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Trial registered on ANZCTR
Registration number
ACTRN12612000995875
Ethics application status
Approved
Date submitted
5/06/2012
Date registered
17/09/2012
Date last updated
28/10/2021
Date data sharing statement initially provided
28/10/2021
Date results provided
28/10/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Assessment of health and functioning of New Zealand very preterm infants as young adults
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Scientific title
Assessment of health and functioning of New Zealand very low birthweight infants born in 1986 as young adults compared with age-matched peers born at term.
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Secondary ID [1]
280615
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Health Research Council of New Zealand reference: 12/139
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Universal Trial Number (UTN)
U1111-1131-4703
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Physical health in young adulthood of individuals who were born with very low birthweight (birthweight less than 1500g) in 1986
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Mental health in young adulthood of individuals who were born with very low birthweight (birthweight less than 1500g) in 1986
287347
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Educational achievement in young adulthood of individuals who were born with very low birthweight (birthweight less than 1500g) in 1986
287348
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Social functioning in young adulthood of individuals who were born with very low birthweight (birthweight less than 1500g) in 1986
287349
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Condition category
Condition code
Reproductive Health and Childbirth
286907
286907
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0
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Complications of newborn
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Cardiovascular
286908
286908
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0
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Other cardiovascular diseases
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Mental Health
286909
286909
0
0
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Studies of normal psychology, cognitive function and behaviour
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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
Observation of growth parameters, total body fat, blood pressure, left ventricular function, endothelial dysfunction, respiratory function, visual function, creatine clearance, fasting insulin and glucose, cognitive and psychological functioning; assessments undertaken over 2 days at 26-30 years of age.
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Intervention code [1]
285013
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Not applicable
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Comparator / control treatment
Individuals born at full term in New Zealand in 1986
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Control group
Active
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Outcomes
Primary outcome [1]
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Quality of life, assessed by SF-36 Quality of Life Questionnaire, in very low birthweight young adults in comparison to their peers born at term
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Assessment method [1]
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Timepoint [1]
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Assessments undertaken once at 26 to 30 years of age
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Secondary outcome [1]
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Measures of cognitive ability (Weschler Adult intelliigence Scale-IV), information processing and executive function (Sternberg Spatial Working Memory Paradigm, Rivermead Behavioural Memory Test, Wisconsin card Sorting Test, Rey-Osterrieth Complex Figure Test).
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Assessment method [1]
297783
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Timepoint [1]
297783
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Assessments undertaken once at 26 to 30 years of age
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Secondary outcome [2]
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Rates of cardiovascular (blood pressure, echocardiogram, peripheral artery tonometry), endocrine (fasting insulin and glucose), pulmonary (forced expiratory volumes, static lung volumes, diffusing capacity of CO, single breath nitrogen washout, exercise test), renal (creatine clearance) and visual anbnormalities (distance visual acuity, contrast sensitivity, autorefraction, retinal photographs).
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Assessment method [2]
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Timepoint [2]
297784
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Assessments undertaken once at 26 to 30 years of age
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Secondary outcome [3]
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Rates of macro- and micro-structural abnormalities on cranial MRI scans
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Assessment method [3]
297785
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Timepoint [3]
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Assessments undertaken once at 26 to 30 years of age
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Eligibility
Key inclusion criteria
Cohort group: Born in New Zealand in 1986 with birthweight less than 1500g
Comparator group: Born in New Zealand in 1986 at full term
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Minimum age
26
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
For Comparator group only. Exclusion criteria are not born in New Zealand in 1986 at full term
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Study design
Purpose
Natural history
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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
1/10/2012
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Actual
