Lynch syndrome Cancer Hereditary non-polyposis colorectal cancer (HNPCC)
Conditions
Interventions
Potential participants will be contacted by their usual treating team, or via support charities such as Lynch Syndrome UK (for individuals who have previously voluntarily signed up to such mailing lis
Sponsors
Queen Mary University of London
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Female 2. Age >18 years old 3. Lynch Syndrome diagnosis - confirmed germline mutation in MLH1, MSH2, MSH6, PSM2, ECPAM 4. UK Resident
Exclusion criteria
Exclusion criteria: 1. Unwilling or unable to provide informed consent 2. Inability to understand written and verbal English
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Health-related utility scores for risk-reducing hysterectomy for endometrial cancer prevention, measured using EQ-5D questionnaire at baseline | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Variables predictive for risk reducing hysterectomy, measured using a customised questionnaire alongside EQ-5D at baseline 2. Separate health-related utility scores for pre and post-menopausal patients undergoing risk-reducing hysterectomy with and without ovarian conservation, measured using a customised questionnaire alongside EQ-5D at baseline 3. Endometrial cancer risk threshold for undergoing risk-reducing hysterectomy, using Markov modelling to perform cost-utility analysis, following collection of EQ-5D data. 4. Cost-effectiveness of risk-reducing hysterectomy, using Markov modelling to perform cost-utility analysis, following collection of EQ-5D data. 2. Costs will be measured using a UK public healthcare system (payers) perspective, with values derived from the literature. A lifetime horizon will be used with appropriate discounting. Cost-effectiveness will be calculated using the incremental cost-effectiveness ratio (ICER), and compared against the willingness-to-pay threshold from the UK National Institute of Health and Care Excellence of £20,000 - £30,000 per quality-adjusted life year (QALY). | — |
Countries
England, United Kingdom
Contacts
Public ContactSamuel Oxley
Outcome results
None listed