Ärzting unterhält sich stehend mit Patientin vor rosa Hintergrund.

3 questions, 3 answers on ovarian cancer studies

Studies

A “coll­ec­tion of ques­ti­ons” can­not and does not want to replace the doc­tor-pati­ent con­ver­sa­ti­on, but rather should ser­ve as an ori­en­ta­ti­on and moti­va­tio­nal aid. The per­so­nal con­ver­sa­ti­on is and will remain the indis­pensable basis for a good doc­tor-pati­ent relationship.

Many sci­en­ti­fic stu­dies have shown that “infor­med pati­ents” were less afraid of the can­cer and were over­all more satis­fied with the medi­cal care.

Question:

What is a medi­cal stu­dy and how is it created?

Answer:

A stu­dy is a sci­en­ti­fic inves­ti­ga­ti­on that must be car­ri­ed out befo­re a drug or the­ra­peu­tic con­cept can be appro­ved or beco­me rou­ti­ne cli­ni­cal practice.

A stu­dy has to pro­ve that a drug or a the­ra­py con­cept is effec­ti­ve and harm­less for the pati­ent and has advan­ta­ges over other drugs or con­cepts. Cli­ni­cal stu­dies are the­r­e­fo­re impe­ra­ti­ve to make pro­gress in can­cer tre­at­ment and to deve­lop the best and most effec­ti­ve the­ra­peu­tic stra­te­gies for patients.

Befo­re a stu­dy can begin, strict sci­en­ti­fic and legal requi­re­ments must be met. The stu­dy pro­to­col, in which the most important fea­tures of the stu­dy are descri­bed and defi­ned, is drawn up by various »experts« in the respec­ti­ve field using the latest sci­en­ti­fic data, then asses­sed by an inde­pen­dent ethics com­mit­tee and final­ly sub­mit­ted to the fede­ral aut­ho­ri­ties for appr­oval. In order to con­duct a stu­dy, pati­ent insu­rance must also be taken out in the event that dama­ge occurs that can be tra­ced back to the stu­dy therapy.

Question:

What are the bene­fits of par­ti­ci­pa­ting in a study?

Answer:

Pati­ents who take part in cli­ni­cal stu­dies recei­ve “spe­cial care”. You will recei­ve the latest the­ra­py con­cepts, the veri­fi­ca­ti­on and appli­ca­ti­on of which are only pos­si­ble within the scope of the sci­en­ti­fic stu­dy. As ear­ly as 2000, the Aus­tri­an working group led by the onco­lo­gist M. Gnant (for the stu­dy: click here) was able to pro­ve in a stu­dy that breast can­cer pati­ents who are trea­ted under stu­dy con­di­ti­ons live signi­fi­cant­ly lon­ger than pati­ents who do not take part in stu­dies. One of the reasons for this is the even more inten­si­ve care and moni­to­ring of pati­ents in cli­ni­cal stu­dies. Stu­dies are the­r­e­fo­re a qua­li­ty fea­ture of the trea­ting cli­nic or prac­ti­ce. Plea­se ask about the pos­si­bi­li­ty of par­ti­ci­pa­ting in an inno­va­ti­ve stu­dy so that you have more the­ra­py opti­ons and can par­ti­ci­pa­te in the neces­sa­ry impro­ve­ment in the suc­cess rates of can­cer the­ra­py for ova­ri­an, fallo­pian tube and peri­to­ne­um can­cer. The Ger­man stu­dy group AGO (Working Group for Gyneco­lo­gi­cal Onco­lo­gy) was also able to cle­ar­ly show in various ana­ly­zes that stu­dy par­ti­ci­pa­ti­on is a qua­li­ty fea­ture of a cli­nic or prac­ti­ce and that the con­nec­tion to a stu­dy cen­ter alo­ne can offer a sur­vi­val advan­ta­ge. The the­ra­py of can­cer of the ova­ries, fallo­pian tubes and peri­to­ne­um should pre­fer­a­b­ly be car­ri­ed out in the con­text of cli­ni­cal stu­dies in order to impro­ve the data situa­ti­on for the pati­ents and to give them ear­ly access to the latest inno­va­ti­ve can­cer therapies.

Question:

What ques­ti­ons should I ask my atten­ding phy­si­ci­an about a cli­ni­cal trial?

Answer:

First of all, it should be empha­si­zed once again: Par­ti­ci­pa­ti­on in cli­ni­cal stu­dies is stron­gly recom­men­ded, as it is a basic requi­re­ment for fur­ther the­ra­py opti­miza­ti­on. Important ques­ti­ons are:

  • Who is in char­ge of the cli­ni­cal stu­dy? Who is my cont­act person?
  • What is the aim of the pre­sent study?
  • What other cen­ters are par­ti­ci­pa­ting in this study?
  • When did the stu­dy start, when does it end?
  • Which sub­s­tances will I get in the study?
  • How effec­ti­ve are the sub­s­tances? What is their side effect profile?
  • What addi­tio­nal exami­na­ti­ons — out­side of the rou­ti­ne — are car­ri­ed out as part of this study?
  • Am I allo­wed to con­ti­nue taking my pre­vious medi­ca­ti­on during this study?
  • What rights and obli­ga­ti­ons do I have if I take part in this investigation?
  • Will my fami­ly doc­tor be infor­med about this study?

For exam­p­le, ask B. after stu­dies of the Ger­man stu­dy groups AGO (Working Group for Gyneco­lo­gi­cal Onco­lo­gy) and NOGGO (North-East Ger­man Socie­ty for Gyneco­lo­gi­cal Oncology).

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