About this trial
This is a multicenter, interventional, randomized study among adult patients recently diagnosed with a rare tumor (\<12 months). The study will aim to compare compliance with the personalized post-treatment surveillance plan, established for each patient according to national guidelines, when the surveillance is conducted in person by a hospital-based physician (control arm) or remotely by a trained nurse (experimental arm).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Positive diagnosis (anatomopathology) of tumor within 12 months
Patient 18 years of age or older
Desmoid fibromatosis of the abdominal wall operated on or under active surveillance
Stage I testicular seminoma (whether or not treated with carboplatin AUC7)
Disqualifiers
Contraindication to imaging tests required for the surveillance plan
No telephone
Patient under guardianship or curatorship
Trial design
Parallel
Treatments tested in this trial
Oncological Follow-up
Other interventionPost-cancer surveillance (including biological, clinical and imaging exams depending on the condition)
Treatment groups
Trial outcomes
Primary outcomes
2-year compliance to the customized surveillance plan
Compliance is defined by completion of all scheduled examinations (telephone contact, biological, clinical examination and imaging examination) with a margin of + or - 30 days from the scheduled date
Secondary outcomes
5-year compliance to the customized surveillance plan
Compliance is defined by completion of all scheduled examinations (telephone contact, biological, clinical examination and imaging examination) with a margin of + or - 30 days from the scheduled date
Drop-out rate
Rate of patients lost to follow-up or quitting the surveillance program
Description of the use of care
* number of physical consultations at the investigator site * number of emergency room visits for oncological reasons * number of extra-hospital consultations for oncological reasons
Occurrence and management of oncological events
Occurence and type of oncological event : relapse/progression. The management of oncological events will be evaluated according to three criteria : * completion of an oncological surgery * implementation of a treatment by radiotherapy * implementation of a systemic therapy such as chemotherapy
Other outcomes
Costs in terms of medical transport use
Medical transport includes light medical vehicles and ambulances
Salary mass mobilized from a hospital perspective in both arms
Salary mass mobilized from a hospital perspective in both arms
Patient satisfaction
Patients will answer a satisfaction survey (French Version of the Princess Margaret Hospital Satisfaction With Doctor) at different points of the study depending on their pathology
Patient reported outcomes
Patient reported outcomes will be evaluated using the Hospital Anxiety and Depression Scale (HADS) questionnaire at different points of the study depending on their pathology. The questionnaire consists of a list of questions to determine the level of anxiety and depression experienced by the patients. Each question is scored from 0-3 and this means that a person can score between 0 and 21 for either anxiety or depression: A score equal to or less than 7 indicates no symptoms, A score of 8 - 10 indicates a questionable symptoms, A score of 11 and above confirms of the presence of anxiety and/or depression symptoms.
Sponsors and contacts
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Centre Oscar Lambret
Lead sponsor
Canceropôle Nord Ouest
Collaborator
Groupement Interrégional de Recherche Clinique et d'Innovation
Collaborator