Un'indagine di coorte naturalistica di 3 anni sul sistema di imbracatura a singola incisione Altis per l'incontinenza urinaria da sforzo femminile
Un'indagine di coorte naturalistica di 3 anni sul sistema di imbracatura a singola incisione Altis per l'incontinenza urinaria da sforzo femminile Uno studio di coorte osservazionale prospettico post-marketing e multicentrico in soggetti con incontinenza urinaria da sforzo femminile
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Descrizione dettagliata
Tipo di studio
Tipo di studio
Iscrizione (Effettivo)
Iscrizione
Contatti e Sedi
Luoghi di studio
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Leuven, Belgio, 3000
- UZ Leuven
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Angers, Francia, 49933
- CHRU Hôtel Dieu
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Avignon, Francia, 84082
- Clinique Rhône Durance
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Bordeaux, Francia, 33076
- CHU Pellegrin-Urology Departement
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Bordeaux, Francia, 33076
- CHU Pellegrin_Gyneacology Departement
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Bruges, Francia, 33523
- Polyclinique Jean Villars
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Béziers, Francia, 34535
- Clinique Champeau Mediterranée
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Castres, Francia, 81108
- Hôpital du Pays d'Autan
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Chambray-lès-Tours, Francia, 37170
- Pole Sante Leonard de Vinci
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Clermont-Ferrand, Francia, 63003
- Chu Clermont Ferrand
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Dreux, Francia, 28102
- Hôpital Victor Jousselin
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Issoire, Francia, 63503
- CH Paul Ardier
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La Roche-sur-Yon, Francia, 85106
- Clinique Saint-Charles
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La Rochelle, Francia, 17019
- Centre Hospitalier Saint Louis
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La Rochelle, Francia, 17087
- Clinique du Mail La Rochelle
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Lambres-lez-Douai, Francia, 59552
- Clinique Saint-Amé
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Libourne, Francia, 33500
- CH Libourne
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Lorient, Francia, 56100
- Clinique Mutualiste de la Porte de l'Orient
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Massy, Francia, 91349
- Hôpital Privé Jacques Cartier
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Nogent-sur-Marne, Francia, 94130
- Armand Brillart Hospital
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Poissy, Francia, 78303
- Chi Poissy Saint Germain En Laye
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Rouen, Francia, 76044
- Clinique St Hilaire
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Soyaux, Francia, 16800
- Centre Clinical
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Toulouse, Francia, 31082
- Clinique Ambroise Pare
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Toulouse, Francia, 31077
- Clinique Saint Jean Languedoc
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Gunzenhausen, Germania, 91710
- Frauenärzte im Seenland
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Memmingen, Germania, 87700
- Klinikum Memmingen
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Worms, Germania, 67550
- Klinikum Worms gGmbH
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Aosta, Italia, 11100
- Azienda USL Valle d'Aosta
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Barcelona, Spagna, 08035
- Hospital Vall d'hebrón
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Tarragona, Spagna, 43005
- Hospital Univeritario Joan XXIII
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Valencia, Spagna, 46026
- Hospital La Fe
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Valladolid, Spagna, 47003
- Hosital Clinico de Valladolid
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Metodo di campionamento
Popolazione di studio
Descrizione
Criterio di inclusione:
- Impiantato con Altis Single Incision Sling System
Criteri di esclusione:
- Rifiuta di essere incluso nel sondaggio o che i suoi dati medici vengano utilizzati per scopi di ricerca
- L'indicazione per l'impianto di Altis Single Incision Sling System non è per il trattamento dell'incontinenza urinaria femminile.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Modelli osservazionali: Solo caso
- Prospettive temporali: Prospettiva
Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Treatment Success
Lasso di tempo: 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)
Lasso di tempo: 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
Lasso di tempo: 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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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Treatment Success
Lasso di tempo: 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)
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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)
Lasso di tempo: 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
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: 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)
Lasso di tempo: 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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Collaboratori e investigatori
Sponsor
Sponsor
Investigatori
Investigatori
- Investigatore principale: Grégoire Capon, MD, CHU Pellegrin, Bordeaux, France
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Effettivo)
Completamento primario
Completamento dello studio (Effettivo)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
- Malattie urogenitali
- Malattie urogenitali maschili
- Malattie urologiche
- Malattie urogenitali femminili
- Malattie urogenitali femminili e complicanze della gravidanza
- Disturbi della minzione
- Sintomi del tratto urinario inferiore
- Manifestazioni urologiche
- Incontinenza urinaria
- Condizioni patologiche, segni e sintomi
- Segni e sintomi
- Incontinenza urinaria, Stress
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- SU017
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