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Trial registered on ANZCTR
Registration number
ACTRN12609000611224
Ethics application status
Approved
Date submitted
20/07/2009
Date registered
22/07/2009
Date last updated
6/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Helping to Understand Nutritional Gaps in the Elderly: An observational study to identify and prioritise risk factors for poor nutritional intake in hospitalised older adults
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Scientific title
An observational study to identify and prioritise risk factors for poor nutritional intake in hospitalised older adults
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Secondary ID [1]
280518
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Nil
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Universal Trial Number (UTN)
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Trial acronym
HUNGER
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Malnutrition in hospitalised older adults
237299
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Condition category
Condition code
Diet and Nutrition
239622
239622
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0
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Other diet and nutrition disorders
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Not applicable - Observational study (measure nutritional intake and numerous suspected risk factors on day 3 and 7 of admission to hospital). Total study duration: 4 months.
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Intervention code [1]
236975
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Not applicable
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Comparator / control treatment
Not applicable - Observational study
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Energy intake - 24hr dietary intake assessed by direct observation and plate waste methods, Foodworks software and known nutritional composition of standard serving sizes will be used to calculate energy intake.
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Assessment method [1]
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Timepoint [1]
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24hr dietary intake data on day 3 and 7 of admission
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Secondary outcome [1]
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Appetite - using the validated Simplified Nutritional Appetite Questionnaire.
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Assessment method [1]
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Timepoint [1]
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Day 3 and 7
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Secondary outcome [2]
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Dysphagia - using the validated Dysphagia Screening Tool
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Assessment method [2]
244898
0
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Timepoint [2]
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Day 3 and 7
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Secondary outcome [3]
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Delirium - using the validated Confusion Assessment Method
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Assessment method [3]
244899
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Timepoint [3]
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Day 3 and 7
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Secondary outcome [4]
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Depression risk - using the validated Geriatric Depression Scale
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Assessment method [4]
244900
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Timepoint [4]
244900
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Day 3 and 7
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Secondary outcome [5]
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Activities of Daily Living Dependency, including feeding dependency - using the validated Katz ADL index and feeding dependency question from the Modified Barthel Index.
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Assessment method [5]
244901
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Timepoint [5]
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Day 3 and 7
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Secondary outcome [6]
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Nutrition risk and assessment - using validated screening tools (Malnutrition Screening Tool, Mini Nutritional Assessment) and assessment tools (Subjective Global Assessment, Mini Nutritional Assessment)
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Assessment method [6]
244902
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Timepoint [6]
244902
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Day 3 and 7
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Secondary outcome [7]
244903
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Dentition - research assistant observation
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Assessment method [7]
244903
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Timepoint [7]
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Day 3 and 7
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Secondary outcome [8]
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Patient characteristics (including age, gender, diagnosis, place of residence and discharge destination)
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Assessment method [8]
244904
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Timepoint [8]
244904
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On admission and/or discharge.
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Eligibility
Key inclusion criteria
65 years or older
Admitted to Internal Medicine study wards
Expected length of stay >3 days
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Minimum age
65
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
Palliative or terminal intent of admission Expected length of stay <3 days Transferred to another hospital ward/ treating team
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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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
1/11/2007
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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
150
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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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Government body
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Name [1]
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Queensland Health Strengthening Aged Care
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Address [1]
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Aged Care Unit, Statewide Health & Community Services Branch
GPO Box 48 Brisbane QLD 4001
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Country [1]
237359
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Australia
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Funding source category [2]
237360
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Charities/Societies/Foundations
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Name [2]
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Royal Brisbane Women's Hospital Research Foundation
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Address [2]
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Royal Brisbane and Women's Hospital Herston Qld 4029
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Country [2]
237360
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Australia
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Primary sponsor type
Individual
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Name
Alison Mudge
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Address
Department of Internal Medicine and Aged Care
Royal Brisbane and Women's Hospital Herston Qld 4029
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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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Merrilyn Banks
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Address [1]
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Department of Nutrition and Dietetics Royal Brisbane and Women's Hospital
Herston Qld 4029
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Country [1]
236855
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Australia
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Other collaborator category [1]
776
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Individual
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Name [1]
776
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Lynda Ross
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Address [1]
776
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Department of Nutrition and Dietetics Royal Brisbane and Women's Hospital
Herston Qld 4029
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Country [1]
776
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Australia
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Other collaborator category [2]
777
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Individual
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Name [2]
777
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Adrienne Young
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Address [2]
777
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Department of Nutrition and Dietetics Royal Brisbane and Women's Hospital
Herston Qld 4029
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Country [2]
777
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Australia
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Other collaborator category [3]
778
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Individual
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Name [3]
778
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Liz Isenring
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Address [3]
778
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School of Human Movement Studies
The University of Queensland
Brisbane QLD 4072
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Country [3]
778
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
239488
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Royal Brisbane and Women's Hospital
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Ethics committee address [1]
239488
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Royal Brisbane and Women's Hospital Herston Qld 4029
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
239488
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Approval date [1]
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07/11/2007
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Ethics approval number [1]
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2007/122
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Summary
Brief summary
This study will try to identify and prioritise causes of poor intake in a representative older medical inpatient population. Approximately three hundred consecutive patients aged 65 years and over admitted to the general medical units at Royal Brisbane and Women’s Hospital will be studied. Information on potential causes of poor intake (identified from the literature and through expert clinical consultation) including poor appetite, swallowing difficulties, delirium, depression, dietary limitations, and need for feeding assistance will be collected on day 3 and 7 of the hospital stay. On each of these days, dietary intake will be determined. Standard statistical modelling techniques will be used to identify which factors predict poor (<60% recommended) intake, after adjusting for important confounders such as age, sex and burden of illness. These results will be supplemented by detailed interviews with a smaller selection of patients and their carers in order to ensure the patients experience is adequately represented in the research.
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Trial website
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Trial related presentations / publications
Mudge AM, Ross LJ, Young AM, Isenring EA, Banks MD. Helping understand nutritional gaps in the elderly (HUNGER): A prospective study of patient factors associated with inadequate nutritional intake in older medical inpatients. Clin Nutr. 2011 Jan 22;30(3):320-5.
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Public notes
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Contacts
Principal investigator
Name
29929
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Address
29929
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Country
29929
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Phone
29929
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Fax
29929
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Email
29929
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Contact person for public queries
Name
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Alison Mudge
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Address
13176
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Department of Internal Medicine and Aged Care
Royal Brisbane and Women's Hospital
Herston Qld 4029
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Country
13176
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Australia
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Phone
13176
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+61 7 3636 0507
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Fax
13176
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Email
13176
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[email protected]
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Contact person for scientific queries
Name
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Alison Mudge
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Address
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Department of Internal Medicine and Aged Care
Royal Brisbane and Women's Hospital
Herston Qld 4029
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Country
4104
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Australia
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Phone
4104
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+61 7 3636 0507
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Fax
4104
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Email
4104
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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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