Nurse Ned Clinic for Prostate Cancer

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
University Health Network (Princess Margaret Hospital), Toronto, Canada
Prostate Cancer+1 More
Nurse Ned Clinic - Device
Eligibility
18+
Male
Eligible conditions
Select

Study Summary

Evaluating the Effectiveness of the Nurse Ned Clinic

See full description

Eligible Conditions

  • Prostate Cancer

Treatment Effectiveness

Effectiveness Progress

1 of 3

Study Objectives

This trial is evaluating whether Nurse Ned Clinic will improve 1 primary outcome and 7 secondary outcomes in patients with Prostate Cancer. Measurement will happen over the course of Measured at Baseline, 6 months, 1 year.

Year 1
Changes in health behaviours
Changes in willingness to self-manage
Changes to satisfaction with care
Year 1
Changes in Prostate Cancer health related quality of life
Changes in Psychological Wellbeing
Changes in overall health related quality of life
Changes in unmet needs
Changes to Participant's Health Status

Trial Safety

Safety Progress

1 of 3

Trial Design

2 Treatment Groups

Specialist-led Ned Clinic
1 of 2
Nurse-led Ned Clinic
1 of 2
Active Control
Experimental Treatment

This trial requires 600 total participants across 2 different treatment groups

This trial involves 2 different treatments. Nurse Ned Clinic is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Nurse-led Ned Clinic
Device
Participants enrolled in the nurse-led version of the Ned Virtual Clinic will be prompted to complete their PROs (EPIC-26 survey) and PSA/testosterone lab tests in accordance to their pre-specified follow-up surveillance protocol determined by the specialist. In addition, men will be asked to complete another set of PROs that will be monitored by a trained oncology nurse, in between their specialist visits.
Specialist-led Ned ClinicParticipants enrolled in specialist-led version of the Ned Virtual Clinic will be prompted to complete their PROs (EPIC-26 survey) and PSA/testosterone lab tests in accordance to their pre-specified follow-up surveillance protocol determined by the specialist for one year.

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: measured at baseline and 1 year
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly measured at baseline and 1 year for reporting.

Closest Location

University Health Network (Princess Margaret Hospital) - Toronto, Canada

Eligibility Criteria

This trial is for male patients aged 18 and older. There are 6 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
18 years of age or older
Completed curative-intent treatment
Receiving PCa survivorship care at University Health Network (UHN), Trillium Health Partners (THP), Niagara Health System (NHS), Prostate Cancer Centre - Calgary (PCCC), or Queen Elizabeth II Health Sciences Centre (QEII HSC)-affiliated hospital
Low risk of recurrence as determined by their treatment specialist
Adequate English ability (or a caregiver willing to provide translation) to complete study activities as determined by research assistant
Have an email address (or be able to use the email address of a caregiver)

Patient Q&A Section

Can prostate cancer be cured?

"Prostatic cancer cells can be eradicated using systemic therapy, but it is generally impossible or contraindicated to eradicate cancer without the removal of the prostate gland. Even with aggressive treatment and surgery, prostate cancer remains incurable." - Anonymous Online Contributor

Unverified Answer

What is prostate cancer?

"Cancer of the prostate is a relatively large, malignant tumor of the prostate gland, which can grow out of control and can take on an aggressive nature. Treatment options for [prostate cancer](https://www.withpower.com/clinical-trials/prostate-cancer) can include watchful waiting, cryoablation ablation, watchful waiting and surgery, brachytherapy treatments, cryotherapy, laser excision and a combination of these modalities in combination." - Anonymous Online Contributor

Unverified Answer

What are the signs of prostate cancer?

"The symptoms of [prostate cancer](https://www.withpower.com/clinical-trials/prostate-cancer) are difficult to distinguish from other diseases and should be reported to General Practitioners for medical consultation. The symptoms are not specific and may also be reported for other conditions that require treatment. Prostate specific antigen tests are recommended only for symptomatic patients and for those with DRE." - Anonymous Online Contributor

Unverified Answer

What causes prostate cancer?