1/02/2013
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Date of last participant enrolment
Anticipated
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Actual
1/11/2016
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Date of last data collection
Anticipated
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Actual
11/11/2016
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Sample size
Target
350
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Accrual to date
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Final
350
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Recruitment outside Australia
Country [1]
4346
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New Zealand
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State/province [1]
4346
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Funding & Sponsors
Funding source category [1]
285374
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Government body
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Name [1]
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Health Research Council of New Zealand
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Address [1]
285374
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PO Box 5541,
Wellesley St,
Auckland 1141
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Country [1]
285374
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New Zealand
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Funding source category [2]
285375
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Charities/Societies/Foundations
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Name [2]
285375
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Cure Kids
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Address [2]
285375
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PO Box 90 907,
Victoria Street West,
Auckland 1142
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Country [2]
285375
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New Zealand
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Primary sponsor type
University
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Name
University of Otago
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Address
PO Box 56,
Dunedin 9054
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Country
New Zealand
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Secondary sponsor category [1]
284234
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None
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Name [1]
284234
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Address [1]
284234
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Country [1]
284234
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Other collaborator category [1]
276842
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University
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Name [1]
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University of Canterbury
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Address [1]
276842
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Private Bag 4800,
Christchurch 8140
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Country [1]
276842
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
287391
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upper South B regional Ethics Committee
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Ethics committee address [1]
287391
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C/- Ministry of Health, PO Box 3877, Christchurch 8024
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Ethics committee country [1]
287391
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New Zealand
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Date submitted for ethics approval [1]
287391
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Approval date [1]
287391
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14/05/2012
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Ethics approval number [1]
287391
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URB/12/05/015
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Summary
Brief summary
We aim to assess the health and functional outcomes at 26-30 years of a large cohort of New Zealand babies born with very low birthweight (<1500g) in1986 and included in a prospective study. Very low birthweight babies account for nearly 2% of all births but 75% of neonatal intensive care unit workload. Although no NZ data exist, overseas studies suggest such young adults have increased risks of physical and health problems, educational underachievement and poorer social functioning than their peers. The group was last assessed at age 7- 8 years. We have now retraced 250 young adult survivors (77% of the group) and will bring them to Christchurch for two days of medical and psychological evaluations. A comparison group of 100 full term adults of the same age will also be assessed. Findings will inform health, education and social policies concerning very preterm survivors as well as future newborn care.
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Trial website
https://www.otago.ac.nz/christchurch/departments/paediatrics/otago040041.html
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Trial related presentations / publications
