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
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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