Understanding Low Gynecological Cancer Delay and Help-seeking Behavior in Older Patients.

Gynecologic Cancer Clinical Trial

— CODEGY65  

Official title:

Understanding Low Gynecological Cancer Delay and Help-seeking Behavior in Older Patients. Qualitative Approach

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03336177
• Other study ID #: 2017-A01574-49
• Status: Completed
• Start date: October 30, 2017
• Est. completion date: July 27, 2018

Study information

• Verified date: August 2018
• Source: Institut de Cancérologie de Lorraine
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Systematic screening for cervical cancer stops in France at 65 years old. The incidence of certain types of gynecological neoplasia increases with age (endometrium, vulva). Diagnosis delay of 8 months has been described for uterine cancer and longer delays for vulvar cancer.

The aim of our study is to understand help-seeking behavior and its delay for this type of cancer among patients older than 65.

Description:

Our study assess the reasons for which the patient took time to go to the doctor despite of their symptoms. We use a qualitative methodology. Our study categorizes lived experiences, recorded in semistructured interview transcripts. We use psychodynamic and semiopragmatic analyses of the discourse to obtain hypotheses about possible reasons of the delay in the help-seeking process."

Recruitment information / eligibility

• Status: Completed
• Enrollment: 12
• Est. completion date: July 27, 2018
• Est. primary completion date: March 12, 2018
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 65 Years and older

Eligibility

Inclusion Criteria:

• Women of 65 years or more treated or followed at Lorraine Institute of Oncology

• Diagnosed after 65 years or later of a low gynecological cancer

• Without diagnosis of dementia

• Retained ability to express by herself without assistance

• Affiliated to public health system

• Informed and having expressed her non-opposition

Exclusion Criteria:

• Women under 65 or diagnosed before being 65 of a low gynecological cancer

• Diagnosed of dementia

• No longer to express herself

• Patient deprived of freedom

Related Conditions & MeSH terms

• Aged
• Gynecologic Cancer
• Signs and Symptoms
• Symptoms and Signs

Intervention

Other:
• Semi-structured face to face interviews.
Patients will be interviewed by open-ended questions face to face concerning their past experiences. The recorded interview will be transcribed and analyzed by psychodynamic and semio-pragmatic approach.

Locations

Country	Name	City	State
France	Institut de Cancérologie de Lorraine (ICL)	Vandœuvre-lès-Nancy

Sponsors (1)

Lead Sponsor	Collaborator
Institut de Cancérologie de Lorraine

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Experience of help-seeking period for low gynecological cancers.	Qualitative interview performed at one occasion where the patient describes the experience of the help seeking period she has passed through.	1 day
Secondary	Motivators and barriers to help-seeking for low gynecological cancers.	qualitative methodology using verbal data analysis of semi-structured interview.	1 day