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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05401877
Other study ID # CE21096B
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date May 1, 2021
Est. completion date May 1, 2023

Study information

Verified date May 2022
Source Taichung Veterans General Hospital
Contact Yuchun Lee, MD
Phone 886-4-23592525
Email lyczoj@vghtc.gov.tw
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

Breast cancer patients who had undergone surgery, chemotherapy and radiotherapy suffered from complications, including shoulder stiffness, lymphedema and scar contracture. These symptoms impaired one's ADL function. Rehabilitation may relieved symptoms. However, it is difficult to estimate how long one should receive rehabilitation. The study is trying to establish a machine-learning based model in order to predict the period of rehabilitation.


Description:

Breast cancer survivors suffered from complications after surgery, chemotherapy and radiotherapy. These complications include shoulder stiffness, upper limb lymphedema and scar contracture, which altogether impaired one's ADL function. Rehabilitation had been approved to relieved these symptoms effectively. However, many factor may interfere the patient's participation of rehabilitation, making it difficult to estimate how long one should receive rehabilitation. In Taiwan, National Health Insurance provides affordable, accessible and unlimited health care and medical service for all citizens, eliminating many social-economic barriers. Thus we are trying to establish a machine-learning based model in order to predict the period of rehabilitation. Our study is a retrospective case-control study. The objectives are breast cancer survivors who attended post-surgery rehabilitation at least once for complications. The following data are collected from e-HIS system: 1. Patient characteristic: age, unilateral or bilateral cancer. 2. Surgery type: total, partial or simple mastectomy. 3. Lymphatic surgery: ALND and SLNB 4. Other surgical procedure: breast reconstruction, flap surgery. 5. Combined therapy: chemotherapy, radiotherapy or hormone therapy. 6. Complications: shoulder stiffness, lymphedema, scar contracture (ex., Axillary web syndrome), neurological deficit. 7. The first between operation and first time of rehabilitation. The primary outcome is the total rehabilitation time, which will be divided as short term (less than 360 min) and long time (more than 360 min). The data will be processed using WEKA and machine learning algorithms, including Logistic regression, supportive vector machine, K-nearest neighbors, decision tree and random forest.


Recruitment information / eligibility

Status Recruiting
Enrollment 300
Est. completion date May 1, 2023
Est. primary completion date November 1, 2022
Accepts healthy volunteers No
Gender Female
Age group 20 Years and older
Eligibility Inclusion Criteria: - patients who received operation for breast cancer - attended rehabilitation at least once for breast cancer related complications Exclusion Criteria: - patients who received rehabilitation for other reasons rather than surgical complications - patients who are transfered to other hospital for rehabilitation

Study Design


Intervention

Procedure:
therapies for breast cancer
the type of tumor removal surgery, combined therapy

Locations

Country Name City State
Taiwan Department of Physical Medicine and Rehabilitation Taichung City

Sponsors (1)

Lead Sponsor Collaborator
Taichung Veterans General Hospital

Country where clinical trial is conducted

Taiwan, 

Outcome

Type Measure Description Time frame Safety issue
Primary the rehabilitation time total post-operation rehabilitation time (minute) since the first session of rehabilitation until one year after the last session
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