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Trial registered on ANZCTR
Registration number
ACTRN12618001283268
Ethics application status
Approved
Date submitted
11/07/2018
Date registered
30/07/2018
Date last updated
30/07/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
A Study of Colorectal Cancer in Counties Manukau District Health Board.
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Scientific title
A Prospective Observational Study of Colorectal Cancer in Counties Manukau District Health Board.
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Secondary ID [1]
295622
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None
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Universal Trial Number (UTN)
U1111-1217-1457
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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:
Colorectal cancer
308790
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Condition category
Condition code
Cancer
307725
307725
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0
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Bowel - Back passage (rectum) or large bowel (colon)
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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
Aim/Methods:
To create a comprehensive, prospective database of all colorectal cancers diagnosed and treated in the Counties Manukau District Health Board (CMDHB).
Alerts of a diagnosis will be made via pathology, after histology is confirmatory for CRC.
Procedure: Epidemiological and follow-up data will be collected, and notes and patients reviewed as to risk factors, both traditional and modifiable, presentation and follow-up treatment and outcomes over 1 year.
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Intervention code [1]
301833
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Diagnosis / Prognosis
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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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To identify trends in symptoms, signs and risk factors of patients newly diagnosed with CRC.
Primary aim:
-Identifying number of patients presenting with certain symptoms/signs:
1) Iron deficiency anaemia (serum assay from medical records).
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Assessment method [1]
306708
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Timepoint [1]
306708
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At time of referral
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Primary outcome [2]
306883
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-Identifying number of patients presenting with certain symptoms/signs:
2) Change in bowel habit (medical records from clinician involved in the patients care).
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Assessment method [2]
306883
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Timepoint [2]
306883
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At time of referral
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Primary outcome [3]
306884
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-Identifying number of patients presenting with certain symptoms/signs:
3) Palpable mass on abdominal or digital rectal examination
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Assessment method [3]
306884
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Timepoint [3]
306884
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At time of referral
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Secondary outcome [1]
349316
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To indentify treatment patterns. Data will be collected from patient medical records - clinic letters and record of interactions (no additional interactions with the patients).
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Assessment method [1]
349316
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Timepoint [1]
349316
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Immediately following treatment
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Secondary outcome [2]
349813
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This is a composite outcome:
Treatments/Outcomes of patients newly diagnosed with CRC:
Date of referral to colonoscopy Date of diagnosis Method of initial Diagnosis (CT/CTC/Colonoscopy) Site of Cancer Synchronus tumour Y/N Stage at diagnosis (localised/regional/distant) Tumour pathology Treatment: Surgery Y/N Type of surgical resection Chemotherapy Y/N Radiotherapy Y/N
Data will be collected from medical records only.
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Assessment method [2]
349813
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Timepoint [2]
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6-12 months post treatment
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Secondary outcome [3]
350021
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This is a composite outcome:
Previous colonoscopy Y/N) Date of previous colonocopy Findings at previouscolonoscopy Family Hx 1st degree (<55) ETOH excess Y/N Red meat diet Y/N Processed diet (Y/N) BMI Smoker (pack years) Physical inactivity Y/N Hx IBD UC/Crohn's Bowel Screening program Y/N Predominant symtoms Duration of symptoms prior to diagnosis Lone Fe def Vegetarian/pescitarian
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Assessment method [3]
350021
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Timepoint [3]
350021
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At time of referral
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Eligibility
Key inclusion criteria
Inclusion Criteria:
-All consecutive adult patients (>15 years old) with a confirmed histological diagnosis of CRC
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Minimum age
15
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?
No
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Key exclusion criteria
Exclusion Criteria:
-Patients without confirmed histological diagnosis
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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
Analysis plan – Data will be analysed with the consultant on a 6 monthly basis.
