Eine 3-jährige naturwissenschaftliche Kohortenstudie zum Altis Single Incision Sling System für weibliche Belastungsharninkontinenz
Eine 3-jährige naturalistische Kohortenstudie zum Altis-Schlingensystem mit einem einzigen Schnitt bei weiblicher Belastungsharninkontinenz
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
Studientyp
Studientyp
Einschreibung (Tatsächlich)
Einschreibung
Kontakte und Standorte
Studienorte
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Leuven, Belgien, 3000
- UZ Leuven
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Gunzenhausen, Deutschland, 91710
- Frauenärzte im Seenland
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Memmingen, Deutschland, 87700
- Klinikum Memmingen
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Worms, Deutschland, 67550
- Klinikum Worms gGmbH
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Angers, Frankreich, 49933
- CHRU Hôtel Dieu
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Avignon, Frankreich, 84082
- Clinique Rhône Durance
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Bordeaux, Frankreich, 33076
- CHU Pellegrin-Urology Departement
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Bordeaux, Frankreich, 33076
- CHU Pellegrin_Gyneacology Departement
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Bruges, Frankreich, 33523
- Polyclinique Jean Villars
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Béziers, Frankreich, 34535
- Clinique Champeau Mediterranée
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Castres, Frankreich, 81108
- Hôpital du Pays d'Autan
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Chambray-lès-Tours, Frankreich, 37170
- Pole Sante Leonard de Vinci
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Clermont-Ferrand, Frankreich, 63003
- Chu Clermont Ferrand
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Dreux, Frankreich, 28102
- Hôpital Victor Jousselin
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Issoire, Frankreich, 63503
- CH Paul Ardier
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La Roche-sur-Yon, Frankreich, 85106
- Clinique Saint-Charles
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La Rochelle, Frankreich, 17019
- Centre Hospitalier Saint Louis
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La Rochelle, Frankreich, 17087
- Clinique du Mail La Rochelle
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Lambres-lez-Douai, Frankreich, 59552
- Clinique Saint-Amé
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Libourne, Frankreich, 33500
- CH Libourne
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Lorient, Frankreich, 56100
- Clinique Mutualiste de la Porte de l'Orient
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Massy, Frankreich, 91349
- Hôpital Privé Jacques Cartier
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Nogent-sur-Marne, Frankreich, 94130
- Armand Brillart Hospital
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Poissy, Frankreich, 78303
- Chi Poissy Saint Germain En Laye
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Rouen, Frankreich, 76044
- Clinique St Hilaire
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Soyaux, Frankreich, 16800
- Centre Clinical
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Toulouse, Frankreich, 31082
- Clinique Ambroise Pare
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Toulouse, Frankreich, 31077
- Clinique Saint Jean Languedoc
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Aosta, Italien, 11100
- Azienda USL Valle d'Aosta
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Barcelona, Spanien, 08035
- Hospital Vall d'hebrón
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Tarragona, Spanien, 43005
- Hospital Univeritario Joan XXIII
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Valencia, Spanien, 46026
- Hospital La Fe
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Valladolid, Spanien, 47003
- Hosital Clinico de Valladolid
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Probenahmeverfahren
Studienpopulation
Beschreibung
Einschlusskriterien:
- Mit Altis Single Incision Sling System implantiert
Ausschlusskriterien:
- Weigert sich, an der Umfrage teilzunehmen oder ihre medizinischen Daten zu Forschungszwecken zu verwenden
- Indikation für die Implantation des Altis Single Incision Sling Systems ist nicht die Behandlung der weiblichen Harninkontinenz.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Beobachtungsmodelle: Nur Fall
- Zeitperspektiven: Interessent
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
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Treatment Success
Zeitfenster: 12 months
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Treatment success is a composite criterion defined in the protocol as condition improvement by Patient Global Impression of Improvement (PGI-I) reported as "a little better", "much better" or "very much better" and absence of serious or severe related Adverse Events (AEs) one year after implantation.
As this definition of success was not restrictive enough, the Scientific Committee proposed a new definition for the treatment success for the statistical analysis, which was defined by PGI-I reported as "very much better" or "much better" and absence of any severe or serious or grade ≥ III of the Clavien-Dindo classification related AEs one year after implantation.
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12 months
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Patient Global Impression of Improvement (PGI-I)
Zeitfenster: 12 months
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PGI-I is one of the two outcome measures of the composite primary endpoint.
It is a validated question that collects the patients' impression of improvement after the surgery.
Among this 7 point-scale ("very much better", "much better", "a little better", "no change", "a little worse", "much worse" and "very much worse"), the patients are asked to check the one number that describes how their urinay tract condition is now, compared with how it's was before the surgery.
The percentage of patients who describes "very much better" or "much better" or "little better" and the percentage of patients who describes "very much better" or "much better" were measured.
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12 months
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Related Adverse Events
Zeitfenster: 12 months
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Related Adverse Events (AEs) are one of the two outcome measures of the composite primary endpoint.
All AEs related or judged related to the procedure or the device were reported.
The percentage of patients without any severe or serious related AEs and the percentage of patients without any severe or serious or grade ≥ III of the Clavien-Dindo classification related AEs were measured.
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12 months
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
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Treatment Success
Zeitfenster: 8 weeks, 24, 36 months
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Treatment success is a composite criterion defined in the protocol as condition improvement by Patient Global Impression of Improvement (PGI-I) reported as "a little better", "much better" or "very much better" and absence of serious or severe related adverse events one year after implantation.
