Trial record 3 of 3 for:
NORDSTEN
The NORDSTEN Studies/ The Spinal Stenosis Study (NORDSTEN/SST)
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ClinicalTrials.gov Identifier: NCT02007083 |
Recruitment Status :
Active, not recruiting
First Posted : December 10, 2013
Last Update Posted : August 12, 2020
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Sponsor:
Haukeland University Hospital
Collaborator:
Møre og Romsdal Hospital Trust
Information provided by (Responsible Party):
Haukeland University Hospital
Tracking Information | ||||
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First Submitted Date ICMJE | November 22, 2013 | |||
First Posted Date ICMJE | December 10, 2013 | |||
Last Update Posted Date | August 12, 2020 | |||
Actual Study Start Date ICMJE | November 2013 | |||
Estimated Primary Completion Date | October 2028 (Final data collection date for primary outcome measure) | |||
Current Primary Outcome Measures ICMJE |
Oswestry Disability Index [ Time Frame: 2, 5 and 10 years after surgery ] The investigators will monitor the ODI-index before and after surgery, and calculate the change of ODI after surgery compared to baseline.
The primary outcome is a measurement of the change of ODI (version 2.0) from baseline in the three different surgical groups. This will be done by calculating the mean ODI improvement in each group. The investigators will also compare the proportion of "success patients" between the SPO group, the BL group and the UL group, 24 months after the operation. The investigators will dichotomize the patients, in a "succesful outcome group" and in a "non- succesful outcome group". The threshold value for being categorized as a "succesful outcome" will be computed in a planned study based on data from The Norwegian Registry for Spine Surgery (NORSpine).
The investigators also plan to asses short time results after 2 years, intermediate results after 5 years, and long time results after 10 years.
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Original Primary Outcome Measures ICMJE |
Oswestry Disability Index [ Time Frame: 2, 5 and 10 years after surgery ] The investigators will monitor the ODI-index before and after surgery, and calculate the change of ODI after surgery compared to baseline.
The primary outcome is a measurement of the change of ODI (version 2.0) from baseline in the three different surgical groups. This will be done by calculating the mean ODI improvement in each group. The investigators will also compare the proportion of responders between the SPO group, the BL group and the UL group, 24 months after the operation. The investigators will dichotomize the patients, in a "succesfull outcome group" and in a "non- succesfull outcome group". The threshold value for being categorized as a "succesfull outcome" will be computed in a planned study based on data from The Norwegian Registry for Spine Surgery (NORSpine).
The investigators also plan to asses short time results after 2 years, intermediate results after 5 years, and long time results after 10 years.
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Change History | ||||
Current Secondary Outcome Measures ICMJE |
Zurich claudification Scale, Numeric Rating Scale for leg pain, Numeric Rating Scale for back pain, EQ-5D, and self evaluated effect of surgery. [ Time Frame: 2, 5 and 10 years after surgery ] All of the above mentioned questionaires are validated and reliable questionaires to asses the effect of surgical treatment. The effect of the surgical treatment is calculated by the improvement of the different scores, and thereby is an objective way to asses the effect of the surgical treatment.
The investigators plan to asses short time results after 2 years, intermediate results after 5 years, and long time results after 10 years.
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Original Secondary Outcome Measures ICMJE |
Zurich Claudification Scale, Numeric Rating Scale for leg pain, Numeric Rating Scale for back pain, EQ-5D, and self evaluated effect of surgery. [ Time Frame: 2, 5 and 10 years after surgery ] All of the above mentioned questionaires are validated and reliable questionaires to asses the effect of surgical treatment. The effect of the surgical treatment is calculated by the improvement of the different scores, and thereby is an objective way to asses the effect of the surgical treatment.
The investigators plan to asses short time results after 2 years, intermediate results after 5 years, and long time results after 10 years.
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Current Other Pre-specified Outcome Measures |
Dural Sac Cross sectional Area (DSCSA) [ Time Frame: 3 months after surgery ] The investigators are planning to investigate the DSCSA before and after surgery. Thereby we can monitor which surgical procedure that increases the DSCSA the most. The investigators will also investigate wether a large increase of the DSCSA is needed to maintain good long-time clinical results.
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Original Other Pre-specified Outcome Measures | Same as current | |||
Descriptive Information | ||||
Brief Title ICMJE | The NORDSTEN Studies/ The Spinal Stenosis Study | |||
Official Title ICMJE | Comparison of Different Surgical Treatments for Lumbar Spinal Stenosis. A Randomized Controlled Trial Comparing the Clinical and Radiological Results Using "Spinous Process Osteotomy", "Bilateral Laminotomy" and "Unilateral Laminotomy With Crossover" | |||
Brief Summary | Lumbar Spinal Stenosis (LSS) is a clinical entity were narrowing of the spinal canal gives a compression of the the neural and vascular structures in the spinal canal. This often gives neurogenic claudication and sometimes severe Low Back Pain (LBP). Surgery for LSS is today the most often performed procedure in the adult lumbar spine. Beneficial effect of surgical treatment is well documented by several clinical trials, and a Cochrane review article from 2005 concludes that surgical treatment is superior to non-surgical treatment. The surgical solution is to decompress the stenotic part of the lumbar spine. There is no consensus in the literature of which surgical method that gives best long term clinical results. The investigators are therefore planning a Randomized Controlled Trial, where they will compare clinical and radiological results of three different surgical methods for LSS. The main outcome of this study is to answer which surgical method that gives the best long term clinical results. And, secondary outcome is to find out how much increase of the Dural Sac Cross Sectional Area is needed to give a long time relief of the patients' symptoms. | |||
Detailed Description | Not Provided | |||
Study Type ICMJE | Interventional | |||
Study Phase ICMJE | Not Applicable | |||
Study Design ICMJE | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single (Outcomes Assessor) Primary Purpose: Treatment |
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Condition ICMJE | Lumbar Spinal Stenosis | |||
Intervention ICMJE |
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Study Arms ICMJE |
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Publications * |
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* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline. |
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Recruitment Information | ||||
Recruitment Status ICMJE | Active, not recruiting | |||
Estimated Enrollment ICMJE |
465 | |||
Original Estimated Enrollment ICMJE | Same as current | |||
Estimated Study Completion Date ICMJE | December 2028 | |||
Estimated Primary Completion Date | October 2028 (Final data collection date for primary outcome measure) | |||
Eligibility Criteria ICMJE | Inclusion Criteria:
Exclusion Criteria:
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Sex/Gender ICMJE |
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Ages ICMJE | 18 Years to 80 Years (Adult, Older Adult) | |||
Accepts Healthy Volunteers ICMJE | No | |||
Contacts ICMJE | Contact information is only displayed when the study is recruiting subjects | |||
Listed Location Countries ICMJE | Norway | |||
Removed Location Countries | ||||
Administrative Information | ||||
NCT Number ICMJE | NCT02007083 | |||
Other Study ID Numbers ICMJE | 2011/2034 2011/2034 |
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Has Data Monitoring Committee | Yes | |||
U.S. FDA-regulated Product | Not Provided | |||
IPD Sharing Statement ICMJE | Not Provided | |||
Current Responsible Party | Haukeland University Hospital | |||
Original Responsible Party | Same as current | |||
Current Study Sponsor ICMJE | Haukeland University Hospital | |||
Original Study Sponsor ICMJE | Same as current | |||
Collaborators ICMJE | Møre og Romsdal Hospital Trust | |||
Investigators ICMJE |
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PRS Account | Haukeland University Hospital | |||
Verification Date | August 2020 | |||
ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP |