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Trial registered on ANZCTR
Registration number
ACTRN12615000050550
Ethics application status
Approved
Date submitted
19/12/2014
Date registered
22/01/2015
Date last updated
21/01/2019
Date data sharing statement initially provided
21/01/2019
Date results provided
21/01/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
Pain in post coronary artery bypass graft surgery patients: perceptions of physiotherapists in Australian and New Zealand hospitals
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Scientific title
Pain in post coronary artery bypass graft surgery patients: perceptions of physiotherapists in Australian and New Zealand hospitals
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Secondary ID [1]
285866
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Nil
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Universal Trial Number (UTN)
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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:
Coronary artery bypass graft surgery
293779
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Condition category
Condition code
Cardiovascular
294085
294085
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0
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Coronary heart disease
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Physical Medicine / Rehabilitation
294198
294198
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0
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Physiotherapy
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
The study will use a questionnaire that will be sent to all private and public hospitals who provide cardiothoracic surgery in Australia and New Zealand. Physiotherapists who treat patients post coronary artery bypass graft surgery in these hospitals will be invited to participate in the study
The aims of the questionnaire are to determine:1. How much pain do physiotherapists believe post coronary bypass graft surgery patients are experiencing each postoperative day? 2. Do they believe patients’ pain management is adequate? 3. Do physiotherapists believe patients pain limit their walking abilities post CABG? 4. The basis for future research regarding pain management and physiotherapy management post CABG
The questionnaire is to be returned after 1 month after it is mailed out. If the questionnaire is not returned after 1 month, respondents will be invited again to participate in the study
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Intervention code [1]
290844
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Not applicable
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Comparator / control treatment
Uncontrolled
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Amount of pain physiotherapists believe post coronary artery bypass graft surgery (CABG) patients are experiencing each postoperative day. Outcome will be measure with visual analogue scale for each postoperative day.
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Assessment method [1]
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Timepoint [1]
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Outcome is assessed up to postoperative day 4. The pain rating is scored as a general perception of all patients they treat per postoperative day. Respondents are given 1 month to complete the questionnaire.
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Primary outcome [2]
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Physiotherapists' perception on adequate pain management post CABG surgery. Outcome is assessed by answering pain management specific questions.
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Assessment method [2]
293871
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Timepoint [2]
293871
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Respondents are given 1 month to complete the questionnaire. The question was formulated specifically for this study
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Secondary outcome [1]
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Physiotherapists' perception or belief whether pain limits walking abilities post CABG surgery. Outcome is assessed by answering question that is specific to limitation to walking due to pain.
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Assessment method [1]
312048
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Timepoint [1]
312048
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Respondents are given one month to complete the questionnaire. The question was formulated specifically for this study.
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Eligibility
Key inclusion criteria
Physiotherapists who treat patients post CABG surgery in public and private hospitals within Australia and New Zealand
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Minimum age
No limit
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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
Non-physiotherapists, physiotherapists who do not treat patients post CABG surgery
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Retrospective
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Statistical methods / analysis
Sample size of 54 hospitals that perform CABG surgery have been identified. We anticipate the return rate to be >80% i.e. 43 hospitals.
Descriptive statistical analysis (mean and standard deviation) will be used.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
21/01/2014
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Actual
23/01/2014
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Date of last participant enrolment
Anticipated
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Actual
22/10/2014
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Date of last data collection
Anticipated
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Actual
1/01/2015
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Sample size
Target
43
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Accrual to date
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Final
42
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,QLD,SA,TAS,WA,VIC
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Recruitment outside Australia
Country [1]
6554
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New Zealand
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State/province [1]
6554
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Funding & Sponsors
Funding source category [1]
290445
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Hospital
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Name [1]
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Liverpool Hospital
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Address [1]
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Elizabeth Street
Liverpool
NSW, 2170
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Country [1]
290445
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Australia
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Primary sponsor type
Individual
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Name
Serena Hong
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Address
Physiotherapy Department
Liverpool Hospital
Elizabeth Street
Liverpool,
NSW, 2170
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Country
Australia
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Secondary sponsor category [1]
289151
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Hospital
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Name [1]
289151
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Liverpool Hospital
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Address [1]
289151
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Elizabeth Street,
Liverpool
NSW 2170
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Country [1]
289151
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Australia
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Other collaborator category [1]
278269
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Individual
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Name [1]
278269
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Professor Jennifer Alison
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Address [1]
278269
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University of Sydney
East Street
Lidcombe
NSW, 1825
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Country [1]
278269
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
292123
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University of Sydney
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Ethics committee address [1]
292123
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Level 6, Jane Foss Russell The University of Sydney NSW 2006
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Ethics committee country [1]
292123
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Australia
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Date submitted for ethics approval [1]
292123
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17/11/2013
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Approval date [1]
292123
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07/01/2014
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Ethics approval number [1]
292123
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2013/1016
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Summary
Brief summary
Physiotherapy treatment for patients undergoing Coronary artery bypass graft (CABG) surgery involves pre operative education, and post-operative breathing exercises and coughing, early mobilisation and musculoskeletal exercises to prevent pulmonary complication and to aid in discharge from the hospital and return to activity in timely manner. Pain post CABG may be from surgical trauma, multiple cannulas including chest drains, and harvesting of internal mammary arteries (IMAs). Ferguson et al reported that health professionals often underestimate pain the post CABG patients experience. The most common area the patients experience pain post CABG is the chest, where there is surgical wound, and also where chest drains have been. Studies have shown that CABG patients have limited ability to cough and perform breathing exercises, general activity and ambulation due to severe pain post surgery. There have been six surveys studying physiotherapy practice in Australia and New Zealand, Sweden, the UK and Canada, however, none of these surveys provided information on physiotherapists’ perception of patients’ pain post CABG, or whether physiotherapists believed pain was a limiting factor for patients to reach walking milestone and what guidelines were used to establish milestones for distance to mobilise patients This study will enable the investigators to collect data on physiotherapists’ perception of CABG patients’ pain post surgery in Australian and New Zealand hospitals. The survey will also identify whether physiotherapists believe pain limits patients walking distance and whether they believe pain management post CABG is adequate. Hypothesis: Physiotherapists perceive that patients undergoing CABG surgery experience significant pain, therefore it impacts on their walking distance in Australia and New Zealand hospitals.
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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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Ms Serena Hong
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Address
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Physiotherapy Department
Liverpool Hospital
Elizabeth Street
Liverpool
NSW 2170
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Country
53610
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Australia
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Phone
53610
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+61 2 8738 4703
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Fax
53610
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Email
53610
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[email protected]
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Contact person for public queries
Name
53611
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Serena Hong
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Address
53611
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Physiotherapy Department
Liverpool Hospital
Elizabeth Street
Liverpool
NSW 2170
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Country
53611
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Australia
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Phone
53611
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+61 2 8738 4703
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Fax
53611
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Email
53611
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[email protected]
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Contact person for scientific queries
Name
53612
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Serena Hong
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Address
53612
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Physiotherapy Department
Liverpool Hospital
Elizabeth Street
Liverpool
NSW 2170
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Country
53612
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Australia
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Phone
53612
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+61 2 87384703
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Fax
53612
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Email
53612
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
sharing De-identified individual participant data has not been approved by the ethics
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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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