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Trial registered on ANZCTR
Registration number
ACTRN12619000786190
Ethics application status
Approved
Date submitted
10/05/2019
Date registered
28/05/2019
Date last updated
13/10/2021
Date data sharing statement initially provided
28/05/2019
Date results provided
28/05/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
The Swedish Oesophageal and Cardia Cancer study
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Scientific title
The Swedish Oesophageal and Cardia Cancer study
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Secondary ID [1]
298203
0
None
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Universal Trial Number (UTN)
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Trial acronym
SECC
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Esophageal cancer
312792
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Cardia cancer
312859
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Condition category
Condition code
Cancer
311290
311290
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0
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Oesophageal (gullet)
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Cancer
311358
311358
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0
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Stomach
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Surgery for esophageal cancer in Sweden 2001-2005. Patients are followed prospectively concerning health-related quality of life and symptoms to 2025.
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Intervention code [1]
314441
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
320033
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Survival is gathered from the national death register.
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Assessment method [1]
320033
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Timepoint [1]
320033
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Patients are assessed at 1 year, 5 years, 10 years and 15 years after treatment.
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Secondary outcome [1]
370309
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Health related quality of life using EORTC QLQ C30, and EORTC QLQ OES18. Composite outcome.
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Assessment method [1]
370309
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Timepoint [1]
370309
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measured at 1 year, 5 years, 10 years and 15 years after treatment.
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Secondary outcome [2]
370493
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Gastrointestinal symptoms using validated questionnaire EORTC QLQ OES18.
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Assessment method [2]
370493
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Timepoint [2]
370493
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1, 5, 10 and 15 years after treatment.
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Secondary outcome [3]
370494
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Complication of surgery measured from medical records according to a predefined protocol. In the protocol the definitions of the included complications are defined:
-Anastomotic leakage or conduit necrosis (verified with endoscopy or x-ray), Yes/No (reference)
-Mechanic bowel obstruction (verified with x-ray or at laparotomy), Yes/No (reference)
-Re-operation for any cause, Yes/No (reference)
-Pneumonia (verified with x-ray), Yes/No (reference)
-Intraabdominal abscess (verified with x-ray), Yes/No (reference).
-Septicaemia (verified with blood culture), Yes/No (reference).
-Wound infection (symptoms requiring treatment), Yes/No (reference).
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Assessment method [3]
370494
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Timepoint [3]
370494
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measured from surgery to 90 days after from medical records.
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Eligibility
Key inclusion criteria
Operated for esophageal cancer in Sweden April 2001-December 2005.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
No exclusion criteria.
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
ANCOVA regression models will be used to calculate mean scores differences with 95% confidence interval (CI) with HRQOL scores as outcomes. Cox proportional hazard regression models will be used to assess the association between exposure and mortality after surgery. Kaplan Meyer survival curves will be calculated and log rank test will be tested. All above mentioned regression models will be adjusted for predefined confounders.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
1/04/2001
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Date of last participant enrolment
Anticipated
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Actual
31/12/2005
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Date of last data collection
Anticipated
31/12/2025
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Actual
30/04/2021
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Sample size
Target
600
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Accrual to date
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Final
616
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Recruitment outside Australia
Country [1]
21465
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Sweden
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State/province [1]
21465
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N/A
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Funding & Sponsors
Funding source category [1]
302746
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Charities/Societies/Foundations
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Name [1]
302746
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The Stockholm Cancer Society
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Address [1]
302746
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Radiumhemmet, Box 100
171 76
Stockholm
Sweden
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Country [1]
302746
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Sweden
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Funding source category [2]
302747
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Charities/Societies/Foundations
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Name [2]
302747
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Swedish Cancer Society
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Address [2]
302747
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David Bagares gata 5,
SE- 101 55 Stockholm, Sweden
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Country [2]
302747
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Sweden
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Primary sponsor type
University
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Name
MMK Karolinska Institutet
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Address
Karolinska Institutet; Karolinska Universitetssjukhuset Solna (L1:00), 171 76 Stockholm, Sweden
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Country
Sweden
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Secondary sponsor category [1]
302678
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None
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Name [1]
302678
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Address [1]
302678
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Country [1]
302678
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
303346
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Regional ethic committe Stockholm Sweden
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Ethics committee address [1]
303346
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Etikprövningsmyndigheten Box 2110 750 02 Uppsala
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Ethics committee country [1]
303346
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Sweden
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Date submitted for ethics approval [1]
303346
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01/01/2001
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Approval date [1]
303346
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01/03/2001
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Ethics approval number [1]
303346
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01-340, 05/1491-32, 2012/712-32
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Summary
Brief summary
The Swedish Oesophageal and Cardia Cancer study (SECC) is a Swedish nationwide, prospective and population-based cohort including all patients operated on for oesophageal cancer in Sweden between April 2001 and December 2005 with follow-up until 2017. Detailed clinical data have been prospectively collected, including information about patient- and tumour characteristics, treatment (e.g. surgical procedures, complications) and outcomes (including postoperative complications, overall all-cause mortality, and disease-specific mortality) collected from the medical records. Clinical data were collected according to a predefined study protocol to ensure uniformity; the protocol was developed by experienced oesophageal cancer surgeons in Sweden. HRQOL was measured at 12 months, 5 and 10 years with an ongoing 15-year follow-up using the European Organisation for Research and Treatment of Cancer (EORTC) questionnaires. The EORTC QLQ-C30 measures aspects of HRQOL and symptoms common among cancer patient in general while the EORTC QLQ-OES18 measures symptoms common among esophageal cancer patients. In addition, patients responded to a written study-specific questionnaire concerning body weight, height, including a question about impact on their health (1 “not at all”, 2 “a little”, 3 “quite a bit” and 4 “very much”) by other comorbidities. All questionnaires were used as self-administered questionnaires (delivered by mail) and up to three reminders were sent if required. Collection of HRQOL data was obtained anonymously (patients sent their answers to an unknown central administration and not to the treating department). The all-cause and disease specific mortality was assessed by linkage to the Registry of the Total Population and the Causes of Death Registry, respectively. A total of 616 patients undergoing esophagectomy are recruited in SECC.
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Trial website
N/A
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
93358
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Prof Jesper Lagergren
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Address
93358
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MMK, Karolinska Institutet; Karolinska Universitetssjukhuset Solna (L1:00), 171 76 Stockholm, Sweden
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Country
93358
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Sweden
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Phone
93358
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+46852480000
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Fax
93358
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Email
93358
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[email protected]
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Contact person for public queries
Name
93359
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Jesper Lagergren
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Address
93359
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MMK, Karolinska Institutet; Karolinska Universitetssjukhuset Solna (L1:00), 171 76 Stockholm, Sweden
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Country
93359
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Sweden
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Phone
93359
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+46852480000
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Fax
93359
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Email
93359
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[email protected]
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Contact person for scientific queries
Name
93360
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Jesper Lagergren
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Address
93360
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MMK, Karolinska Institutet; Karolinska Universitetssjukhuset Solna (L1:00), 171 76 Stockholm, Sweden
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Country
93360
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Sweden
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Phone
93360
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+46852480000
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Fax
93360
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Email
93360
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Data will not be publicly shared.
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
2043
Ethical approval
377575-(Uploaded-10-05-2019-02-33-29)-Study-related document.pdf
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF