Breast Cancer Clinical Trial
— MROCOfficial title:
Mastectomy Reconstruction Outcomes Consortium (MROC) Study
Verified date | March 2017 |
Source | University of Michigan |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
The MROC Study seeks to evaluate and compare from the patient's point of view the leading options for breast reconstruction after mastectomy. This study will help patients, physicians, payers and policy makers better understand the various surgeries available for breast reconstruction. Although many women choose reconstruction, the number of options as well as their pros and cons can make decision making difficult and stressful. From this research, we hope to learn more about what works best for patients undergoing these operations.
Status | Completed |
Enrollment | 4436 |
Est. completion date | December 2016 |
Est. primary completion date | December 2016 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Women who present themselves for reconstruction at one of 11 MROC centers - Women undergoing one of the following types of breast reconstruction after mastectomy: tissue expander/implant, LD flap (with, or without implant), PTRAM flap, FTRAM flap, DIEP flap, S-GAP flap, I-GAP flap or SIEA flap. - Immediate or delayed reconstruction - Unilateral or bilateral reconstructions. - Women receiving mastectomy for cancer prophylaxis, without history of breast cancer, will be eligible to participate. Exclusion Criteria: - Patients electing reconstruction following complications of breast augmentation, mastopexy (breast lift), or breast reduction will not be recruited for the study. - Procedures performed following previously failed attempts at breast reconstruction will be excluded from the study, due to potential confounding by these previous surgeries. |
Country | Name | City | State |
---|---|---|---|
Canada | Providence Health Care - University of British Columbia | Vancouver | British Columbia |
Canada | University of Manitoba | Winnipeg | Manitoba |
United States | St. Joseph's Mercy Health System | Ann Arbor | Michigan |
United States | University of Michigan Medical Center | Ann Arbor | Michigan |
United States | Brigham and Women's Hospital | Boston | Massachusetts |
United States | Northwestern Memorial Hospital | Chicago | Illinois |
United States | Ohio State University Medical Center | Columbus | Ohio |
United States | M.D. Anderson Cancer Center | Houston | Texas |
United States | Memorial Sloan-Kettering Cancer Center | New York | New York |
United States | Georgia Institute for Plastic Surgery | Savannah | Georgia |
United States | Georgetown University Hospital | Washington, D.C. | District of Columbia |
Lead Sponsor | Collaborator |
---|---|
University of Michigan | Brigham and Women's Hospital, Georgetown University, Georgia Institute for Plastic Surgery, M.D. Anderson Cancer Center, Memorial Sloan Kettering Cancer Center, Northwestern Memorial Hospital, Ohio State University, Providence Health & Services, Saint Joseph Mercy Health System, University of Manitoba |
United States, Canada,
Alderman AK, Kuhn LE, Lowery JC, Wilkins EG. Does patient satisfaction with breast reconstruction change over time? Two-year results of the Michigan Breast Reconstruction Outcomes Study. J Am Coll Surg. 2007 Jan;204(1):7-12. Epub 2006 Nov 16. — View Citation
Alderman AK, Wilkins EG, Kim HM, Lowery JC. Complications in postmastectomy breast reconstruction: two-year results of the Michigan Breast Reconstruction Outcome Study. Plast Reconstr Surg. 2002 Jun;109(7):2265-74. — View Citation
Hu ES, Pusic AL, Waljee JF, Kuhn L, Hawley ST, Wilkins E, Alderman AK. Patient-reported aesthetic satisfaction with breast reconstruction during the long-term survivorship Period. Plast Reconstr Surg. 2009 Jul;124(1):1-8. doi: 10.1097/PRS.0b013e3181ab10b2. — View Citation
Roth RS, Lowery JC, Davis J, Wilkins EG. Persistent pain following postmastectomy breast reconstruction: long-term effects of type and timing of surgery. Ann Plast Surg. 2007 Apr;58(4):371-6. — View Citation
Wilkins EG, Cederna PS, Lowery JC, Davis JA, Kim HM, Roth RS, Goldfarb S, Izenberg PH, Houin HP, Shaheen KW. Prospective analysis of psychosocial outcomes in breast reconstruction: one-year postoperative results from the Michigan Breast Reconstruction Outcome Study. Plast Reconstr Surg. 2000 Oct;106(5):1014-25; discussion 1026-7. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change from baseline in health-related quality of life. | Patient reported outcome measures will include patient satisfaction, post-operative pain, body image, psycho-social functioning, physical functioning, and fatigue. | Change from baseline at 1 week, 3 months, 1 year and 2 years post-operatively. | |
Secondary | The effects of race and ethnicity on reconstruction outcomes. | Although the study will not be adequately powered to analyze outcomes by procedure type within racial and ethnic categories, we will obtain descriptive statistics for the effects of race and ethnicity on breast reconstruction outcomes. | Pre-operatively and at 1 week, 3 months, 1 year and 2 years postoperatively | |
Secondary | Descriptive statistics on the relative costs of the eight procedure types. | Obtain descriptive statistics on the costs of each of the seven procedure types, to gain a better understanding of the cost differences between procedures. | 2 years postoperatively |
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