Fibroids, Uterine
Conditions
Brief summary
The overall goal of this project is to better enable patients with uterine fibroids (UF) to make informed decisions about treatment options by leveraging the highest possible evidence of healthcare quality. The foundation of this project will be a multi-site, prospective registry of a diverse group of women who have undergone either medical or surgical treatment for UF. Specifically, the investigators are interested in: comparing management options for symptom relief; comparing management options for preserving reproductive function; and comparing effectiveness among different subpopulations, including consideration of patient needs and preferences of treatment options.
Detailed description
COMPARE UF will enroll approximately 10,000 subjects across 9 clinical enrolling centers in the US. We anticipate recruitment to last approximately 24 months. Sites will consent interested patients and have them complete a patient contact information form to be used to contact the patient for telephone interviews. Following informed consent, the site will collect clinical information and several patient-reported outcomes scales, including the Uterine Fibroid Symptom Quality of Life Questionnaire (UFS-QOL), the Menopausal Rating Scale, and the EQ-5D, a standardized measure of general health outcomes. In year 01 of this study, among patients receiving a procedure to treat their UF, 1000 will be asked to provide two blood samples: the first at time of enrollment (before the procedure) and the second at 12 months after the procedure. Samples will be evaluated for ovarian reserve via a blood assay measurement of anti-mullerian hormone. Additionally, for patients who have a procedure to treat their UF, they will have a routine clinic follow-up visit, sometime between 6 - 12 weeks post procedure. Additional clinical data will be collected at this time. For patients who are treated medically, there will be no further study-related clinic visits. Follow-up will occur exclusively by telephone. All consented patients will complete telephone interviews at approximately 12, 24, and 36 months following the initial procedure. It is anticipated that patients enrolled during the first study year will complete a maximum of three years of follow-up. However, if additional funds become available, the investigators plan to extend the follow-up of enrolled patients to five years.
Interventions
surgical removal of the uterus
In uterine artery embolization, doctor uses a slender, flexible tube (catheter) to inject small particles (embolic agents) into the uterine arteries, which supply blood to your fibroids and uterus.the embolic agents are injected into these fibroid blood vessels. The goal is to block the fibroid vessels, starving the fibroids and causing them to shrink and die.
surgical procedure to remove uterine fibroids, but does not remove uterus
treatment of uterine fibroids with only medications, no procedure or surgery is used
surgical procedure that destroys uterine lining via a telescope placed inside the uterus
procedure that destroys fibroids while inside an MRI machine
procedure that uses heat to destroy uterine fibroids
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosis of UF by imaging or pathology report within 2 years of enrollment initiation. * Menstrual period within 12 months
Exclusion criteria
* Post-menopausal * Men * 55 years old or older
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in symptom relief (patient interview) | 12, 24, 36 months | degree to which bleeding and pain from uterine fibroids is alleviated |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change in preservation reproductive function (patient interview) | 12, 24, 36 months | ability of a woman after receiving treatment for uterine fibroids can conceive and deliver a healthy baby |
Countries
United States