.3
(2.7)
|
3.5
(2.7)
|
2.7
(2.5)
|
2 PSA tests |
5.5
(2.4)
|
2.8
(2.2)
|
4.5
(2.4)
|
3.2
(2.4)
|
3.8
(2.2)
|
3.2
(2.6)
|
>= 3 PSA tests |
4.8
(2.9)
|
3.4
(2.6)
|
3.9
(2.2)
|
3.7
(2.4)
|
4.1
(2.6)
|
2.9
(2.3)
|
Title | Treatment for Prostate Cancer Recurrence |
---|---|
Description | Receipt of subsequent treatment when prostate cancer has recurred after primary treatment with either surgery or radiation. |
Time Frame | Completion of primary treatment with surgery or radiation to earliest of prostate cancer recurrence, loss to follow-up, or end of study period |
Outcome Measure Data
Analysis Population Description |
---|
Analysis population comprised patients in the National Cancer Data Base with prostate cancer recurrence, stratified by risk group (low, intermediate, high) and treatment (radiation or surgery). Treatment for recurrence was assessed within each strata by PSA testing frequency. Data on patients in NC ProCESS were not collected for this assessment. |
Arm/Group Title | Low Risk/Radiation | Low Risk/Surgery | Intermediate Risk/Radiation | Intermediate Risk/Surgery | High Risk/Radiation | High Risk/Surgery |
---|---|---|---|---|---|---|
Arm/Group Description | Patients with low-risk prostate cancer treated with radiation therapy | Patients with low risk prostate cancer treated with radical prostatectomy (i.e. surgery) | Patients with intermediate risk prostate cancer treated with radiation therapy | Patients with intermediate risk prostate cancer treated with radical prostatectomy (i.e. surgery) | Patients with high risk prostate cancer treated with radiation therapy | Patients with high risk prostate cancer treated with radical prostatectomy (i.e. surgery) |
Measure Participants | 98 | 108 | 210 | 380 | 268 | 447 |
<= 1 PSA test |
63.2
|
84.4
|
74.2
|
88.3
|
72.8
|
94.2
|
2 PSA tests |
71.4
|
91.3
|
77.6
|
94.7
|
83.8
|
92.6
|
>= 3 PSA tests |
68.8
|
88.7
|
72.8
|
89.6
|
83.0
|
94.9
|
Title | Prostate Cancer-Specific Health-Related Quality of Life |
---|---|
Description | Prostate cancer-specific health-related quality of life was assessed using the validated and well-published Prostate Cancer Symptom Indices (PCSI). PCSI assesses treatment-related morbidity and includes scales that measure sexual, bowel, and urinary symptoms. Patient responses are converted to a score from 0 (no symptoms) to 100 (maximum symptoms). A higher score indicates greater morbidity and poorer organ system function. PCSI was assessed at baseline, 3 months, 12 months and annually thereafter. |
Time Frame | 12 to 60 months after participant enrollment |
Outcome Measure Data
Analysis Population Description |
---|
The analysis population comprised participants from the North Carolina Prostate Cancer Comparative Effectiveness & Survivorship Study who received primary treatment with either radiation therapy or surgery. Data were not collected from the National Cancer Data Base for this assessment. |
Arm/Group Title | <= 1 PSA Test in Year 1 After Treatment | 2 PSA Tests in Year 1 After Treatment | >= 3 PSA Tests in Year 1 After Treatment |
---|---|---|---|
Arm/Group Description | Participants in the North Carolina Prostate Cancer Comparative Effectiveness & Survivorship Study who received primary treatment with radiation therapy or surgery and <=1 PSA tests in the first year after treatment. | Participants in the North Carolina Prostate Cancer Comparative Effectiveness & Survivorship Study who received primary treatment with radiation therapy or surgery and 2 PSA tests in the first year after treatment. | Participants in the North Carolina Prostate Cancer Comparative Effectiveness & Survivorship Study who received primary treatment with radiation therapy or surgery and >=3 PSA tests in the first year after treatment. |
Measure Participants | 97 | 182 | 309 |
Sexual dysfunction at 12-months |
70.7
(32.9)
|
64.5
(34.5)
|
68.9
(31.3)
|
Sexual dysfunction at 24-months |
68.4
(31.5)
|
63.8
(35.2)
|
68.2
(32.6)
|
Sexual dysfunction at 36-months |
69.4
(32.7)
|
64.8
(32.9)
|
67.5
(33.9)
|
Sexual dysfunction at 48-months |
74.9
(29.6)
|
64.2
(34.8)
|
69.3
(33.7)
|
Sexual dysfunction at 60-months |
75.4
(26.8)
|
69.7
(32.8)
|
66.0
(35.4)
|
Urinary incontinence at 12-months |
25.4
(26.6)
|
22.3
(26.6)
|
29.4
(27.1)
|
Urinary incontinence at 24-months |
22.9
(26.6)
|
22.5
(24.1)
|
29.1
(26.8)
|
Urinary incontinence at 36-months |
24.3
(25.6)
|
23.5
(24.9)
|
27.5
(27.1)
|
Urinary incontinence at 48-months |
21.1
(23.9)
|
25.0
(25.2)
|
29.5
(26.3)
|
Urinary incontinence at 60-months |
24.0
(23.1)
|
26.6
(27.4)
|
29.1
(26.3)
|
Urinary obstruction/irritation at 12-months |
24.9
(14.2)
|
21.8
(14.0)
|
21.8
(14.1)
|
Urinary obstruction/irritation at 24-months |
20.2
(11.3)
|
20.4
(13.5)
|
20.6
(13.7)
|
Urinary obstruction/irritation at 36-months |
21.4
(11.4)
|
20.6
(12.8)
|
19.9
(13.0)
|
Urinary obstruction/irritation at 48-months |
20.0