"There is tentative evidence from epidemiological studies that environmental factors such as occupational factors increase the risk of prostate cancer. Higher grade and volume disease, and black race may also increase risk. There is a lack of conclusive evidence of an association between smoking, or radiation exposure, and prostate cancer." - Anonymous Online Contributor

Unverified Answer

What are common treatments for prostate cancer?

"There are substantial differences between U.S. and Australia in the use of surgery, radiation therapy, and hormone therapy. For both men with localized disease and those without significant symptoms, the U.S. preferred surgery and radiation compared with Australia. However, surgery is the preferred treatment for localized prostate cancer in Canada. Although the utilization of radiation therapy and hormone therapy in the U.S. is suboptimal for localized prostate cancer (approximately 75% of patients who received hormone therapy were not given radiation), these therapies are being used more frequently in Australia. Other potential differences have been found between the U. S. and Canada in the use of nonoperative treatment, radiation therapy, and salvage hormonal therapy for prostate cancer." - Anonymous Online Contributor

Unverified Answer

How many people get prostate cancer a year in the United States?

"About 382,000 Americans are diagnosed with [prostate cancer](https://www.withpower.com/clinical-trials/prostate-cancer) each year. The disease is more common among whites than African Americans, and women with prostate cancer are younger, black, and younger at onset than men with the disease. Prostate biopsy is almost always followed by surgery, and the likelihood of having recurrent prostate cancer in the ensuing 5 years is about the same in white, black, and American Indian men as it is in Caucasian men. In the United States, the prostate cancers diagnosed have a good survival." - Anonymous Online Contributor

Unverified Answer

What does nurse ned clinic usually treat?

"Recent findings indicate a gap between the care given in the ned clinic and the patients' needs. The clinic should provide better continuity of care by developing and implementing a shared-care approach. We suggested an audit in order to improve continuity in ned clinics." - Anonymous Online Contributor

Unverified Answer

Does nurse ned clinic improve quality of life for those with prostate cancer?

"The nurse ned clinic was successfully implemented and did not adversely affect patient satisfaction with care provided. It is likely that the nurse ned clinic improved patient perception of quality of life for prostate cancer survivors through the timely provision of information regarding the symptoms of prostate cancer as well as facilitating their access to medical and social support that is not available through a traditional prostate cancer clinic." - Anonymous Online Contributor

Unverified Answer

What is nurse ned clinic?

"The patient-centered nursing model and nurse-run clinic is an innovative model of care for prostate cancer patients. It uses the patient-centered and nursing model to help patients to manage their disease and to receive the information they need to make wellness decisions. It has been found that patients have more conversations about their health and wellness with their nurse at nurse ned clinic, and it gives them and their loved ones access to counseling services to improve their emotional well-being." - Anonymous Online Contributor

Unverified Answer

What are the common side effects of nurse ned clinic?

"This survey shows a significant number of side-effects for patients and clinicians. While most patients were satisfied with their treatment, this study suggests that there is a need for further education of doctors and nurse practitioners on side effects of medicines, so that patients can be informed about these issues when considering treatment regimens." - Anonymous Online Contributor

Unverified Answer

Is nurse ned clinic typically used in combination with any other treatments?

"This survey highlights issues of implementation of NNC and NCC in the UK cancer care setting, and indicates that NNC is not being used routinely in the majority of UK cancer care settings. Further work is probably required to determine why NNC appears to be less utilised in clinical practice and how this observation impacts on the use of these strategies." - Anonymous Online Contributor

Unverified Answer

How does nurse ned clinic work?

"Nurses who are the key players in an early prostate cancer detection service may be able to implement a nurse-led clinic, and may achieve favourable outcomes for patients. Implementing such an approach may be a catalyst for a more integrated model of prostate cancer care for both primary and secondary health care." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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