The Project
Follow-up care for women with gynecological cancer lasts five to ten years; after that, those affected are usually considered cured. However, more than half of these women still suffer from long-term side effects, such as B. Fatigue, incontinence and neurological complaints that have a lasting impact on your quality of life. So far there is no contact point in Germany who support affected women in reducing the long-term side effects of their cancer treatment and improving their quality of life.
In the Survivorship project, a consultation hour for women with gynecological cancer more than five years ago is to be established and evaluated at the Clinic for Gynecology with Center for Oncological Surgery of the Charité. It should be examined whether such a consultation improves the quality of life of the women concerned and is cost-effective. In addition, it will be investigated whether the long-term side effects of gynecological cancer can be better recognized and treated.
For this purpose, both patients who take part in the consultation and those who do not take part are asked about their quality of life and long-term side effects. Your physical state of health is recorded by medical examinations and data from the health insurance companies are used to analyze the frequency of long-term side effects. In addition, knowledge should be gained as to whether costs can be saved in the health care system.
The project is funded for four years with a total of approx. 4 million euros.
Information for Patients
Can I attend the SURVIVORSHIP CLINIC?
Long-term survivors, regardless of their current disease situation, who were first diagnosed with one of the following gynecological tumor diseases at least five years ago, can take part:
- Ovarian, fallopian tube and peritoneum cancer
- Uterine body cancer
- cervical cancer
Where can I attend the SURVIVORSHIP CLINIC?
The study “Survivorship Clinic — consultation hours for long-term survivors with gynecological tumor disease” is taking place at the following centers:
- Clinic for Gynecology with Center for Oncological Surgery, Charité Campus Virchow-Klinikum (intervention group)
- Clinic for Gynecology at the Technical University of Dresden (control group)
- Women’s Clinic of the University Medical Center Hamburg-Eppendorf (control group)
- Department of Women’s Health at the University of Tübingen (control group)
What are the advantages of participating?
The Survivorship Clinic is financed by the Innovation Fund of the Federal Joint Committee. If this new form of care is evaluated positively, there is a good chance of offering such a consultation for long-term survivors with gynecological tumor disease as a health insurance benefit nationwide. With your participation you are making an important contribution to increasing the existing knowledge about long-term survival with gynecological tumor disease as well as establishing a new form of care for long-term survivors and closing the previous care gap.
Additional advantages for the intervention group (Berlin):
Tumor follow-up care, screening for long-term side effects (e.g. fatigue, chronic pain and mental health) and advice on lifestyle factors (e.g. diet, exercise, sexuality) and advice on prevention take place during the consultation. An individual training plan is created for each participant and each participant receives their own activity tracker.
If there is a long-term side effect, our interdisciplinary team will co-treat you (e.g. in the fatigue center, in neurology, consultation hours for mental health, advice from our sexologist).
How does participation in SURVIVORSHIP CLINIC work?
During the first interview, which takes place as a face-to-face appointment, you can expect the following:
- Detailed discussion about previous illnesses, previous tumor therapy, social aspects, current state of health
- Handing over your personal access codes for the app / homepage
- We will ask you to fill out questionnaires on quality of life and screening for long-term side effects. Ideally, this is possible via a personal login via the app / homepage from home or via tablet in our outpatient clinic. Alternatively, we can send you the questionnaires to your home.
The following examinations also take place in the intervention group:
- Tumor follow-up
- Screening for long-term side effects
- Detailed consultation with regard to prevention and lifestyle aspects
- Create your personal survivorship care plan
If you suspect a long-term side effect (e.g. fatigue, polyneuropathy, chemobrain, mental health, need for discussion regarding sexuality), there is the possibility of treating these in our interdisciplinary team. This brings further appointments with it.
The sports medicine team will send you a training plan updated to suit your needs every month via the app / by email.
After three months we will ask you to fill out questionnaires. Ideally, this is possible via a personal login via the app / homepage from home or via tablet in our outpatient clinic. Alternatively, we can send you the questionnaires to your home.
After six months we will ask you to fill out questionnaires. Ideally, this is possible via a personal login via the app / homepage from home or via tablet in our outpatient clinic. Alternatively, we can send you the questionnaires to your home.
In the intervention group, the following examinations also take place in a face-to-face appointment:
- Detailed discussion about the goals, evaluation of the treatment of long-term side effects, the current state of health, advice on lifestyle and prevention
- Customize your personal survivorship care plan
If you suspect a long-term side effect (e.g. fatigue, polyneuropathy, chemobrain, mental health, need for discussion regarding sexuality), there is the possibility of treating these in our interdisciplinary team. This brings further appointments with it.
After nine months we will ask you to fill out questionnaires. Ideally, this is possible via a personal login via the app / homepage from home or via tablet in our outpatient clinic. Alternatively, we can send you the questionnaires to your home.
The final visit takes place after 12 months. Here all questionnaires / examinations are repeated from the first interview. This appointment takes place as a face-to-face appointment for the intervention group.
How long does the study last?
The study lasts 12 months for each patient.
How much time is required by me?
Intervention group:
A total of three attendance appointments are planned (study inclusion after 6 months and final visit after 12 months). In addition, questionnaires are filled out after 3 and 9 months.
If you suspect a long-term side effect (e.g. fatigue, polyneuropathy, chemobrain, mental health, need for discussion regarding sexuality), there is the possibility of treating these in our interdisciplinary team. This brings further appointments with it.
Control group:
The first interview takes place as a face-to-face appointment. In addition, you will be asked to fill out questionnaires (online or on paper) after 3, 6, 9 and 12 months.
Do you need more information?
If you have any further questions, please do not hesitate to contact us. Contact and appointment:
survivorship-clinic@charite.de
phone: 030–450664087
How do I get access to the app?
If you are part of the Berlin / Brandenburg intervention group, the Charité Women’s Clinic (study center) will give you pseudonymized access to the survivorship app. In addition to a login, you will receive an information brochure so that you can navigate better through the app.
Information for medical personnel
What is the project about?
Follow-up care for patients with gynecological cancer usually extends to the first five years after the initial diagnosis. However, over half of long-term survivors still have symptoms. So far there is no contact point or consultation hour for long-term survivors with gynecological tumor disease in Germany. We would now like to change this and would like to clinically and scientifically evaluate such a consultation as a new form of care. The Survivorship Clinic study is financed by the Innovation Fund of the Federal Joint Committee of Health Insurance Funds, so that if the evaluation is positive, it is possible to offer such a survivorship clinic as a health insurance service.
How do I refer patients in Berlin / Brandenburg?
We would like to work with you and would be happy if you refer your patients to us for our consultation hours. Your patients can also benefit from our interdisciplinary survivorship clinic. In the event of long-term side effects, we will refer your patients directly to our specialized partners with a timely appointment, e.g. in the case of fatigue to our fatigue center. You will receive a summary of all clinical findings after each attendance appointment. You will of course continue to carry out the preventive medical check-ups.
If you would like to refer a patient, please contact us
Via phone: 030/450664087 or via mail: survivorship-clinic@charite.de
Thanks very much!
How do I refer patients in Dresden, Hamburg and Tübingen?
We would like to work with you and would be happy if you talk to your patients about our study.
If you would like to refer a patient, please contact us
Via phone: 030/450664087 or via mail: survivorship-clinic@charite.de
Thanks very much!
Would you like to introduce a patient to us or do you need more information?
We look forward to personal contact, either by email or by phone.
phone: 030/450664087
mail: survivorship-clinic@charite.de