Kajantie E, Johnson S, Heinonen K, Anderson PJ, Wolke D, Evensen KAI, Räikkönen K, Darlow BA, van der Pal S, Indredavik MS, Jaekel J, Hovi P, Morrison K, Verrips E, Doyle LW, APIC Adults Born Preterm International Collaboration. Common core assessments in follow-up studies of adults born preterm – Recommendation of the Adults Born Preterm International Collaboration. Pediatric and Perinatal Epidemiology, 2020. doi: 10.1111/ppe.12694 Darlow BA, Woodward LJ, Levin KJ, Melzer T, Horwood LJ. Perinatal and childhood predictors of general cognitive outcome at 28 years in a very-low-birthweight national cohort. Developmental Medicine & Child Neurology, 2020; 62(12): 1423-1428. doi: 10.1111/dmcn.14649 Darlow BA, Horwood J, Dhakal B, Harris SL, McKelvey VA, Elliott JM, Yang J, Mackay RJ. Biomarkers of ageing in New Zealand VLBW young adults and controls. Pediatric Research, 2020. doi: 10.1038/s41390-020-0882-x Yang J, Kingsford RA, Horwood J, Epton MJ, Swanney MP, Stanton J, Darlow BA. Lung Function of Adults Born at Very Low Birth Weight. Pediatrics, 2020; 145(2): e20192359. doi: 10.1542/peds.2019-2359 Harris SL, Bray H, Troughton R, Elliott J, Frampton C, Horwood J, Darlow BA. Cardiovascular Outcomes in Young Adulthood in a Population-Based Very Low Birth Weight Cohort. The Journal of Pediatrics, 2020. doi: 10.1016/j.peds.2020.06.023 Darlow BA, Martin J, Horwood LJ. Metabolic syndrome in very low birth weight young adults and controls: the NZ 1986 VLBW study. Journal of Pediatrics, 2019; 206: 128-133.e5. doi: 10.1016/j.jpeds.2018.10.060. Darlow BA, Martin J, Horwood LJ. Unrecognised and unmet physical health problems in a national cohort of very low birthweight (VLBW) young adults and controls. J Primary Health Care, 2019; 11: 32-8. doi: 10.1071/HC18044 Pascoe MJ, Melzer TR, Horwood LJ, Woodward LJ, Darlow BA. Altered grey matter volume, perfusion and white matter integrity in very low birthweight adults. NeuroImage: Clinical, 2019; 22 :101780. doi: 10.1016/j.nicl.2019.101780 Darlow BA, Elder M, Kimber B, Martin J, Horwood LJ. Vision in former very low birthweight young adults with and without retinopathy of prematurity compared with term born controls: The NZ 1986 VLBW Follow-up Study. British Journal of Ophthalmology, 2018; 102: 1041-6. doi: 10.1136/bjophthalmol-2017-311345 Prickett TCR, Darlow BA, Troughton RW, Cameron VA, Elliott JM, Martin J, Horwood LJ, Espiner EA. New insights into cardiac and vascular natriuretic peptides: Findings from young adults born with very low birth weight. Clinical Chemistry, 2018; 64(2): 363–373. doi: 10.1373/clinchem.2017.280354 Darlow BA, Horwood LJ, Woodward LJ, Elliott JM, Troughton RW, Elder M, Epton M, Stanton J, Swanney M, Keenan R, Melzer T, McKelvey V, Levin K, Meeks MG, Espiner EA, Cameron VA, Martin J. The New Zealand 1986 very low birth weight cohort as young adults: mapping the road ahead. Study protocol. BMC Pediatrics, 2015; 15: 90. doi: 10.1186/s12887-015-0413-9 Darlow BA, Horwood LJ, Pere-Bracken H, Woodward LJ. Psychosocial outcomes of young adults born very low birth weight. Pediatrics, 2013; 132: e1521-1528. doi: 10.1542/peds.2013-2024
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Public notes
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Contacts
Principal investigator
Name
34264
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Dr Sarah Harris
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Address
34264
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Department of Paediatrics
University of Otago Christchurch
PO Box 4345
Christchurch 8140
New Zealand
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Country
34264
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New Zealand
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Phone
34264
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+64 3 3726718
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Fax
34264
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Email
34264
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[email protected]
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Contact person for public queries
Name
17511
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Bridget Kinnersley
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Address
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Department of Psychological Medicine, University of Otago, Christchurch
PO Box 4345, Christchurch 8140, New Zealand
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Country
17511
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New Zealand
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Phone
17511
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+64 3 3726706
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Fax
17511
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Email
17511
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[email protected]
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Contact person for scientific queries
Name
8439
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Sarah Harris
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Address
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Department of Paediatrics,
University of Otago Christchurch,
PO Box 4345,
Christchurch 8140
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Country
8439
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New Zealand
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Phone
8439
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+64 3 372 6718
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Fax
8439
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Email
8439
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
No consent for this
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
13828
Study protocol
Darlow BA, Horwood LJ, Woodward LJ, Elliott JM, Troughton RW, Elder M, Epton M, Stanton J, Swanney M, Keenan R, Melzer T, McKelvey V, Levin K, Meeks MG, Espiner EA, Cameron VA, Martin J. The New Zealand 1986 very low birth weight cohort as young adults: mapping the road ahead. Study protocol. BMC Pediatrics, 2015; 15: 90. doi: 10.1186/s12887-015-0413-9
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
The New Zealand 1986 very low birth weight cohort as young adults: Mapping the road ahead.
2015
https://dx.doi.org/10.1186/s12887-015-0413-9
Embase
Vision in former very low birthweight young adults with and without retinopathy of prematurity compared with term born controls: The NZ 1986 VLBW follow-up study.
2018
https://dx.doi.org/10.1136/bjophthalmol-2017-311345
Embase
Metabolic Syndrome in Very Low Birth Weight Young Adults and Controls: The New Zealand 1986 VLBW Study.
2019
https://dx.doi.org/10.1016/j.jpeds.2018.10.060
Embase
Cardiovascular Outcomes in Young Adulthood in a Population-Based Very Low Birth Weight Cohort.
2020
https://dx.doi.org/10.1016/j.jpeds.2020.06.023
Embase
Biomarkers of ageing in New Zealand VLBW young adults and controls.
2021
https://dx.doi.org/10.1038/s41390-020-0882-x
N.B. These documents automatically identified may not have been verified by the study sponsor.
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