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Trial registered on ANZCTR
Registration number
ACTRN12612001297819
Ethics application status
Approved
Date submitted
13/12/2012
Date registered
17/12/2012
Date last updated
17/12/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Does carbon dioxide insufflation during colonoscopy minimise post colonoscopy pain?: A randomised controlled trial
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Scientific title
Does carbon dioxide insufflation for a patient during colonoscopy minimise their post colonoscopy pain compared to air.
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Secondary ID [1]
281642
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nil known
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Universal Trial Number (UTN)
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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:
post colonoscopy pain
287930
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Condition category
Condition code
Oral and Gastrointestinal
288309
288309
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Carbon dioxide (a medicinal gas) was drawn from a CO2 tank and delivery system to a receptacle and then passed intermitently through the endoscope during the colonoscopy at the control of the endoscopist pressing a button on the hand piece of the endoscope. The intention of gas is to insufflate the colon during colonoscopy.
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Intervention code [1]
286182
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Treatment: Drugs
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Comparator / control treatment
` standard treatment` was insufflation of room air drawn from a receptacle (called the air/water bottle), to the endoscope and passed intermitently through the endoscope at the control of the endoscopist pressing a button on the hand piece of the endoscope. The purpose of this gas is to insufflate the colon during colonoscopy.
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Control group
Active
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Outcomes
Primary outcome [1]
288506
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A comparison of reported abdominal pain using a self reported 0-10 point numeric rating scale(NRS)
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Assessment method [1]
288506
0
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Timepoint [1]
288506
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Intra procedure (0) and post procedure at 10, 30 and 60 minutes
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Secondary outcome [1]
300344
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Nil
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Assessment method [1]
300344
0
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Timepoint [1]
300344
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Nil
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Eligibility
Key inclusion criteria
Patients on the waiting list for elective colonoscopy. These will be new patients with symptoms and also patients for surveillance colonoscopy (for reasons of past history of; colon cancer, adenomas, strong family history of bowel cancer and inflammatory bowel disease)
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Minimum age
16
Years
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Maximum age
90
Years
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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
Age under 16 and over 90
Inability to understand participant information
Patients with severe chronic obstructive pulmonary disease (COPD)
Refusal to participate
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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)
The receptionist send trial invitations to patients within the age criteria off the waiting list. On presenting for their colonoscopy the participatns consent and suitability for inclusion was assessed by a nurse.
allocation concealment by sealed randomisation envelopes: Envelopes (120) numbered for men and 12 for women. Inside the envelope it was stated on a slip of paper either the experimental `CO2 or `usual` ( the control air group)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
simple randomisation using an excel computer programme used to allocate numbers to envelopes
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
SPSS 17.0 software. Differences in mean numeric rating scale scores analysed using independent samples t-tests. Chi-squared test for independence was used to assess the differences between the proportions of those reporting 0 pain at four time intervals. The p value was set at < 0.05.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/07/2008
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Actual
1/07/2008
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Date of last participant enrolment
Anticipated
30/01/2009
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Actual
30/01/2009
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
240
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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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Recruitment outside Australia
Country [1]
4749
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New Zealand
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State/province [1]
4749
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Palmerson North
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Funding & Sponsors
Funding source category [1]
286461
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Hospital
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Name [1]
286461
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MidCentral Health District Health Board
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Address [1]
286461
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PO box 2056
Palmerston North,4410
New Zealand
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Country [1]
286461
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New Zealand
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Primary sponsor type
Hospital
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Name
MidCentral District Health Board
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Address
PO box 2056
Palmerston North, 4410
New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
285250
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None
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Name [1]
285250
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none
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Address [1]
285250
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none
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Country [1]
285250
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
288538
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Health and Disability Ethics Committee (Central Regional Ethics Committee
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Ethics committee address [1]
288538
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Ministry of Health PO Box 5013 Wellington, 6145
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Ethics committee country [1]
288538
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New Zealand
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Date submitted for ethics approval [1]
288538
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12/02/2008
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Approval date [1]
288538
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28/03/2008
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Ethics approval number [1]
288538
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CEN/08/01/005
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Summary
Brief summary
The aim of the study is to determine that carbon dioxide (CO2) , instead of air insufflated during colonoscopy reduces pain experienced by patients post colonoscopy. the Hypothesis: Those receiving carbon dioxide (CO2) insufflation during colonscopy will experience less post colonoscopy pain than those receiving air insufflation.
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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
36494
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Mrs Anne Cleland
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Address
36494
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Gastroenterology Department
MidCentral Health
PO box 2056
Palmerson North, 4410
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Country
36494
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New Zealand
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Phone
36494
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+64 6 3508865
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Fax
36494
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+64 6 3508807
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Email
36494
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[email protected]
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Contact person for public queries
Name
36495
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Anne Cleland
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Address
36495
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Gastroenterology Department
MidCentral Health
PO box 2056
Palmerston North, 4410
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Country
36495
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New Zealand
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Phone
36495
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+64 6 3508865
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Fax
36495
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+64 6 3508807
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Email
36495
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[email protected]
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Contact person for scientific queries
Name
36496
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Anne cleland
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Address
36496
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Gastroenterology Department
MidCentral Health
PO box 2056
Palmerston North, 4410
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Country
36496
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New Zealand
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Phone
36496
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+64 6 3508665
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Fax
36496
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+64 6 3508807
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Email
36496
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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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