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Post Operative CareNCT03694990

Prospective Quality of Life Study in Pituitary Surgery

An observational study of Post Operative Care and Endoscopic Skull Base Surgery, run by University of Virginia.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Post-operative assessment and debridement are key components in patient care for surgery patients. However, a standardized protocol for management after endoscopic skull base surgery is unavailable. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Follow-up schedule
How many people
165 participants
Where
No sites listed yet
Study dates
Oct 2018to Oct 2020
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients receiving surgery for pituitary adenoma at UVA after May 1st, 2018.

Who may be able to join

  • Has surgery for pituitary adenoma at UVA after May 1st, 2018
  • Has sellar and parasellar pathology
  • ≥ 18 years old
  • Can complete all parts of study in English

Who cannot join

  • Extended approaches
  • Use of naso-septal flap during the current surgical procedure
  • Septoplasty
  • Prior history of Chronic Rhinosinusitis (CRS)
  • Prior history of sphenoidotomy
  • < 18 years old
  • Prisoner

Trial locations and contacts

No sites are listed yet.

Jose Mattos, MD contact

434-924-5934

jm6cb@virginia.edu

Karis Ra, BA contact

703-399-6628

hr6dz@virginia.edu

About this study

Post-operative assessment and debridement are key components in patient care for surgery patients. However, a standardized protocol for management after endoscopic skull base surgery is unavailable. In this study, investigators will observe the effect of various follow-up schedules on the patient's quality of life after surgery. Patients who received surgery for pituitary adenoma will be placed randomly in 1 of 3 groups (short-term = follow-up in 2 weeks and 8 weeks after surgery; intermediate = 4 weeks and 8 weeks; long-term = 8 weeks). At each visit, patients will be asked to complete a packet of surveys and questionnaires that provide metrics on their quality of life in addition to receiving standard patient care (post-operative assessment and nasal debridement). Researchers hope to find that a follow-up schedule that has patients visiting the clinic closer to their surgery date will increase the patient's quality of life after surgery.

Being tested
Follow-up schedule

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Follow-up scheduleOther

    Patients will be randomized into 1 of 3 follow-up schedules for post-operative clinic visits.

Study groups in NCT03694990
Study groupRoleWhat they receive
Short-termPatients will be scheduled for PO follow-up visits 2 weeks, and 8 weeks after surgery.
Receives: Other: Follow-up schedule
IntermediatePatients will be scheduled for PO follow-up visits 4 weeks, and 8 weeks after surgery.
Receives: Other: Follow-up schedule
Long-termPatients will be scheduled for PO follow-up visits 8 weeks after surgery.
Receives: Other: Follow-up schedule

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. SNOT-22 survey scores for pre-op/initial visit

    Patient responses to the SNOT-22 will be collected and calculated.

    Measured: Survey results will be collected during the pre-op/initial 1 day visit

  2. SNOT-22 survey scores for 2-week or 4-week follow-up visit

    Patient responses to the SNOT-22 will be collected and calculated.

    Measured: 2-weeks or 4-weeks after surgery (based on group)

  3. SNOT-22 survey scores for 8-week follow-up visit

    Patient responses to the SNOT-22 will be collected and calculated.

    Measured: 8-weeks post-op

  4. SNOT-22 survey scores for 3-month contact

    Patient responses to the SNOT-22 will be collected and calculated.

    Measured: 3-month contact

  5. SNOT-22 survey scores for 6-month follow-up visit

    Patient responses to the SNOT-22 will be collected and calculated.

    Measured: 6-month post-op

  6. Anterior Skull Base QOL survey scores for pre-op/initial visit

    Patient responses to the Anterior Skull Base QOL will be collected and calculated.

    Measured: collected during the pre-op/initial 1 day visit

  7. Anterior Skull Base QOL survey scores for 2-week or 4-week follow-up visit

    Patient responses to the Anterior Skull Base QOL will be collected and calculated.

    Measured: 2-weeks or 4-weeks after surgery (based on group)

  8. Anterior Skull Base QOL survey scores for 8-week follow-up visit

    Patient responses to the Anterior Skull Base QOL will be collected and calculated.

