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Quality of Life Impact After Enhanced Follow-up of Ostomy Patients (StomaCare)

29. september 2021 opdateret af: FSK

Quality of Life Impact After Enhanced Follow-up of Ostomy Patients by a Home Healthcare Nursing Service Employing Stomal Therapy Nurse Consultants Compared to Conventional Care

In this context, FSK would like to implement a clinical study to assess the added value on the health-related QoL from the enhanced follow-up of ostomy patients by a HHN including stomal therapists.

The interventional group will benefit from delivery and enhanced follow-up by the FSK HHN provided, in particular, by stomal therapy nurse consultants and patient-relation experts during in-person or remote appointments in addition to the routine care delivered and prescribed by the sites.

The control group will receive the routine care prescribed by the sites and will be provided with ostomy equipment by FSK.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

France currently has about 80,000 ostomy patients. Stoma placement exposes patients to many surgical or peristomal skin complications which could impair the quality of life of the ostomy patient.

The management of ostomy patients varies from institution to institution and according to how the patient's medical equipment is supplied as well as whether or not specialised personnel are available.

In the last decade, the market for stoma therapy in France has evolved, with a significant increase in the delivery of equipment by HHNs, meeting a need for patient follow-up and accompaniment.

This increased preference of HHNs to use specialist nurses seems to be explained by the added benefits. Early international studies have demonstrated the impact of an enterostomal therapy nurse follow-up on the improvement of ostomy patient's quality of life (QoL) relative to their health.

However, none of the studies available today on follow-ups performed by an enterostomal therapist included the French population. Furthermore, the studies show methodological gaps, a limited time span and are based on strong hypotheses.

In this context, FSK would like to implement a clinical study to assess the added value on the health-related QoL from the enhanced follow-up of ostomy patients by a HHN including stomal therapists.

The interventional group will benefit from delivery and enhanced follow-up by the FSK HHN provided, in particular, by stomal therapy nurse consultants and patient-relation experts during in-person or remote appointments in addition to the routine care delivered and prescribed by the sites.

The control group will receive the routine care prescribed by the sites and will be provided with ostomy equipment by FSK.

Undersøgelsestype

Interventionel

Tilmelding (Forventet)

350

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Frankrig
      • Le Kremlin-Bicêtre, Frankrig, 93043
        • Hôpital Bicêtre
      • Lyon, Frankrig
        • Hôpital Lyon-Sud
      • Paris, Frankrig, 75012
        • Hopital Saint-Antoine
      • Paris, Frankrig, 75013
        • Hôpital de la Pitié-Salpêtrière
      • Paris, Frankrig, 75009
        • Hopital Saint Louis
      • Paris, Frankrig, 75009
        • Hopital Saint-Louis
      • Paris, Frankrig, 75015
        • Hopital HEGP
      • Suresnes, Frankrig
        • ESPIC FOCH - Digestige Unit
      • Suresnes, Frankrig
        • ESPIC Foch - Urology Unit
      • Toulouse, Frankrig
        • CHU Toulouse

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Male or female ≥ 18 years
  • Patients with a stoma placed less than 10 days ago
  • Patients who had a stoma during their current hospitalisation
  • Patients informed verbally and in writing via the information sheet and who signed the informed consent form.

Exclusion Criteria:

  • Patients in palliative care
  • Patients participating in another clinical study interested in the management of ostomy patients
  • Patients not enrolled in a social security system or with the CMU (Couverture maladie universelle [Universal Health Coverage])
  • Patients under judicial protection or under guardianship
  • Patients deprived of freedom (in prison and psychiatric patients being treated without consent)
  • Patients with difficulties understanding or reading French

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Aktiv komparator: Control
The control group will receive the routine care prescribed by the sites and will be provided with ostomy equipment by FSK.
Andet: standard of care
routine management of stoma
Eksperimentel: interventional group
The interventional group will benefit from delivery and enhanced follow-up by the FSK HHN provided, in particular, by stomal therapy nurse consultants and patient-relation experts during in-person or remote appointments in addition to the routine care delivered and prescribed by the sites.
Andet: stoma follow-up
delivery and enhanced follow-up by the FSK HHN provided, in particular, by stomal therapy nurse consultants and patient-relation experts during in-person or remote appointments in addition to the routine care delivered and prescribed by the sites

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Efficacy
Tidsramme: 3 months
score from the Stoma-QOL specific questionnaire (min: 0- max: 100), analysis of the mean
3 months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Satisfaction of patient
Tidsramme: 3 and 6 months
scale 0-100
3 and 6 months
Quality of life
Tidsramme: 1, 2, 3 and 6 months
Stoma-QOL questionnaire, (min: 0- max: 100), analysis of the mean
1, 2, 3 and 6 months
Quality of life
Tidsramme: 1, 2, 3 and 6 months
EQ-5D-5L questionnaire (min: 0- max: 1), analysis of the mean
1, 2, 3 and 6 months
Cost
Tidsramme: 3 and 6 months
• Calculation of resource use at 3 and 6 months per expenditure item (use of services, drug use, medical device and home healthcare service use, MCO (Médecine chirurgie obstétrique [Obstetric surgery]) hospitalisations and SSR (Soins de suite et de réadaptation [Follow-up care and rehabilitation]) hospitalisations) for each group.
3 and 6 months
Morbidity
Tidsramme: 3 and 6 months
readmission rate
3 and 6 months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

FSK

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Hjælpsomme links

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Forventet)

1. oktober 2021

Primær færdiggørelse (Forventet)

1. august 2023

Studieafslutning (Forventet)

1. december 2023

Datoer for studieregistrering

Først indsendt

21. september 2021

Først indsendt, der opfyldte QC-kriterier

29. september 2021

Først opslået (Faktiske)

13. oktober 2021

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

13. oktober 2021

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

29. september 2021

Sidst verificeret

1. september 2021

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • FSK-001

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