Descriptive statistics will be used only
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
1/01/2018
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Date of last participant enrolment
Anticipated
28/05/2021
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Actual
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Date of last data collection
Anticipated
28/10/2021
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Actual
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Sample size
Target
500
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Accrual to date
30
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Final
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Recruitment outside Australia
Country [1]
10639
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New Zealand
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State/province [1]
10639
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Funding & Sponsors
Funding source category [1]
300104
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Hospital
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Name [1]
300104
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Counties Manukau District Health Board
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Address [1]
300104
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Counties Manukau District Health Board
C/O Middlemore Hospital
100 Hospital Rd, Otahuhu
Auckland 2025
New Zealand
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Country [1]
300104
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New Zealand
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Primary sponsor type
Hospital
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Name
Counties Manukau District Health Board
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Address
Counties Manukau District Health Board
C/O Middlemore Hospital
100 Hospital Rd, Otahuhu
Auckland 2025
New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
299504
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None
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Name [1]
299504
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N/A
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Address [1]
299504
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N/A
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Country [1]
299504
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
300947
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Northern A Health and Disability Ethics Committee
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Ethics committee address [1]
300947
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Ministry of Health 133 Molesworth Street PO Box 5013 Wellington 6011
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Ethics committee country [1]
300947
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New Zealand
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Date submitted for ethics approval [1]
300947
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18/03/2018
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Approval date [1]
300947
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18/05/2018
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Ethics approval number [1]
300947
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18/STH/89
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Summary
Brief summary
A Prospective Observational Study of Colorectal Cancer in Counties Manukau District Health Board. Lal D, Gastroenterology Consultant, CMDHB Schauer C, Gastroenterology Registrar, CMDHB Background: Colorectal cancer (CRC) continues to represent a large health burden both in New Zealand (NZ) and the world. In NZ it represents the second most common cancer registered (14%) and second most frequent cause of cancer related death (14%). In addition, NZ has an internationally low rate of early stage diagnosis with only 28% of disease surgically curable. Colorectal cancer may present insidiously, dependent on symptoms and patient factors. Traditional risk factors, lifestyle factors, ethnic and cultural variability are also important in determining risk. Currently, only gross incidence and mortality rates are collected by the NZ cancer registry. More complete and specific data from New Zealand is limited. Detailed local epidemiological data, presenting symptoms and signs, risk factors, diagnosis and treatment patterns will be crucial information to assist healthcare providers in assessment of risk and to improve CRC statistics in our area. Ethics and safety -Patients will be informed of process of data collection for study purposes and consent obtained. Any patient not wanting data to be stored (data being collected is part of routine history taking) will be excluded. -Data is confidential and only shared amongst medical staff. -Data will be safely stored on excel spreadsheet with NHI identification. Project Management -Gastroenterology Registrar on ward duty (rotating 3-6 monthly) will be in charge of data collection. -Dr Lal (Gastroenterology SMO) will be in charge of project overview Timetable -Once approved, we intend to commence data collection after dissemination of project protocol to the relevant departments (gastroenterology, pathology, surgery) -We will collect and review data on a 6 monthly basis – this project is likely to run over a number of years (2-3) Resources -We anticipate this to take 1-2 hours/week. -Use of a biostatistician at the conclusion of the project. Research Output -We plan to present data within the department, surgical department and potentially national and international conferences to inform colleagues of findings if data is of use. Dissemination to local general practitioners about symptoms in primary care settings would be of great use.
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Trial website
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Trial related presentations / publications
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Public notes
Prospective enrolment commenced at the time of ethical approval date, however prior to this, retrospective review was being completed of cases to check acceptability and feasibility of the study (obtaining data/follow-up). 69 cases were enrolled, the first of which was 13/02/2018.
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Contacts
Principal investigator
Name
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Dr Cameron Schauer
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Address
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Counties Manukau District Health Board
C/O Middlemore Hospital
100 Hospital Rd, Otahuhu, Auckland 2025
New Zealand
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Country
85378
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New Zealand
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Phone
85378
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+64210368637
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Fax
85378
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Email
85378
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[email protected]
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Contact person for public queries
Name
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Cameron Schauer
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Address
85379
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Counties Manukau District Health Board
C/O Middlemore Hospital
100 Hospital Rd, Otahuhu, Auckland 2025
New Zealand
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Country
85379
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New Zealand
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Phone
85379
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+64210368637
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Fax
85379
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Email
85379
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[email protected]
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Contact person for scientific queries
Name
85380
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Cameron Schauer
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Address
85380
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Counties Manukau District Health Board
C/O Middlemore Hospital
100 Hospital Rd, Otahuhu, Auckland 2025
New Zealand
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Country
85380
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New Zealand
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Phone
85380
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+64210368637
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Fax
85380
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Email
85380
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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.
Download to PDF