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Trial registered on ANZCTR
Registration number
ACTRN12617000130369
Ethics application status
Approved
Date submitted
13/12/2016
Date registered
24/01/2017
Date last updated
24/01/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
Learning curve for laparoscopic sacrocolpopexy within a structured learning programme.
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Scientific title
Learning curve for lapraroscopic sacrocolpopexy for urogynaecology fellows within a structured learning programme.
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Secondary ID [1]
290753
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nil known
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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:
pelvic organ prolapse
301343
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learning surgical techniques
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Condition category
Condition code
Surgery
301094
301094
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0
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Surgical techniques
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Renal and Urogenital
301095
301095
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0
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Other renal and urogenital disorders
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Public Health
301117
301117
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0
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Health service research
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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
Within a structured learning programme (laparoscopic suture practice, video editing, surgical assisting), the number or procedures (laparoscopic sacrocolpopexies (LSC)) needed for the Urogynaecology fellow to be deemed competent will be determined.
The structured learning programme comprises of assisting in 20 LSC, 2 hours of laparoscopic knot tying per week for 4 weeks and video editting 2 videos of mentor performing LSCs.
The duration of the fellowship is 30 months.
A group of four experts involved in the training and teaching of LSC agreed that an adequate level of skill would be attained after performance of five consecutive laparoscopic sacrocolpopexies without intra-operative complications (visceral injury, conversion to laparotomy or vaginal surgery, estimated blood loss over 500mls) or Clavien-Dindo grade III-IV post-operative complications and with an operative time of under 90 minutes. Time taken to perform the operation will be measured from peritoneal incision trocar placement until the peritoneum was closed over the mesh.
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Intervention code [1]
296658
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Not applicable
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Comparator / control treatment
no control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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The number of procedures required for fellow to be deemed competent to perform laparoscopic sacrocolpopexies. Four experts deemed competence to be no intraoperative or clavien- dindo III or IV post-operative complications and operating time under 90 minutes.
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Assessment method [1]
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Timepoint [1]
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30 month fellowsip
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Secondary outcome [1]
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none
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Assessment method [1]
330164
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Timepoint [1]
330164
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none
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Eligibility
Key inclusion criteria
The study is assessing the learning curve of an individual fellow.
Patients who are consented for laparoscopic sacrocolpopexy (LSC) at the Royal Brisbane and Women's Hospital will be included.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
not consented for LSC
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
Descriptive statistics will be used to analyse the data. For continuous data (eg operative time, estimated blood loss) means and standard deviations will be calculated and for categorical outcomes (eg complications) we will use frequency counts.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
16/03/2015
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Date of last participant enrolment
Anticipated
1/08/2017
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment postcode(s) [1]
14893
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4029 - Royal Brisbane Hospital
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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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Royal Brisbane and Women's Hospital
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Address [1]
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Butterfield St & Bowen Bridge Rd, Herston QLD 4029
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Dr Alex Mowat
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Address
Royal Brisbane and Women's Hospital
Butterfield St & Bowen Bridge Rd, Herston QLD 4029
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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]
294008
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Address [1]
294008
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Country [1]
294008
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
296529
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Royal Brisbane and Women's Hospital
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Ethics committee address [1]
296529
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Butterfield St & Bowen Bridge Rd, Herston QLD 4029
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
296529
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Approval date [1]
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06/03/2015
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Ethics approval number [1]
296529
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HREC/15/QRBW/108
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Summary
Brief summary
A laparoscopic sarcocolpopexy is an operation to treat recurrent vault prolpase in women with pelvic organ prolapse. It is a technically difficult operation to perform and is reported to have a long learning curve. (Claerhout F, Roovers JP, Lewi P, Verguts J, De Ridder D, Deprest J (2009) Implementation of laparoscopic sacrocolpopexy—a single centre’s experience. Int Urogynecol J Pelvic Floor Dysfunct 20(9):1119–1125.) We designed a prospective study aimed at mapping the learning curve of laparoscopic sacrocolpopexy in the setting of a structured learning programme for a urogynaecology fellow at the Royal Brisbane and Women’s Hospital (RBWH). The fellow had basic laparoscopic skills at the commencement of her fellow position and was required to assist in twenty laparoscopic sacrocolpopexies, video-edit two procedures and undertake laparoscopic suturing and knot tying training on a laparoscopic trainer for two hours per week for four weeks. After the completion of this structured learning programme, the fellow will begin performing LSC as the primary surgeon. A group of four experts involved in the training and teaching of LSC agreed that an adequate level of skill would be attained after performance of five consecutive laparoscopic sacrocolpopexies without intra-operative complications (visceral injury, conversion to laparotomy or vaginal surgery, estimated blood loss over 500mls) or Clavien-Dindo grade III-IV post-operative complications and with an operative time of under 90 minutes. Time taken to perform the operation was measured from peritoneal incision trocar placement until the peritoneum was closed over the mesh.
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Trial website
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Trial related presentations / publications
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Public notes
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Attachments [1]
1332
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/AnzctrAttachments/372029-lap sacrocolpopexy HREC154.pdf
(Ethics approval)
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Contacts
Principal investigator
Name
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Dr Alex Mowat
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Address
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Royal Brisbane and Women's Hospital
Butterfield St & Bowen Bridge Rd, Herston QLD 4029
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Country
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Australia
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Phone
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+61 404303334
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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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Alex Mowat
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Address
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Royal Brisbane and Women's Hospital
Butterfield St & Bowen Bridge Rd, Herston QLD 4029
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Country
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Australia
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Phone
71175
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+61 404303334
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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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Dr Alex Mowat
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Address
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Royal Brisbane and Women's Hospital
Butterfield St & Bowen Bridge Rd, Herston QLD 4029
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Country
71176
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Australia
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Phone
71176
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+61 404303334
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Fax
71176
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Email
71176
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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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