Shoulder Pain Clinical Trial
Official title:
Cost-Effectiveness of Rotator Cuff Repair Surgery by Open and Arthroscopic Techniques. Randomized Clinical Trial
NCT number | NCT04146987 |
Other study ID # | 032019 |
Secondary ID | |
Status | Recruiting |
Phase | N/A |
First received | |
Last updated | |
Start date | August 1, 2020 |
Est. completion date | December 1, 2022 |
Shoulder pain is one of the most common musculoskeletal complaints in orthopedic practice.
Rotator cuff injuries account for up to 70% of pain in the shoulder girdle. There is no
clinical study carried out in Brazil comparing cost effectiveness between the open and
arthroscopic methods of rotator cuff repair surgery.
The present study aims to determine which method of repair of the rotator cuff, open or
arthroscopic, has the best cost effectiveness ratio.
A randomized clinical trial will be carried out in which patients with symptomatic rotator
cuff lesion will be submitted to repair surgery by either open or arthroscopic technique and
will be subsequently evaluated.
Status | Recruiting |
Enrollment | 100 |
Est. completion date | December 1, 2022 |
Est. primary completion date | November 1, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Patients with complete rotator cuff injury, symptomatic, where there was failure or the patient could not support the non-surgical treatment; - Patients with high-grade partial rotator cuff injury where therapy failed or the patient did not support non-surgical treatment; - Patients without medical contraindications for surgery; - Patients with a good understanding of the Portuguese language and who agree to participate and sign the Informed Consent Form. Exclusion Criteria: - Patients under 18 years old - Patients with previous shoulder surgery; - Patients with limited range of motion of the shoulder (joint stiffness); - Patients with previous fractures in the affected shoulder; - Patients with signs of glenohumeral osteoarthritis; - Patients with neurological injury; - Patients who opt not to participate and/or are not willing to sign the informed consent form; - Patients unable to complete the follow-up evaluation (inability to read or complete the forms). |
Country | Name | City | State |
---|---|---|---|
Brazil | Hospital Alvorada Moema | São Paulo | SP |
Brazil | Hospital Israelita Albert Einstein (HIAE) | São Paulo | SP |
Lead Sponsor | Collaborator |
---|---|
Hospital Israelita Albert Einstein | Fundação de Amparo à Pesquisa do Estado de São Paulo, Hospital Alvorada |
Brazil,
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* Note: There are 42 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Constant-Murley Score (CM) | The Constant-Murley Score (CM) validated for the Portuguese language. The evaluators will ask the patients to fill in the validated CM form for the Portuguese language and measure the range of motion with a goniometer. The CM scale covers different domains of shoulder function (pain, activities of daily living, range of motion and power), punctuating each of them; it ranges from 0 to 100, with higher scores indicating better function. | Measured continuously for 48 weeks after the intervention | |
Primary | EuroQol-5D-3L (European Quality of Life) | EuroQol-5D-3L (European Quality of Life), a generic score developed to describe health-related quality of life will also be assessed preoperatively, at 6, 24 and 48 weeks postoperatively. This score includes five health domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression; each domain has 3 levels: no problem; some problems and extreme problems. In addition, the EuroQol-5D-3L has a visual analog scale where the participant assigns a value between zero and one hundred to his or her own health condition. At the end of its application, EuroQol-5D-3L will provide a unique numerical value that can be used for longitudinal comparison between two time periods (pre and postoperative, for example). | Measured continuously for 48 weeks after the intervention | |
Secondary | Simple Shoulder Test (SST) | SST is a simple, quick and widely used questionnaire for shoulder function measurement; it consists of 12 dichotomous questions answered by the patient himself. Each positive answer (yes) is given a score; at the end of the questionnaire the percentage of positive answers (score) is made, and the higher the percentage, the better the shoulder function. | Measured continuously for 48 weeks after the intervention | |
Secondary | Visual Analogue Pain Scale (VAS) | This scale allows pain intensity to be measured with maximum interobserver reproducibility; it consists of a 10 cm straight line with the ends determining the limits of pain sensation (no pain; worst pain ever experienced); the distance between zero (no pain) and the patient's demarcation defines the intensity of pain. | Measured continuously for 48 weeks after the intervention |
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