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Trial registered on ANZCTR
Registration number
ACTRN12616001106426
Ethics application status
Approved
Date submitted
9/05/2016
Date registered
16/08/2016
Date last updated
16/08/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Multicentre retrospective study to assess diagnostic accuracy of ultrasound for superficial endometriosis – are we any closer?
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Scientific title
Multicentre retrospective study to assess diagnostic accuracy of ultrasound for superficial endometriosis – are we any closer?
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Secondary ID [1]
289157
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Nil
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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:
endometriosis
299055
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Condition category
Condition code
Reproductive Health and Childbirth
299095
299095
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0
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Other reproductive health and childbirth disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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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
Reviewing analysis of ultrasound data and surgical records in al patients undergoing a diagnostic ultrasound followed by surgery for endometriosis between January 2012 and Decemeber 2015 with no prospective follow up.
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Intervention code [1]
294682
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Diagnosis / Prognosis
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Comparator / control treatment
Surgical findings were the comparator
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Control group
Active
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Outcomes
Primary outcome [1]
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Accuracy(sensitivity and specificity) of ultrasound scan as a tool for early detection of superficial endometriosis by correlation with surgical findings of endometriosis from medical record review
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Assessment method [1]
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Timepoint [1]
298225
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2012-2015
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Secondary outcome [1]
323581
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By retrospective review of the ultrasound scan and surgical records. Ultrasound scan findings which correlated best with operative findings - uterosacral thickness, thickened peri colic fat, ovarian immobility, assessed by review of the ultrasound scan and surgical records.
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Assessment method [1]
323581
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Timepoint [1]
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2012-2015
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Eligibility
Key inclusion criteria
Received both a pre-surgical ultrasound scan by Kate Stone and a laparoscopy by an advanced endometriosis surgeon for superficial endometriosis between January 2012 and Decemeber 2015
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Minimum age
17
Years
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Maximum age
50
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Deep endometriosis
Rectal involvment
Adenomyosis
Endometriomas
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Study design
Purpose
Screening
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Duration
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Selection
Defined population
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Timing
Retrospective
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Statistical methods / analysis
No calculation was performed to calculate size, power or level of statistical significance. All records of patients scanned by one COGU consultant and Laparosocpy by endosurgiens were reviewed. Descriptive statistics were used to summarise all variables. Continuous variables were described as mean and standard deviation. Categorical variables were described as frequency and percentage. The proportion of patients who had laparoscopic findings consistent with their ultrasound findings was estimated with 95% confidence interval. Difference in BMI and age between patients with positive and negative findings were tested using the analysis of variance. Standard diagnostic and agreement statistics were calculated to assess the predictive effects of individual soft marker and symptom on operation findings. Sensitivity, specificity and ROC curve were estimated. All statistical tests were two-sided at 5% significance level.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
3/03/2016
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Date of last participant enrolment
Anticipated
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Actual
14/04/2016
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Date of last data collection
Anticipated
24/03/2016
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Actual
21/04/2016
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Sample size
Target
50
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Accrual to date
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Final
83
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
5753
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Mercy Hospital for Women - Heidelberg
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Recruitment hospital [2]
5754
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Epworth Freemasons - Melbourne
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Funding & Sponsors
Funding source category [1]
293548
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Hospital
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Name [1]
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Mercy Hospital for Women
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Address [1]
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Mercy Hospital for Women
163 Studley Road, Heidelberg, Vic 3084
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Country [1]
293548
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Australia
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Primary sponsor type
Individual
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Name
Prathima Chowdary
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Address
Mercy Hospital for Women,
163 Studley Road, Heidelberg, Vic 3084
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Country
Australia
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Secondary sponsor category [1]
292359
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Hospital
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Name [1]
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Mercy Hospital for Women Heidelberg
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Address [1]
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163 Studley Road, Heidelberg, Vic 3084
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Country [1]
292359
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
294987
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Mercy Health Human Research Ethics Committe
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Ethics committee address [1]
294987
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163 Studley Road, Heidelberg, Vic 3084
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Ethics committee country [1]
294987
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Australia
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Date submitted for ethics approval [1]
294987
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10/02/2016
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Approval date [1]
294987
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03/03/2016
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Ethics approval number [1]
294987
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R16/12
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Summary
Brief summary
Clinical histories of 83 patients who had laparoscopy to investigate pelvic pain were reviewed. Laparoscopies were performed at Mercy Hospital for Women, Epworth Freemasons by surgeons trained in advanced laparoscopy and currently work in a tertiary endometriosis surgical unit. Patients with deep infiltrative endometriosis or non- endometriosis pelvic pathology on either MRI or ultrasound were excluded from the study. Ultrasounds were performed by a single sonologist with expertise in endometriosis assessments between 2012 – 2015. The ultrasound findings were dividing into sub groups as follows – presence of a utero sacral ligament nodule of endometriosis, utero sacral ligament thickness, thickened peri colic fat, ovarian mobility and focal tenderness. This was compared with operative findings of those patients with superficial endometriosis. Other parameters collected were age, BMI and symptoms –dysmenorrhoea, dyschezia, dysuria and dyspareunia. Standard diagnostic and agreement statistics were calculated to assess the predictive effects of individual ultrasound markers and symptoms on operation findings. Endometriosis is a complex and heterogeneous condition. There is an increased incidence in women with pelvic pain and subfertility. Appropriate early triage for these patients has been shown to improve outcomes. There are no specific non-invasive methods of diagnosing superficial forms of endometriosis, whilst the ability to reliably detect deep infiltrative endometriosis on ultrasound is well established.
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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 Prathima Chowdary
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Address
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Mercy Hospital for Women
163 Studley Road, Heidelberg, Vic 3084
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Country
65682
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Australia
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Phone
65682
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+61470433777
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Fax
65682
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Email
65682
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[email protected]
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Contact person for public queries
Name
65683
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Prathima Chowdary
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Address
65683
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Mercy hospital for Women
163 Studley Road, Heidelberg, Vic 3084
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Country
65683
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Australia
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Phone
65683
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+61470433777
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Fax
65683
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Email
65683
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[email protected]
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Contact person for scientific queries
Name
65684
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Prathima Chowdary
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Address
65684
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Mercy hospital for Women
163 Studley Road, Heidelberg, Vic 3084
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Country
65684
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Australia
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Phone
65684
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+61470433777
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Fax
65684
0
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Email
65684
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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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