As this definition of success was not restrictive enough, the Scientific Committee proposed a new definition for the treatment success for the statistical analysis, which was defined by PGI-I reported as "very much better" or "much better" and absence of any severe or serious or grade ≥ III of the Clavien-Dindo classification related adverse event one year after implantation.
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8 weeks, 24, 36 months
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Cough Stress Test (CST)
Zeitfenster: Baseline, 8 weeks and 12 months
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CST provides the means for documenting stress urinary incontinence.
CST is considered "positive" if any leakage is noted with cough or valsava.
The percentage of patients with negative test was calculated at baseline, at the post-operative visit and at one year.
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Baseline, 8 weeks and 12 months
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Post-void Residual (PVR) Volume
Zeitfenster: Baseline, 8 weeks and 12 months
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Post-void residual (PVR) volume was collected pre- and post implant procedure up to 12 months.
If the PVR volume was considered normal by the physician after the procedure, it was not necessary to collect this data at the subsequent follow-up visits.
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Baseline, 8 weeks and 12 months
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Pad Use
Zeitfenster: Baseline, 8 weeks, 12, 24 and 36 months
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The number of pads used per patient per day was collected.
Patients were considered to be pad free if they reported never wearing pads or wear pads just for a sense of security.
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Baseline, 8 weeks, 12, 24 and 36 months
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International Consultation on Incontinence Questionnaire (ICIQ-UI)
Zeitfenster: Baseline, 8 weeks, 12, 24 and 36 months
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The ICIQ-UI Short Form is a seft-administred questionnaire to evaluate the frequency, severity and impact on quality of life of urinary incontinence.
Question 1 asked, "How often do you leak urine?"
Subjects were instructed to select among "none" (0), "about once a week or less often" (1), "2 or 3 times a week" (2), "about once a day" (3), "several times a day" (4), and "all the time" (5).
Question 2 asked, "How much urine do you usually leak (whether you wear protection or not)?" Patients responded with "none" (0), "a small amount" (2), "a moderate amount" (4) or "a large amount (6).
Question 3 asked, "Overall, how much does leaking urine interfere with your everyday life?" Participants chose a number from 0 (not at all) to 10 (a great deal).
Question 1, 2 and 3 are summed to compute the total ICIQ score.The total score range is then a minimum of 0 to a maximum of 21.
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Baseline, 8 weeks, 12, 24 and 36 months
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Subject Global Satisfaction Questionnaire
Zeitfenster: 8 weeks, 12, 24, 36 months
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This non-validated questionnaire provides additional information concerning patient satisfaction.
This survey consists of two questions: Question 1 "how satisfied are you with your surgery?".
Among 5 point-scale (very satisfied, satisfied, not satisfied-not dissatisfied, dissatisfied and very dissatified), patient check the one items that best describes the subject satisfaction.
We measured the percentage of patients who were very satisfied and satisfied.
The patients answer the question "Do you recommend this operation to a friend?" by "yes" or "no".
We measured the percentage of patients who answered "yes".
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8 weeks, 12, 24, 36 months
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Incontinence Quality of Life Questionnaire (I-QoL)
Zeitfenster: Baseline, 8 weeks, 12, 24, 36 months
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The Incontinence quality of life questionnaire (I-QoL) is a validated survey questionnaire with 22 items that are scored on a 5-point Likert scale.
The I-QOL and its subcale scores are computed by adding each item response, subtracting the lowest possible score and diving that sum by the possible raw score range.
The scores are then transformed to have a range from 0 (maximum problem) to 100 (no problem at all).
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Baseline, 8 weeks, 12, 24, 36 months
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Impact on Sexual Function Assessed by the Pelvic Organ/Urinary Incontinence Sexual Questionnaire (PISQ 12)
Zeitfenster: Baseline, 8 weeks, 12, 24, 36 months
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The Pelvic organ/urinary incontinence sexual questionnaire (PISQ-12) is a validated and reliable short form questionnaire including 12 questions that evaluates sexual function in heterosexual women with urinary incontinence and/or pelvic organ prolapse.
Reponses are graded on a 5-point Likert scale from "never" to "always".
The scores were calculated at each assessment visit.
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Baseline, 8 weeks, 12, 24, 36 months
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Patient Global Impression of Improvement (PGI-I)
Zeitfenster: 8 weeks, 24, 36 months
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PGI-I is a validated question that collects the patients' impression of improvement after the surgery.
Among this 7 point-scale ("very much better", "much better", "a little better", "no change", "a little worse", "much worse" and "very much worse"), the patients are asked to check the one number that describes how their urinay tract condition is now, compared with how it's was before the surgery.
The percentage of patients who describes "very much better" or "much better" or "little better" was measured.
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8 weeks, 24, 36 months
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Hauptermittler: Grégoire Capon, MD, CHU Pellegrin, Bordeaux, France
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Tatsächlich)
Primärer Abschluss
Studienabschluss (Tatsächlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
- Urogenitale Erkrankungen
- Männliche Urogenitalerkrankungen
- Urologische Erkrankungen
- Weibliche Urogenitalerkrankungen
- Weibliche Urogenitalerkrankungen und Schwangerschaftskomplikationen
- Störungen beim Wasserlassen
- Symptome der unteren Harnwege
- Urologische Manifestationen
- Harninkontinenz
- Pathologische Zustände, Anzeichen und Symptome
- Anzeichen und Symptome
- Harninkontinenz, Stress
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- SU017
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