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Trial registered on ANZCTR
Registration number
ACTRN12622001038785p
Ethics application status
Submitted, not yet approved
Date submitted
16/07/2022
Date registered
25/07/2022
Date last updated
25/07/2022
Date data sharing statement initially provided
25/07/2022
Type of registration
Prospectively registered
Titles & IDs
Public title
Carpal Tunnel Syndrome project: A prospective cohort study to determine the association between risk factors and clinical features of Carpal Tunnel Syndrome and its diagnosis.
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Scientific title
Carpal Tunnel Syndrome project: A prospective cohort study to determine the association between risk factors and clinical features of Carpal Tunnel Syndrome and its electrophysiological diagnosis.
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Secondary ID [1]
307585
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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:
Carpal Tunnel Syndrome
327032
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Condition category
Condition code
Neurological
324206
324206
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0
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Other neurological 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
This proposal involves prospective data collection from patients undergoing nerve conduction studies at the Lyell McEwin Hospital “Carpal Tunnel Syndrome clinic” to determine the clinical features and risk factors most associated with a diagnosis of carpal tunnel syndrome and response to treatment.
This involves prospective data collection using a standardised questionnaire administered both before and after nerve conduction studies are performed.
Information collected using the standardised questionnaire includes clinical symptoms and signs (such as abnormal sensation in the first 3 fingers) , medical risk factors (such as history of diabetes mellitus or thyroid disease) and pain score with the Visual Analog Scale.
Prospective data collection with a standardised questionnaire will take 5 minutes and folllow up phone calls will last between 2-3 minutes.
A prospective analysis of nerve conduction testing results will be performed to determine the likelihood of each factor contributing to the diagnosis of Carpal Tunnel Syndrome (CTS), as well as the severity of discomfort experienced during nerve conduction studies.
A follow up phone call will be performed at 6 and 12 months post-nerve conduction testing to determine the association between pain thresholds and benefit from surgery.
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Intervention code [1]
324045
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Diagnosis / Prognosis
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Comparator / control treatment
None
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Participant clinical features and risk factors associated with high positive likelihood ratio for diagnosis of Carpal Tunnel Syndrome on nerve conduction testing as assessed by study-specific questionnaire
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Assessment method [1]
332032
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Timepoint [1]
332032
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At time of nerve conduction testing
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Secondary outcome [1]
411948
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Severity of nerve conduction testing related pain as measured by the Visual Analog Scale
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Assessment method [1]
411948
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Timepoint [1]
411948
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During initial nerve conduction testing, as well as 6 months and 12 months post-nerve conduction testing
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Eligibility
Key inclusion criteria
1. Patients who are over 18 years of age
2. Patients presenting to LMH Carpal Tunnel Syndrome clinic for nerve conduction testing
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Minimum age
18
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
1. Contraindication to nerve conduction testing e.g. skin breakdown
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
1) The diagnostic performance of each variable (including risk factor and clinical feature) will be analyzed with descriptive statistics and diagnostic performance indicators, such as sensitivity and specificity.
2) When calculating these parameters, the presence of a particular feature (such as tingling in the first three digits) in the setting of a given diagnosis (such as carpal tunnel syndrome) will be considered a true positive result.
3) Likelihood ratios and associated confidence interval calculations will be performed using a bootstrapping method similar to that which has been described previously (with 10,000 bootstraps)
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/09/2022
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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
200
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
22843
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Lyell McEwin Hospital - Elizabeth Vale
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Recruitment postcode(s) [1]
38141
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5112 - Elizabeth Vale
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Funding & Sponsors
Funding source category [1]
311856
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Hospital
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Name [1]
311856
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Lyell McEwin Hospital
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Address [1]
311856
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Haydown Road
Elizabeth Vale SA 5112
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Country [1]
311856
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Australia
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Primary sponsor type
Hospital
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Name
Lyell McEwin Hospital
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Address
Haydown Road
Elizabeth Vale SA 5112
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Country
Australia
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Secondary sponsor category [1]
313329
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Individual
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Name [1]
313329
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Dr Rudy Goh
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Address [1]
313329
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Neurology Department
Lyell McEwin Hospital
Haydown Road
Elizabeth Vale SA 5112
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Country [1]
313329
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Australia
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
311295
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CALHN HREC
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Ethics committee address [1]
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Royal Adelaide Hospital 1 Port Road Adelaide SA 5000
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Ethics committee country [1]
311295
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Australia
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Date submitted for ethics approval [1]
311295
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15/07/2022
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Approval date [1]
311295
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Ethics approval number [1]
311295
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Summary
Brief summary
Carpal Tunnel Syndrome (CTS) is a disabling condition and treatments such as wrist bracing and carpal tunnel release surgery can improve patient symptoms and functional outcomes. Nerve conduction testing has been proven to be a good diagnostic tool (both sensitive and specific) for the diagnosis of carpal tunnel syndrome. The association between a combination of extended risk factors and clinical features of carpal tunnel syndrome and its diagnosis has never been estimated via likelihood ratios. The association between pain experienced during nerve conduction testing and pain experienced from carpal tunnel syndrome has also never been established in the past. We aim to prove that: 1. There are multiple risk factors and clinical features associated with high positive likelihood ratio for the diagnosis of carpal tunnel syndrome 2. Pain experienced during nerve conduction testing is more severe when pain related to carpal tunnel syndrome itself is more severe.
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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
120606
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Dr Rudy Goh
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Address
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Neurology Department
Lyell McEwin Hospital
1 Haydown Road
Elizabeth Vale SA 5112
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Country
120606
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Australia
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Phone
120606
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+61 8 8182 9966
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Fax
120606
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Email
120606
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[email protected]
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Contact person for public queries
Name
120607
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Rudy Goh
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Address
120607
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Neurology Department
Lyell McEwin Hospital
1 Haydown Road
Elizabeth Vale SA 5112
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Country
120607
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Australia
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Phone
120607
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+61 8 8182 9966
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Fax
120607
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Email
120607
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[email protected]
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Contact person for scientific queries
Name
120608
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Rudy Goh
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Address
120608
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Neurology Department
Lyell McEwin Hospital
1 Haydown Road
Elizabeth Vale SA 5112
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Country
120608
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Australia
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Phone
120608
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+61 8 8182 9966
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Fax
120608
0
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Email
120608
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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
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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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