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临床试验/NCT04381104
NCT04381104Unknown不适用

Effective Strategy to Cope the Pain and Discomfort Among Women Undergoing Mammography

Dow University of Health Sciences1 个研究点 分布在 1 个国家目标入组 632 人开始时间: 2019年11月21日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
不适用
入组人数
632
试验地点
1
主要终点
Effectiveness of paracetamol before performing mammography in reducing pain and discomfort during mammography procedure

研究概览

简要总结

Most of the women complain about the pain and discomfort during the mammography procedure. It is reported in the literature that most of the time these pain and discomfort are due to anxiety-related causes. During counseling before mammography scan, it was also observed that most of the women had a general belief that mammography is a very painful procedure and they have a negative perception about mammography. Thus, the Majority of pain seems due to anxiety-related issues. Studies also support this evidence and it is reported in the literature that most of the women avoid mammography scans due to this negative perception which causes delay and ultimately a late diagnosis.

To validate the exact nature of pain and discomfort during mammography and to find out the strategy to cope with this anxiety-related pain and discomfort, there is a dire need for a study that can address this problem. Additionally, in our setup, most of the women who came for mammography are illiterate and belonged to the low socio-economic status. In these women, due to the negative perception, refusal or withdrawal rate is higher for mammography scans.

A thorough literature search has revealed studies on this issue are scarce both nationally and internationally. In the current study, Paracetamol will be used as a possible intervention which is the safest premedication for reducing pain while achieving standard compression which is necessary for good image quality. Thus, this study can help develop a strategy to control mammography discontinuation due to pain and discomfort.

详细描述

Mammography is considered a fundamental part of diagnosis in modern health care services. It provides low dose soft tissue imaging of normal structure and pathology within the breast. A mammogram can be performed on both asymptomatic and symptomatic women with palpable lumps and any other complaints. It is an appropriate source of early detection for breast cancer in diagnostic imaging. This screening practice is associated with a strong reduction in mortality in breast cancer as many guidelines have already published. Thus, Mammography has been demonstrated as a "Gold Standard" technique used for Breast cancer Imaging.

Besides, a strong reliance on Mammographic examination that most of the females may experience breast pain and discomfort while achieving standard compression in mammography which is necessary for optimal image quality a number of trials have been published. Moreover, previously reported that anxiety-related psychological pain, false perception or fear of discomfort is a factual reason for pain and discomfort while performing mammography. Breast pain is also associated with the menstrual cycle and noncyclic (trauma, surgery, and infection). Although, pain, discomfort, anxiety and false beliefs is a major reason to discontinue this procedure and over the past decades taking part in mammography is quite challenging for many women.

Premeditated mammography with the aid of analgesics is one of the most suitable interventions for diminishing pain. In this current study, paracetamol is used as an intervention for diminishing pain during mammography. Previously, a study declared that paracetamol can reduce mild pain and most people can take this medicine safely. We planned this study to evaluate the effective strategy to cope with the pain and discomfort among women undergoing mammography.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Sequential
主要目的
Diagnostic
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

盲法说明

The hospital pharmacy department is involved in the development of identical medicines both paracetamol and placebo. Codings are done by the hospital pharmacy department and researchers including principal investigator, care provider, outcome assessor, and even participant will remain blinded.

入排标准

年龄范围
35 Years 至 70 Years(Adult, Older Adult)
性别
Female
接受健康志愿者

入选标准

  • All females patients aged above 40 years attending Dow Radiology Department for Mammographic Examination for the first time as screening or diagnostic purposes

排除标准

  • Patients in whom additional projections such as cone compression, magnification, axillary, cleavage projection, and extended views will be acquired.
  • Post-operative cases
  • Women already have painful tender breast lumps.
  • Patient who are unable to cooperate with us to take medication (either placebo/paracetamol)
  • Patient who haven't agreed to give informed consent
  • Any prior history of Paracetamol reaction and toxicity
  • Lactating mothers
  • Females with the previous history of mammography exam

研究组 & 干预措施

Paracetamol

Active Comparator

Capsule Paracetamol 1000 mg 1 hour before the mammography procedure

干预措施: Paracetamol (Drug)

Placebo

Placebo Comparator

The control arm will receive 2 capsules of placebo.

干预措施: Paracetamol (Drug)

结局指标

主要结局

Effectiveness of paracetamol before performing mammography in reducing pain and discomfort during mammography procedure

时间窗: 1 hour post medication

The pain score is being assessed via visual analogue scale (VAS) in the two groups, i.e. paracetamol and placebo, before performing mammography

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Anila Rahim

Anila Rahim

Dow University of Health Sciences

研究点 (1)

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