跳至主要内容
临床试验/ISRCTN10442425
ISRCTN10442425进行中(未招募)未知

A feasibility, multicentre randomised control trial assessing the treatment options for patient with major low anterior resection syndrome to establish a Pathway Of Low Anterior Resection syndrome relief after Surgery

Cardiff and Vale University Health Board0 个研究点目标入组 200 人开始时间: 2022年12月30日最近更新:

试验速览

阶段
未知
状态
进行中(未招募)
入组人数
200

研究概览

简要总结

2023 Protocol article in http://dx.doi.org/10.1136/bmjopen-2022-064248 (added 07/03/2023)

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • Inclusion for Cohort:
  • 1. Diagnosis of rectal or sigmoid cancer
  • 2. Low or high anterior resection (with anastamosis to the rectum)
  • 3. Functioning anatamosis
  • 4. Aged 18 years and older
  • 5. Primary surgery/reversal of ileostomy less than 10 years before recruitment
  • 6. Reversal of ileostomy at least 12 weeks prior to recruitment with at least a further 12 weeks of standard care to manage symptoms following reversal
  • 7. Willing and able to provide valid informed consent
  • Inclusion for Randomisation:
  • 1. Recruited to cohort study
  • 2. Willing and able to provide valid informed consent for randomisation
  • 3. Major LARS symptoms (Defined as score of 30+ on LARS scoring tool)
  • 4. Previous unsuccessful conservative treatment determined by treating clinician and patient

排除标准

  • Exclusion from cohort:
  • 1. Inability to understand and complete study questionnaires independently (Due to cognitive or intellectual impairment; Due to insufficient English language skills)
  • Exclusion from randomised control trial:
  • 1. Pregnancy
  • 2. No previous conservative treatment plan for the management of LARS
  • 3. Does not meet any treatment-specific criteria
  • Exclusion from TAI randomisation:
  • 1. Unable to perform TAI
  • 2. History of anastomotic leak with evidence of ongoing leak/sinus
  • 3. Previous use of TAI for LARS
  • 4. Site unable to offer TAI as a treatment
  • 5 Any other contraindications advised by the care team, product manufacturer or distributor
  • Exclusion from SNM randomisation:
  • 1. <12months since primary cancer surgery
  • 2. Palliative disease
  • 3. Site unable to offer SNM as a treatment
  • 4. Previous SNM
  • 5. Specific contraindications to implantation
  • 6. Any other contraindications advised by the care team, product manufacturer or distributor.

研究者

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