    Measured: 8-weeks post-op

  9. Anterior Skull Base QOL survey scores for 3-month contact

    Patient responses to the Anterior Skull Base QOL will be collected and calculated.

    Measured: 3-month contact

  10. Anterior Skull Base QOL survey scores for 6-month follow-up visit

    Patient responses to the Anterior Skull Base QOL will be collected and calculated.

    Measured: 6-month post-op

  11. Pain Catastrophizing Scale (PCS) response for pre-op/initial visit

    Patient responses to the Pain Catastrophizing Scale (PCS) will be collected and calculated.

    Measured: collected during the pre-op/initial 1 day visit

  12. Pain Catastrophizing Scale (PCS) response for 2-week or 4-week follow-up visit

    Patient responses to the Pain Catastrophizing Scale (PCS) will be collected and calculated.

    Measured: 2-weeks or 4-weeks after surgery (based on group)

  13. Pain Catastrophizing Scale (PCS) response for 8-week follow-up visit

    Patient responses to the Pain Catastrophizing Scale (PCS) will be collected and calculated.

    Measured: 8-weeks post-op

  14. Pain Catastrophizing Scale (PCS) response for 3-month contact

    Patient responses to the Pain Catastrophizing Scale (PCS) will be collected and calculated.

    Measured: 3-month contact

  15. Pain Catastrophizing Scale (PCS) response for 6-month follow-up visit

    Patient responses to the Pain Catastrophizing Scale (PCS) will be collected and calculated.

    Measured: 6-month post-op

  16. Questionnaire of Olfactory Disorders survey scores for pre-op/initial visit

    Patient responses to the Pain Catastrophizing Scale (PCS) will be collected and calculated.

    Measured: collected during the pre-op/initial 1 day visit

  17. Questionnaire of Olfactory Disorders survey scores for 2-week or 4-week follow-up visit

    Patient responses to the Questionnaire of Olfactory Disorders will be collected and calculated.

    Measured: 2-weeks or 4-weeks after surgery (based on group)

  18. Questionnaire of Olfactory Disorders survey scores for 8-week follow-up visit

    Patient responses to the Questionnaire of Olfactory Disorders will be collected and calculated.

    Measured: 8-weeks post-op

  19. Questionnaire of Olfactory Disorders survey scores for 3-month contact

    Patient responses to the Questionnaire of Olfactory Disorders will be collected and calculated.

    Measured: 3-month contact

  20. Questionnaire of Olfactory Disorders survey scores for 6-month follow-up visit

    Patient responses to the Questionnaire of Olfactory Disorders will be collected and calculated.

    Measured: 6-month post-op

  21. Skull Based Inventory scores for pre-op/initial visit

    Patient responses to the Skull Based Inventory will be collected and calculated.

    Measured: collected during the pre-op/initial 1 day visit

  22. Skull Based Inventory scores for 2-week or 4-week follow-up visit

    Patient responses to the Skull Based Inventory will be collected and calculated.

    Measured: 2-weeks or 4-weeks after surgery (based on group)

  23. Skull Based Inventory scores for 8-week follow-up visit

    Patient responses to the Skull Based Inventory will be collected and calculated.

    Measured: 8-weeks post-op

  24. Skull Based Inventory scores for 3-month contact

    Patient responses to the Skull Based Inventory will be collected and calculated.

    Measured: 3-month contact

  25. Skull Based Inventory scores for 6-month follow-up visit

    Patient responses to the Skull Based Inventory will be collected and calculated.

    Measured: 6-month post-op

  26. Quality of Recover (QOR 40) survey scores for pre-op/initial visit

    Patient responses to the Quality of Recover (QOR 40) will be collected and calculated.

    Measured: collected during the pre-op/initial 1 day visit

  27. Quality of Recover (QOR 40) survey scores for 2-week or 4-week follow-up visit

    Patient responses to the Quality of Recover (QOR 40) will be collected and calculated.

    Measured: 2-weeks or 4-weeks after surgery (based on group)

  28. Quality of Recover (QOR 40) survey scores for 8-week follow-up visit

    Patient responses to the Quality of Recover (QOR 40) will be collected and calculated.

    Measured: 8-weeks post-op

  29. Quality of Recover (QOR 40) survey scores for 3-month contact

    Patient responses to the Quality of Recover (QOR 40) will be collected and calculated.