(11.1)
|
20.4
(13.3)
|
20.8
(13.2)
|
Urinary obstruction/irritation at 60-months |
21.3
(11.6)
|
21.4
(14.2)
|
19.5
(12.6)
|
Bowel dysfunction at 12-months |
8.7
(12.4)
|
7.6
(9.6)
|
6.3
(9.0)
|
Bowel dysfunction at 24-months |
7.6
(9.3)
|
8.0
(12.4)
|
5.7
(8.2)
|
Bowel dysfunction at 36-months |
7.7
(9.9)
|
6.8
(9.0)
|
5.9
(9.4)
|
Bowel dysfunction at 48-months |
6.8
(7.0)
|
6.2
(8.6)
|
5.5
(8.4)
|
Bowel dysfunction at 60-months |
8.5
(10.9)
|
6.8
(9.3)
|
6.1
(9.0)
|
Title | Global Health-Related Quality of Life |
---|---|
Description | Global health-related quality of life was assessed using the validated Short-Form 12 (SF-12). The SF-12 survey consists of Likert response formats and assesses overall health, mental health, vitality, social functioning, and whether one's daily physical activities are limited by their health or pain. The SF-12 also includes four binary response (yes or no) questions that assess limitations in function due to physical and emotional health. The SF-12 provides a Mental Component Score and a Physical Component Score, each calculated using norm-based scoring, with a mean score of 50 and standard deviation of 10. A lower score indicates lower health-related quality of life. SF-12 was assessed at baseline, 3 months, 12 months and annually thereafter. |
Time Frame | 12 to 60 months after participant enrollment |
Outcome Measure Data
Analysis Population Description |
---|
The analysis population comprised participants from the North Carolina Prostate Cancer Comparative Effectiveness & Survivorship Study who received primary treatment with either radiation therapy or surgery. Data were not collected from the National Cancer Data Base for this assessment. |
Arm/Group Title | <= 1 PSA Test in Year 1 After Treatment | 2 PSA Tests in Year 1 After Treatment | >= 3 PSA Tests in Year 1 After Treatment |
---|---|---|---|
Arm/Group Description | Participants in the North Carolina Prostate Cancer Comparative Effectiveness & Survivorship Study who received primary treatment with radiation therapy or surgery and <=1 PSA tests in the first year after treatment. | Participants in the North Carolina Prostate Cancer Comparative Effectiveness & Survivorship Study who received primary treatment with radiation therapy or surgery and 2 PSA tests in the first year after treatment. | Participants in the North Carolina Prostate Cancer Comparative Effectiveness & Survivorship Study who received primary treatment with radiation therapy or surgery and >=3 PSA tests in the first year after treatment. |
Measure Participants | 97 | 180 | 309 |
Physical health score at 12-months |
48.0
(9.7)
|
49.2
(9.1)
|
49.9
(9.7)
|
Physical health score at 24-months |
45.9
(10.5)
|
48.2
(10.2)
|
48.5
(9.8)
|
Physical health score at 36-months |
48.2
(10.4)
|
48.0
(10.7)
|
48.7
(9.4)
|
Physical health score at 48-months |
47.9
(9.1)
|
47.6
(10.0)
|
48.0
(10.5)
|
Physical health score at 60-months |
45.8
(10.5)
|
45.5
(10.9)
|
47.5
(9.9)
|
Mental health score at 12-months |
53.9
(8.0)
|
54.1
(7.4)
|
54.7
(8.1)
|
Mental health score at 24-months |
53.2
(8.3)
|
53.2
(9.4)
|
55.1
(8.4)
|
Mental health score at 36-months |
53.6
(9.5)
|
53.8
(9.1)
|
54.7
(8.5)
|
Mental health score at 48-months |
52.4
(10.3)
|
54.2
(8.5)
|
55.2
(8.6)
|
Mental health score at 60-months |
53.6
(9.5)
|
54.7
(7.8)
|
55.3
(8.1)
|
Adverse Events
Time Frame | Adverse Events not monitored/assessed | |||
---|---|---|---|---|
Adverse Event Reporting Description | All-Cause Mortality, serious, and other adverse events were not monitored/assessed. | |||
Arm/Group Title | National Cancer Data Base | NC ProCESS | ||
Arm/Group Description | Patients within the National Cancer Database with newly diagnosed prostate cancer between 2004 and 2010. Participating institutions each provided a random of sample of 10 patients to be included in the final cohort. | The North Carolina Prostate cancer Comparative Effectiveness & Survivorship Study (NC ProCESS) is a prospective population-based cohort of >1,000 patients with newly diagnosed prostate cancer, enrolled from January 2011 through June 2013. | ||
All Cause Mortality |
||||
National Cancer Data Base | NC ProCESS | |||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 0/0 (NaN) | 0/0 (NaN) | ||
Serious Adverse Events |
||||
National Cancer Data Base | NC ProCESS | |||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 0/0 (NaN) | 0/0 (NaN) | ||
Other (Not Including Serious) Adverse Events |
||||
National Cancer Data Base | NC ProCESS | |||
Affected / at Risk (%) | # Events | Affected / at Risk (%) | # Events | |
Total | 0/0 (NaN) | 0/0 (NaN) |
Limitations/Caveats
More Information
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
Results Point of Contact
Name/Title | Dr. Ronald Chen |
---|---|
Organization | The University of North Carolina at Chapel Hill |
Phone | 984-974-0400 |
ronald_chen@med.unc.edu |
- AFT-30