- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04558138
RCT Implant Based Breast Reconstruction
A Randomized Controlled Trial in Patients Undergoing Immediate Implant-Based Breast Reconstruction Utilizing an Enhanced Recovery Pathway Comparing Outcomes and Patient Satisfaction Based on Time of Discharge
Study Overview
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Christodoulos Kaoutzanis
- Phone Number: 720-516-9402
- Email: Christodoulos.Kaoutzanis@cuanschutz.edu
Study Locations
-
-
Colorado
-
Aurora, Colorado, United States, 80045
- Recruiting
- University of Colorado Hospital
-
Contact:
- Christodoulos Kaoutzanis
- Email: Christodoulos.Kaoutzanis@cuanschutz.edu
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients who will undergo immediate, (unilateral or bilateral)implant-based breast reconstruction following mastectomy for breast cancer or prophylaxis at the University of Colorado Anschutz Medical Campus and Highlands Ranch Campus.
- Patients undergoing sub-pectoral and pre-pectoral breast implant reconstructive techniques will be both included.
- All adult (>18 years old), female patients who will undergo mastectomy for breast cancer or prophylaxis and immediate implant-based reconstruction who are able to complete surveys independently will be eligible for the study.
- English and Spanish speaking
- Patients will be included regardless of their current chemoradiation plan
Exclusion Criteria:
- Age > 80 years
- ASA 4
- suboxone use
- documented substance use disorder as defined by the DSM-5 (I.e. alcohol use disorder, opioid use disodrer, cocaine use disorder, etc). Marijuana use will not be considered a substance use disorder
- OSA requiring CPAP
- recent pneumonia (within 6 weeks)
- BMI > 45 kg/m2 with any co-morbid condition that is not well controlled
- poorly controlled diabetes (HgbA1c > 9)
- Not English or Spanish speaking
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Discharge day of surgery
Patient discharges day of surgery and given surveys to complete at home on post operative day (POD) #1 and #7.
|
Patients will be discharged home on the day of surgery as opposed to POD #1
|
No Intervention: Discharge post operative day 1
Patient Discharges POD #1 and completes survey prior to discharge.
Patient given surveys to complete POD #7 at home.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rate of post-operative complications surgical site infection
Time Frame: Up to 30 Days
|
Assessed by patient report
|
Up to 30 Days
|
Number of Participants with Post-operative hematoma
Time Frame: Up to 30 Days
|
Assessed by patient report
|
Up to 30 Days
|
Number of Participants with Post-operative blood clots
Time Frame: Up to 30 Days
|
Assessed by patient report
|
Up to 30 Days
|
Number of Participants with Post-operative emergency department visits
Time Frame: Up to 30 Days
|
Assessed by patient report
|
Up to 30 Days
|
Number of Participants with Post-operative hospital readmissions
Time Frame: Up to 30 Days
|
Assessed by patient report
|
Up to 30 Days
|
Number of Participants with Post-operative re-operation
Time Frame: Up to 30 Days
|
Assessed by patient report
|
Up to 30 Days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pain Score
Time Frame: Up to 30 Days
|
Pain control, as measured by a visual analog Numeric Pain Scale (NPS) number ranging from 0 (no pain at all) to 10 (worst pain ever) between the two groups.
|
Up to 30 Days
|
Opioid Consumption
Time Frame: Post-Operative day 7
|
The following information will be collected from a combination of patient reported information and electronic medical review: amount of supplemental postoperative opioid analgesia (both intravenous and oral) used by the study participant from postoperative days 0 to 7.
|
Post-Operative day 7
|
Opioid adverse effects
Time Frame: Up to 30 Days
|
The following effects/symptoms will be recorded as YES or NO if required admission to the hospital for management including use of IV medications: nausea, vomiting, constipation and urinary retention.
|
Up to 30 Days
|
Quality of life perceptions: QoR-15
Time Frame: Up to 30 Days
|
QoR-15: This scale will be utilized to evaluate patient satisfaction.
It captures patient reported postoperative assessment of various dimensions of health including patient support, comfort, emotions, physical independence, and pain.
Patients rate each of the 15 statements from 1 (never) to 10 (always).
|
Up to 30 Days
|
Discharge perceptions
Time Frame: Post-Operative day 7
|
Group A: Discharged the same day of surgery will be asked the following questions on postoperative 7: Did you feel that you were discharge home at the appropriate time? How uncomfortable were you the night of surgery, as measured by a visual analog NPS number ranging from 0 (not uncomfortable) to 10 (extremely uncomfortable)? What was the main benefit of going home right after surgery? What was your biggest complaint about being at home right after surgery? Group B: Patients admitted after surgery will be asked the following questions on postoperative 7: Did you feel that you were discharge home at the appropriate time? How uncomfortable were you the night of surgery, as measured by a visual analog NPS number ranging from 0 (not uncomfortable) to 10 (extremely uncomfortable)? What was the main benefit of being admitted to the hospital after surgery? What was your biggest complaint about being at the hospital after surgery? |
Post-Operative day 7
|
Quality of life perceptions: PROMIS-29
Time Frame: Up to 30 Days
|
PROMIS-29: A generic health-related quality of life survey, assesses each of the 7 PROMIS domains with 4 questions.
The questions are ranked on a 5-point Likert Scale.
There is also one 11-point rating scale for pain intensity part of the PROMIS-29 (with 0 being "no pain" and 10 being "worst imaginable pain")
|
Up to 30 Days
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Christodoulos Kaotzanis, MD, University of Colorado, Denver
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 20-1055.cc
- P30CA046934 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Mastectomy
-
Stanford UniversityNot yet recruitingMastectomy | Nipple Sparing Mastectomy | Prophylactic Mastectomy | Gender Affirmation Surgery | Benign Breast ConditionUnited States
-
Istituti Ospitalieri di CremonaCompleted
-
King Saud UniversityCompleted
-
Assistance Publique Hopitaux De MarseilleCompleted
-
Mansoura UniversityUnknownModified Radical MastectomyEgypt
-
BravaCompletedMastectomy | Mammaplasty | LumpectomyUnited States
-
Medtronic Surgical TechnologiesTerminatedMastectomyUnited States
-
Innoblative Designs, Inc.University of ArkansasCompletedProphylactic Mastectomy
-
Meccellis BiotechRecruitingBreast Reconstruction Following MastectomyFrance
-
Ramsay Générale de SantéTerminatedMastectomy | AuriculotherapyFrance
Clinical Trials on Discharge timing
-
University of Texas at AustinNot yet recruitingTraumatic Intracranial Hemorrhage
-
Saint Luke's Health SystemAsahi-InteccRecruitingCoronary Occlusion | Coronary Stenosis | Coronary RestenosisUnited States
-
Bagcilar Training and Research HospitalCompletedPneumoperitoneum | Intracranial Pressure IncreaseTurkey
-
University of BathKing's College London; Zoe Global LimitedRecruiting
-
Health Sciences North Research InstituteCompleted
-
Barretos Cancer HospitalCompleted
-
Gangnam Severance HospitalCompletedH.Pylori Eradication RateKorea, Republic of
-
Universidad de MurciaCompleted
-
The University of Texas Health Science Center,...Completed