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Trial registered on ANZCTR
Registration number
ACTRN12612000014853
Ethics application status
Approved
Date submitted
1/12/2011
Date registered
4/01/2012
Date last updated
30/08/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
A study to evaluate a new treatment protocol for post operative orthopaedic constipation
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Scientific title
The effect of an evidence based bowel protocol on time taken to return to normal bowel function in post operative major joint replacement patients
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Secondary ID [1]
273453
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Nil
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Universal Trial Number (UTN)
U1111-1126-0176
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
post operative constipation in major joint replacement patients
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constipation
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Condition category
Condition code
Musculoskeletal
279452
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0
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Osteoarthritis
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Oral and Gastrointestinal
285622
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0
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Normal oral and gastrointestinal development and function
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients at intervention hospitals to receive a post operative bowel protocol based on the adminstration of polyethylene glycol with electrolytes (Movicol) according to bowel type as per the Bristol Stool Chart (BSC). Dosage of Movicol depends on BSC number but maximum dose is one sachet (13.125g Macrogol 3350) per day in two divided doses. This powder is dissolved in 125 ml of water. The intervention lasts for the duration of the inpatient stay usually maximum of 8 days.
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Intervention code [1]
283779
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Treatment: Drugs
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Comparator / control treatment
Patients at the five control hospitals are to receive bowel management as per that hospital's current regime. This regime is very variable depending on doctor, nurse, hospital and patient preference therefore I am unable to describe it here.
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Control group
Active
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Outcomes
Primary outcome [1]
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Time taken (in days) to return to baseline bowel function
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Assessment method [1]
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Timepoint [1]
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before discharge from hospital, at one week post discharge and at two weeks post discharge
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Secondary outcome [1]
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Nil
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Assessment method [1]
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Timepoint [1]
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Nil
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Eligibility
Key inclusion criteria
Patients undergoing total hip or knee replacement
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
history or Crohns disease, toxic megacolon, pregnant or breastfeeding, known allergy to polyethylene glycol
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Patients whose orthopaedic surgeon has consented, who are seen in the hospital pre-admission clinic and who are having total hip or total knee surgeon are eligible to participate in the study. This study is a cluster randomised study so of the seven hospitals participating each was randomised (by a biostatastician) into either a control or intervention hospital with each hospital aware of its randomisation.
Allocation is not concealed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
not applicable as hospitals were randomised, not patients.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/05/2011
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Actual
1/05/2011
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Date of last participant enrolment
Anticipated
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Actual
18/05/2012
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Date of last data collection
Anticipated
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Actual
31/05/2012
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Sample size
Target
382
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Accrual to date
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Final
382
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Recruitment in Australia
Recruitment state(s)
WA,VIC
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Recruitment postcode(s) [1]
4753
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6230
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Recruitment postcode(s) [2]
4754
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3350
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Recruitment postcode(s) [3]
4755
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3550
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Recruitment postcode(s) [4]
4756
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6008
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Recruitment postcode(s) [5]
4757
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3806
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Recruitment postcode(s) [6]
4758
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3220
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Recruitment postcode(s) [7]
4759
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3280
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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St John of God Health Care
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Address [1]
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111 Coventry Street, South Melbourne, Victoria, 3205
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
St John of God Health Care
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Address
111 Coventry Street, South Melbourne, Victoria, 3205
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Other collaborator category [1]
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University
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Name [1]
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University of Notre Dame Australia
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Address [1]
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PO Box 1225
FREMANTLE
Western Australia 6959
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of Notre Dame Australia
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Ethics committee address [1]
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PO Box 1225 FREMANTLE Western Australia 6959
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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12/01/2011
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Ethics approval number [1]
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010145F
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Summary
Brief summary
The aim of the study is determine whether the administration of polyethylene glycol (Movicol) to post operative total hip and total knee replacement patients results in faster return to normal in the intervention group.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Dr Gail Ross-Adjie
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Address
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Centre for Nursing and Midwifery Research
St John of God Murdoch Hospital
100 Murdoch Drive
Murdoch WA 6150
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Country
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Australia
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Phone
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+61 8 94389005
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Gail Ross-Adjie
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Address
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St John of God Hospital
100 Murdoch Drive
Murdoch Western Australia 6150
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Country
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Australia
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Phone
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+61 8 94389005
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Gail Ross-Adjie
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Address
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St John of God Hospital
100 Murdoch Drive
Murdoch Western Australia 6150
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Country
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Australia
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Phone
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+61 8 94389005
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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