- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT01727388
Informativeness to Digital Rectal Examination (RIFIONA)
Prospective Randomized Study Comparing the Results of Digital Rectal Examination in the Supine and Lateral Decubitus
Digital rectal examination is an act clinically performed daily by physicians and surgeons. It remains the key diagnostic test and directs the therapeutic management of cancer of the lower and middle rectum. It can be done in two main positions: lateral decubitus, and supine.
However, no randomized study in colorectal surgery is not interested in evaluating the best position to perform a full rectal exam.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 3
Kontakter og lokationer
Studiesteder
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Amiens, Frankrig
- Amiens Universitary Hospital
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Beauvais, Frankrig
- Beauvais General Hospital
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- colon or upper rectum cancer operated or not
- recurrent of colon or upper rectum cancer
- rectal bleeding
- hernia
Exclusion Criteria:
- woman
- paraplegic man
- bedridden patient
- current or previous pelvic radiotherapy
- History of prostatectomy
- emergency
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Diagnostisk
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Eksperimentel: lateral decubitus
The digital rectal examination is performed in lateral decubitus i.e. curled up position .
The patient in left lateral decubitus if the examiner is right handed and right lateral decubitus if the examiner is left handed.
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Aktiv komparator: supine decubitus
The digital rectal examination is performed supine, spread legs, feet on the examination table.
The examiner is in the patient's right side if he is right handed and in the patient's left side if he is left-handed.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
realization of a full digital rectal examination
Tidsramme: The consult could be done prior to the surgery or one month after the surgery
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Full digital rectal examination is defined by a rectal examination for investigating the superior pole of the prostate, to examine the entire circumference and the rectal sphincter.
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The consult could be done prior to the surgery or one month after the surgery
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
---|---|---|
assessment of sphincter according to the DRESS score
Tidsramme: The consult can be performed prior to the surgery or one month after the surgery
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This score assesses the sphincter tone at rest and during exercise.
This score classes the sphincter tone in both situations: tone undetectable (score = 0) to hypertonic sphincter that does not allow the introduction of a finger (score = 5)
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The consult can be performed prior to the surgery or one month after the surgery
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missing information during the rectal examination
Tidsramme: The consult can be performed prior to the surgery or one month after the surgery
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This analysis aims to determine what information is missing most often in one group compared to another (height to digital rectal examination, circumference of the digital rectal examination , assessment of sphincter tone)
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The consult can be performed prior to the surgery or one month after the surgery
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Conversion rate decided by the examiner
Tidsramme: The consult can be performed prior to the surgery or one month after the surgery
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the conversion rate decided by the examiner corresponds to the switch from one position to another
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The consult can be performed prior to the surgery or one month after the surgery
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Evaluation of the position by the patient
Tidsramme: The consult can be performed prior to the surgery or one month after the surgery
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After the digital rectal examination, the examiner shows the patient a picture of the two positions and ask him the question: which position is the most embarrassing?
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The consult can be performed prior to the surgery or one month after the surgery
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Samarbejdspartnere og efterforskere
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Sygdomme i fordøjelsessystemet
- Neoplasmer
- Neoplasmer efter sted
- Gastrointestinale neoplasmer
- Neoplasmer i fordøjelsessystemet
- Gastrointestinale sygdomme
- Gastroenteritis
- Tarmsygdomme
- Intestinale neoplasmer
- Endetarmssygdomme
- Kolorektale neoplasmer
- Divertikulære sygdomme
- Rektale neoplasmer
- Divertikulit
Andre undersøgelses-id-numre
- PI11-PR-REGIMBEAU
- 2011-AO1485-36 (Anden identifikator: ID RCB)
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
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Skane University HospitalLund University; Ethicon, Inc.; Crafoord Foundation; Region Skåne FoUU; The Einar... og andre samarbejdspartnereAfsluttetHERNIA, VENTRALSverige
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