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Trial registered on ANZCTR
Registration number
ACTRN12615000496516
Ethics application status
Approved
Date submitted
6/02/2015
Date registered
19/05/2015
Date last updated
22/04/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Does transcutaneous electrical acupoint stimulation alleviate remifentanil-induced hyperalgesia in patients undergoing thyroidectomy: a randomized controlled trial
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Scientific title
Does transcutaneous electrical acupoint stimulation alleviate remifentanil-induced hyperalgesia in patients undergoing thyroidectomy: a randomized controlled trial
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Secondary ID [1]
286116
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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:
hyperalgesia
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Condition category
Condition code
Anaesthesiology
294432
294432
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0
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Anaesthetics
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Neurological
295134
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0
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients in the TEAS group were performed TEAS for 30 min before the induction of anesthesia in the holding area. TEAS was applied to two pairs of acupoints: bilateral Hegu (LI4) and Neiguan (PC6).The acupoints were stimulated with a dense-disperse frequency of 2/10 Hz and an intensity of 6–9 mA for 30 min, using the Hans electronic acupuncture apparatus (HANS-100A, Nanjing Jisheng Medical Technology Company, Nanjing, China).
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Intervention code [1]
291114
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Treatment: Devices
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Comparator / control treatment
In the sham group, the patients had the electrodes applied, but received no stimulation.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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The primary outcome was mechanical pain threshold.
Mechanical pain threshold on the nondominant forearm and peri-incisional areas using electronic Von Frey Anesthesiometer (IITC Inc., Life Science Instruments, Woodland Hills, CA, USA ).
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Assessment method [1]
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Timepoint [1]
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Mechanical pain threshold was assessed before surgery and postoperatively 0.5, 1, 2, 4 and 24 h.
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Secondary outcome [1]
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Postoperative pain intensity was rated with Visual Analogue Scale (VAS) ranging from 0 to 10, where 0 means no pain and 10 is the worst pain imaginable.
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Assessment method [1]
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Timepoint [1]
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Postoperative pain intensity was rated at postoperative hours 0.5, 1, 2, 4 and 24.
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Secondary outcome [2]
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The incidence of postoperative nausea and vomiting (PONV)
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Assessment method [2]
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Timepoint [2]
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A patient will be considered to suffer from PONV if nausea or vomiting is documented in 24 h after surgery.
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Secondary outcome [3]
314304
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The incidence of dizziness
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Assessment method [3]
314304
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Timepoint [3]
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The incidence of dizziness was evaluated in 24 h postoperatively.
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Eligibility
Key inclusion criteria
We enrolled 60 ASA I-II consecutive female subjects, aged 18 to 60 years, who scheduled for elective thyroidectomy under general anesthesia.
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Potentially difficult airway, a history of chronic pain, drug or alcohol abuse, intake of any analgesic drug within 48 h before surgery, mental disorder, bradycadia, diabetes, pregnancy, and previous experience with acupuncture treatment.
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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)
Group assignments were concealed in sealed envelopes and assigned to either the TEAS group or the sham group.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The randomization was performed in a 1:1 ratio according to a computer-generated list.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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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
Our sample size calculation for the two-tailed testing of the TEAS superiority hypothesis was based on the peri-incisional mechanical pain thresholds. A 30% difference represents a clinically relevant significance based on a previous study. The estimated sample size was 28 patients per group with a power of 80% at a a level of 0.05. Thus, the sample size was set at 30 patients per group allowing for incomplete follow-up or dropout.
Statistical analysis was performed using SPSS version 18.0 (SPSS Inc., Chicago, IL, USA). Parametric data were reported as mean (standard deviation) and analyzed with the independent t-test, and nonparametric data were reported as median (interquartile range) and analyzed using the Mann–Whitney U-test. Categorical variables were reported as the number of patients (%) and evaluated using the x2 or Fisher’s exact test when appropriate. A P-value < 0.05 was considered statistically significant.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
12/02/2015
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Actual
5/03/2015
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Date of last participant enrolment
Anticipated
31/07/2016
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Actual
27/05/2015
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
60
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Recruitment outside Australia
Country [1]
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China
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State/province [1]
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Fujian
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Social Development of Key Projects in Fujian Province (2012Y0012)
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Address [1]
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No.108, Xihuanbeilu, Fuzhou, 350024
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Country [1]
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China
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Primary sponsor type
Individual
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Name
Yusheng Yao, Department of Anesthesiology,Fujian Provincial Hospital
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Address
Department of Anesthesiology,Fujian Provincial Hospital, No. 134, Dongjie, Fuzhou 350001
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Country
China
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Secondary sponsor category [1]
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Individual
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Name [1]
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Yanqing Chen, Department of Anesthesiology,Fujian Provincial Hospital
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Address [1]
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Department of Anesthesiology,Fujian Provincial Hospital, No. 134, Dongjie, Fuzhou 350001
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Country [1]
289387
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China
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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the Institutional Review Board of Fujian Provincial Hospital
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Ethics committee address [1]
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No.134, Dongjie, Fuzhou 350001
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Ethics committee country [1]
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China
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Date submitted for ethics approval [1]
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02/01/2015
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Approval date [1]
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19/01/2015
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Ethics approval number [1]
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K2015-01-007
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Summary
Brief summary
Transcutaneous electric acupoint stimulation (TEAS), a non-invasive technique, can be applied by personnel with minimal training. Several clinical trials have demonstrated that TEAS has the potential to reduce postoperative pain and perioperative analgesic consumption. However, the effects of TEAS on remifentanil induced hyperalgesia remains unknown. Therefore, we designed this prospective, randomized, double-blind study to verify the hypothesis TEAS can alleviate remifentanil induced hyperalgesia in patients undergoing thyroidectomy.
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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 Yusheng Yao, Department of Anesthesiology, Fujian Provincial Hospital
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Address
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Department of Anesthesiology, Fujian Provincial Hospital, No.134, Dongjie, Fuzhou 350001
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Country
54702
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China
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Phone
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+86-13559939629
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Fax
54702
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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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Yusheng Yao,Department of Anesthesiology, Fujian Provincial Hospital
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Address
54703
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Department of Anesthesiology, Fujian Provincial Hospital, No.134, Dongjie, Fuzhou 350001
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Country
54703
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China
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Phone
54703
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+86-13559939629
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Fax
54703
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Email
54703
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[email protected]
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Contact person for scientific queries
Name
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Yusheng Yao, Department of Anesthesiology, Fujian Provincial Hospital
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Address
54704
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Department of Anesthesiology, Fujian Provincial Hospital, No.134, Dongjie, Fuzhou 350001
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Country
54704
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China
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Phone
54704
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+86-13559939629
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Fax
54704
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Email
54704
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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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