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Trial registered on ANZCTR
Registration number
ACTRN12615000598583
Ethics application status
Not yet submitted
Date submitted
19/05/2015
Date registered
9/06/2015
Date last updated
9/06/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
The effectiveness of negative pressure wound therapy - PICO™ in the reduction of seroma formation following unilateral mastectomy, a case control study.
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Scientific title
The effectiveness of negative pressure wound therapy in breast surgery patients compared to standard surgical dressing in the prevention of seroma formation following unilateral mastectomy.
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Secondary ID [1]
286756
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
PICO mastectomy study.
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
post operative seroma
295125
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wound healing
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Condition category
Condition code
Surgery
295368
295368
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0
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Other surgery
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Cancer
295435
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0
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Breast
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Intervention is a negative pressure wound care dressing (NPWT). Intervention is administered by the surgeon and remains in place for 7 days. One dressing change on Day 5 or as close to as determined by level of strikethrough. This dressing delivers negative pressure to the wound bed to secure the flap and facilitate tissue perfusion.
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Intervention code [1]
291912
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Treatment: Devices
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Intervention code [2]
291972
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Prevention
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Comparator / control treatment
a) duration of intervention; 7 days
b) dressing change day 5 or as close to
The control group will receive a non negative pressure surgical dressing known as a standard surgical dressing (SSD) and will receive the same duration and dressing change regime.
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Control group
Active
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Outcomes
Primary outcome [1]
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Seroma formation as per the study definition (fluid collection under the mastectomy flap).
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Assessment method [1]
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Timepoint [1]
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Day 5 postoperative
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Secondary outcome [1]
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Seroma formation
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Assessment method [1]
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Timepoint [1]
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Day 14 postoperative
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Eligibility
Key inclusion criteria
Consenting females who are to undergo an elective unilateral mastectomy.
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Minimum age
18
Years
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Maximum age
90
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Males
Non consenting patients
Females under 18 years of age
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Study design
Purpose of the study
Prevention
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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)
This case control quasi randomised trial will recruit and consent patients prior to their surgery. The surgeon will recruit and consent participants. Participants will be allocated to either the intervention or control group through a sealed envelope technique in theatre.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Block sequence
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
Randomised control trial
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
As there is limited prevalence or incidence data to determine an effect size or conduct a power calculation the sample of 100 was derived to determine baseline data for larger trials.
Descriptive statistics
Logistic regression
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/07/2015
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Actual
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Date of last participant enrolment
Anticipated
1/05/2016
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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
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
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St John of God Hospital, Subiaco - Subiaco
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Funding & Sponsors
Funding source category [1]
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Other
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Name [1]
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The work undertaken by investigators is an in kind contribution.
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Address [1]
291300
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SJGHC Subiaco
McCourt St, Subiaco, WA, 6008
Curtin University
Hayman Rd, Bentley, WA, 6845
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Country [1]
291300
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Australia
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Primary sponsor type
Hospital
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Name
St John of God Hosptial
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Address
McCourt St Subiaco, WA, 6008
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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Curtin University
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Address [1]
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Hayman Rd, Bentley, WA, 6845
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Country [1]
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Australia
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Other collaborator category [1]
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None
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Name [1]
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NIL
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Address [1]
278474
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NIL
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Country [1]
278474
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
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SJGHC Subiaco
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Ethics committee address [1]
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McCourt St, Subiaco, Perth, WA, 6845
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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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06/06/2015
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Approval date [1]
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Ethics approval number [1]
292867
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Summary
Brief summary
Background Postoperative delayed wound healing impacts on patient wellbeing and return to normal life and can result in intrinsic and extrinsic complications. Unilateral mastectomy impacts on patient healing as well as body image perspective and is further complicated by the diagnosis of cancer. Aim of the study The purpose of the study is to determine the effectiveness of negative pressure wound therapy on seroma formation following unilateral mastectomy. Who is it for? The study is for females about to undergo an elective unilateral mastectomy that consent to be in the study. Study participants are randomly allocated (by chance) to one of two groups. Participants in one group will receive a negative pressure dressing applied to their wound for 7 days, whilst participants in the other group will receive a standard surgical dressing. Patients will be followed-up for up to 30 days postoperatively to determine seroma formation during the post operative period.
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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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Dr Corinne Jones
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Address
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C/- SJGHC
McCourt Street,
Subiaco
Perth, Western Australia, 6008
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Country
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Australia
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Phone
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+610892662571
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Kylie Sandy-Hodgetts
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Address
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Curtin University
School of Nursing, Midwifery and Paramedicine
Hayman Road
Bentley, Perth
Western Australia, 6845
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Country
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Australia
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Phone
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+610892662571
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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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Kylie Sandy-Hodgetts
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Address
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Curtin University
School of Nursing, Midwifery and Paramedicine
Hayman Road
Bentley, Perth
Western Australia, 6845
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Country
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Australia
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Phone
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+61 08 92662571
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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
Type
Is Peer Reviewed?
DOI
Citations or Other Details
Attachment
Plain language summary
No
The study is currently in data analysis phase, the...
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