    Measured: 3-month contact

  30. Quality of Recover (QOR 40) survey scores for 6-month follow-up visit

    Patient responses to the Quality of Recover (QOR 40) will be collected and calculated.

    Measured: 6-month post-op

Secondary outcomes (3)
  1. Physician's notes/Patient progress notes for patient clinic visits

    Notes taken by the physician/medical staff during subject's clinic visit (i.e. lesion pathology, cavernous sinus invasion, suprasellar extension, post-op assessment, presence of nasal synechiae, rate of medpor graft extrusion)

    Measured: Clinic visit notes and/or patient progress notes will be collected during the pre-op/initial 1 day visit, subsequent follow-up visits (2-weeks, 4-weeks, and 8-weeks post-op), and final visit (6-months post-op).

  2. Endoscopy scores

    Lund-Kennedy scoring of endoscopic imaging of nasal cavity

    Measured: Endoscopy scores will be collected during the pre-op/initial 1 day visit, subsequent follow-up visits (2-weeks, 4-weeks, and 8-weeks post-op), and final visit (6-months post-op).

  3. Surgery notes/outcomes

    Surgeon's notes on subject surgery (i.e. occurrence of intra-operative leak, type of packing used)

    Measured: intraoperative

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Oct 2018
  2. Study startOct 2018 (estimated)
  3. Primary completionOct 2020 (estimated)
  4. Study completionOct 2020 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
165 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03694990
Sponsor's protocol ID
20758
Status last verified
Oct 2018
First submitted
26 Sep 2018
Last updated
3 Oct 2018
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Tien DA, Stokken JK, Recinos PF, Woodard TD, Sindwani R. Comprehensive Postoperative Management After Endoscopic Skull Base Surgery. Otolaryngol Clin North Am. 2016 Feb;49(1):253-63. doi: 10.1016/j.otc.2015.09.015.

    PubMed 26614842
  • Nyquist GG, Rosen MR, Friedel ME, Beahm DD, Farrell CJ, Evans JJ. Comprehensive management of the paranasal sinuses in patients undergoing endoscopic endonasal skull base surgery. World Neurosurg. 2014 Dec;82(6 Suppl):S54-8. doi: 10.1016/j.wneu.2014.07.027.

    PubMed 25496636
  • Suberman TA, Zanation AM, Ewend MG, Senior BA, Ebert CS Jr. Sinonasal quality-of-life before and after endoscopic, endonasal, minimally invasive pituitary surgery. Int Forum Allergy Rhinol. 2011 May-Jun;1(3):161-6. doi: 10.1002/alr.20029. Epub 2011 Apr 26.

    PubMed 22287366
  • Little AS, Kelly DF, Milligan J, Griffiths C, Prevedello DM, Carrau RL, Rosseau G, Barkhoudarian G, Jahnke H, Chaloner C, Jelinek KL, Chapple K, White WL. Comparison of sinonasal quality of life and health status in patients undergoing microscopic and endoscopic transsphenoidal surgery for pituitary lesions: a prospective cohort study. J Neurosurg. 2015 Sep;123(3):799-807. doi: 10.3171/2014.10.JNS14921. Epub 2015 Apr 17.

    PubMed 25884256
  • Woodmansee WW, Carmichael J, Kelly D, Katznelson L; AACE Neuroendocrine and Pituitary Scientific Committee. AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND AMERICAN COLLEGE OF ENDOCRINOLOGY DISEASE STATE CLINICAL REVIEW: POSTOPERATIVE MANAGEMENT FOLLOWING PITUITARY SURGERY. Endocr Pract. 2015 Jul;21(7):832-8. doi: 10.4158/EP14541.DSCR.

    PubMed 26172128

Questions about this trial

What is this clinical trial studying?

An observational study of Post Operative Care and Endoscopic Skull Base Surgery, run by University of Virginia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 3 Oct 2018. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Jose Mattos, MD (434-924-5934, jm6cb@virginia.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

SNOT-22 survey scores for pre-op/initial visit (time frame: Survey results will be collected during the pre-op/initial 1 day visit). The study lists 30 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03694990, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Oct 2018.

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