Outcomes From Home in Patients Recovering From Major Gynecologic Cancer Surgery: Measuring Symptoms and Health-related Quality of Life

Memorial Sloan Kettering Cancer Center120 enrolled

Overview

This study is being done to see if most patients are willing and able to report how they are feeling after surgery using the internet, and if this information can help doctors and nurses detect concerning symptoms after surgery. This study uses a special new website called WEBCORE. Patients can logon to WEBCORE and answer questions about how they are feeling. Then, doctors and nurses can look at this information during clinic appointments. We are doing this study to see if WEBCORE is a helpful way for us to keep track of information about how patients are feeling and quality of life. If WEBCORE is helpful, we will use it in the future to collect more information about patients' symptoms and quality of life. We can use what we learn to help find better ways of helping patients to prepare for what they will go through while they recover from surgery.

Study Type

OBSERVATIONAL

Enrollment

120

Conditions

Fallopian Tube Cancer Ovarian Cancer Peritoneal Cancer Uterine Cancer Vaginal Cancer Vulvar Cancer

Interventions

online platform WEBCOREBEHAVIORAL

Enrollees will be sent weekly email reminders to login to WEBCORE from home. Participants will be expected to complete the questionnaire once pre-operatively and then weekly starting 7 days after surgery until the 6-week post-operative period has ended.

Eligibility

Sex: FEMALEMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Participants must be 18 years or older * Participants must be able to provide informed consent * Participants must be scheduled to undergo laparotomy for presumed or known gynecologic cancer * The assessments were designed and validated in English and are not currently available in other languages. Translation of questionnaires into other languages would require reestablishing the reliability and validity of these measures. Therefore, participants must be able to communicate in English to complete the tests. Participants must be able to speak and read English fluently * Participants must have access to a home computer, have a personal email account, and check email at least once weekly by self-report Exclusion Criteria: * Patients who have a cognitive or psychiatric deficit resulting in an inability to provide meaningful informed consent, as judged by the consenting professional, and/or as noted in the medical record * Patients who are undergoing pelvic exenterative surgery (with the exception of patients undergoing modified pelvic exenteration in the context of debulking for ovarian or uterine cancer).

Outcomes

Primary Outcomes

Feasibility of Electronic Capture of Patient-reported Symptoms From Home Following Major Gynecologic Cancer Surgery

Time frame: once pre-operatively and then weekly starting 7 days after surgery until the 6-week post-operative period has ended.

Secondary Outcomes

Feasibility of Online Symptom Self-reporting in the Early Postoperative Period, and Clinician Perceptions of Its Potential Value in Routine Outpatient Post-operative Cancer Care.

Time frame: once pre-operatively and then weekly starting 7 days after surgery until the 6-week post-operative period has ended

To Evaluate the Impact of Online Symptom Self-reporting on Patient Care Processes as Measured by the Number of Telephone Calls Between Nurses and Patients,Resulting Interventions and Patient Satisfaction With Care Delivery.

Time frame: two years

Most Commonly Reported and Most Distressing Symptoms Reported by Patients After Gynecologic Cancer Surgery Using the STAR System

The percentage of symptoms generated by patients on protocol

Time frame: weekly starting 7 days after surgery until the 6-week post-operative period