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Trial registered on ANZCTR
Registration number
ACTRN12606000195550
Ethics application status
Approved
Date submitted
20/05/2006
Date registered
24/05/2006
Date last updated
24/05/2006
Type of registration
Retrospectively registered
Titles & IDs
Public title
A study of the efficacy of the addition of a ropivacaine infusion to the analgesia provided by pre-emptive ropivacaine and intra-operative parecoxib for peri-operative pain management in adults undergoing elective arthroscopic rotator cuff surgery: a randomised double blind placebo controlled trial.
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Scientific title
A study of the efficacy of the addition of a ropivacaine infusion to the analgesia provided by pre-emptive ropivacaine and intra-operative parecoxib for reduction of peri-operative pain in adults undergoing elective arthroscopic rotator cuff surgery: a randomised double blind placebo controlled trial.
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Universal Trial Number (UTN)
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Trial acronym
'Pain-Buster' trial
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Rotator cuff surgery
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Condition category
Condition code
Musculoskeletal
1255
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Other surgery
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
In patients undergoing rotator cuff surgery, either subacromial decompression or rotator cuff surgery post operative pain in the first 24 hours was treated with a slow drip continuous infusion of either Ropivacaine 0.75%. All patients had access to intra venous morphine or pethidine via patient controlled analgesia (PCA), and oral analgesics for breakthrough pain. The maximum and average pain for the first 12 hours and second 12 hours were analysed
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Intervention code [1]
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Rehabilitation
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Comparator / control treatment
Placebo of normal saline at 5 mls per hour via a fine catheter inserted into the subacromial space arthroscopically at completion of the operation.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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To determine whether the addition of a ropivacaine infusion delivered via a continuous slow soaker pump to the operative bed reduces post operative pain following rotator cuff surgery, either subacromial decompression or rotator cuff repair in the first and second 12 hours post rotator cuff surgery.
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Assessment method [1]
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Timepoint [1]
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Self reported pain scores at rest on a scale of 0 - 10 at 15, 30, 60 mins, 2, 8, 12, 18 and 24 hours were recorded. Pain at rest and with movement were recorded at 18 hours.
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Secondary outcome [1]
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To determine the effect of early pain free post operative mobilisation on the development of frozen shoulder (adhesive capsulitis).
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Assessment method [1]
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Timepoint [1]
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After rotator cuff surgery post operatively at 2 months for subacromial decompression and 4 months for rotator cuff repair.
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Secondary outcome [2]
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Shoulder range of movement with a goniometer was recorded and analysed for correlation with pain scores.
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Assessment method [2]
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Timepoint [2]
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In the first and second 12 hours post operatively.
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Eligibility
Key inclusion criteria
Requiring rotator cuff surgery either subacromial decompression or tendon repair.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Previous surgery to that shoulderFractures or tumoursIrreparable tendon tears.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Opaque sealed envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated treatment assignment using random permuted blocks of variable size, stratifying for two types of operation.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/01/2004
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
158
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Australian Orthopaedic Association (Vic) Research Trust
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Address [1]
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Country [1]
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Australia
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Funding source category [2]
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Commercial sector/Industry
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Name [2]
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Surgical Synergies
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Address [2]
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Country [2]
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Australia
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Primary sponsor type
Individual
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Name
Monash University, Jennifer Coghlan PhD Scholar, Supervisors, A/Prof. Rachelle Buchbinder and A/Prof. Andrew Forbes.
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Address
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Simon BELL
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Address [1]
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Country [1]
1209
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Mercy Private Hospital
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Ethics committee address [1]
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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14/01/2004
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Ethics approval number [1]
2726
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RPO/45P
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Ethics committee name [2]
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Linacre Private Hospital
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Ethics committee address [2]
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
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Approval date [2]
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20/01/2004
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Ethics approval number [2]
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2003/905MC
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Summary
Brief summary
The study was to assess the efficacy in reducing pain of the addition of a slow soaker infusion of Ropivacaine (a local anaesthetic) compared with a placebo of normal saline via fine catheter placed inside the sholder joint at the end of the operation. The amount of additional narcotic agents and oral analgesics required by the patients was measured between the active and placebo groups. The hypothesis was that the local analgesic did not give better pain relief or reduce the amount of extra analgesics required. In this randomised placebo controlled trial the surgeon, the patient, the ward nurses , physiotherapists and outcome assessor were all blinded to the treatment allocation.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Jennifer Coghlan
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Address
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Department of Clinical Epidemiology
Monash University
Cabrini Hospital
Suite 41
183 Wattletree Road
Malvern VIC 3144
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Country
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Australia
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Phone
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+61 3 95923775
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Jennifer Coghlan and Associate Professor Rachelle Buchbinder
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Address
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Department of Clinical Epidemiology
Monash University
Cabrini Hospital
Suite 41
183 Wattletree Road
Malvern VIC 3144
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Country
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Australia
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Phone
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+61 3 95923775
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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