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Patients Receiving Anterior Cervical Spine SurgeryNCT03891940

Swallowing Motor Function After Cervical Spine Surgery With Anterior Approach

An observational study of Patients Receiving Anterior Cervical Spine Surgery, run by National Taiwan University Hospital.

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 The sponsor has not verified this record for over two years, so it may be out of date.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

Dysphagia is a well-known complication following anterior cervical spine surgery. However, which muscle at oropharyngeal region weakness and the recovery course of these patients are still unknown. The ultrasonography was used to measure the oropharyngeal swallowing function. Read more about this study

Who is it for?
Ages 20 to 80 years
What is being tested?
patients recieving anterior cervical spine surgery
Type of treatment
Surgery or procedure
How many people
30 participants
Where
No sites listed yet
Study dates
26 Mar 2019to 31 Dec 2022
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 20 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients who fulfill the criteria of anterior cervical spine surgery under general anesthesia

Who may be able to join

  • 1. Patients who fulfill the criteria of anterior cervical spine surgery under general anesthesia 2. Aged from 20-80 years old

Who cannot join

  • 1. Major systemic disease, such as congestive heart failure, liver cirrhosis, end stage renal disease and malignancy.
  • 2. Patients who have the risk of difficult ventilation or intubation. 3. pregnant women 4. coagulopathy

Trial locations and contacts

No sites are listed yet.

Fon-Yih Tsuang, MD contact

+886972651124

tsuangfy@gmail.com

About this study

Official title: Evaluation of Changes of Swallowing Motor Function After Cervical Spine Surgery With Anterior Approach- the Implication of High Resolution Impedance Manometry

Dysphagia is a well-known complication following anterior cervical spine surgery. However, which muscle at oropharyngeal region weakness and the recovery course of these patients are still unknown.

The ultrasonography was used to measure the oropharyngeal swallowing function. The high resolution impedance manometry (HRIM) could be used to measure the postoperative recovery esophageal function.

we aimed to observe the changes and recovery course swallowing function parameters during the preoperative and postoperative period in the patients receiving anterior cervical spine surgery by HRIM and ultrasonography.

Read the detailed description

Dysphagia is a well-known complication following anterior cervical spine surgery. However, which muscle at oropharyngeal region weakness and the recovery course of these patients are still unknown.

The ultrasonography was used to measure the oropharyngeal swallowing function. The high resolution impedance manometry (HRIM) could be used to measure the postoperative recovery esophageal function.

We aimed to observe the changes and recovery course swallowing function parameters during the preoperative and postoperative period in the patients receiving anterior cervical spine surgery by HRIM and ultrasonography. Consecutive patients who will fulfill the criteria of cervical spine surgery patients under general anesthesia and aged >= 20 will be enrolled. The patients would receive the dysphagia questionnaire. All subjects would receive the swallowing function by ultrasonography and HRIM before the surgeries. The cough test was also measured. After the surgery, the patient would be followed the swallowing function in the postoperative one day, 1 week, and 1 months, 3 months (If needed) by HRIM and ultrasonography.

Being tested
patients recieving anterior cervical spine surgery

What participants receive

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

  • patients recieving anterior cervical spine surgeryProcedure or surgery

    Anterior cervical discectomy with fusion, or ACDF, is a surgery designed to relieve spinal cord or nerve root pressure in the neck by removing all or part of a damaged disc

Study groups in NCT03891940
Study groupRoleWhat they receive
Patient receiving Anterior Cervical Spine Surgery1. Patients who fulfill the criteria of anterior cervical spine surgery under general anesthesia 2. Aged from 20-80 years old
Receives: Procedure: patients recieving anterior cervical spine surgery

What is being measured

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

  1. upper esophageal sphincter pressure changes

    upper esophageal sphincter pressure changes measured by the HRIM

    Measured: everage 1 month in the perioperative period

Secondary outcomes (1)
  1. hyoid bone movement

    the distance of hyoid bone movement measured by the ultrasonography

    Measured: everage 1 month in the perioperative period

Timeline

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

  1. First posted27 Mar 2019
  2. Study start26 Mar 2019 (estimated)
  3. Primary completion31 Dec 2022 (estimated)
  4. Study completion31 Dec 2022 (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
30 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03891940
Sponsor's protocol ID
201901089RINC
Status last verified
Mar 2019
First submitted
25 Mar 2019
Last updated
27 Mar 2019
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Lai CJ, Cheng YJ, Lai DM, Wu CY, Chang WT, Tsuang FY. Applying High-Resolution Impedance Manometry for Detecting Swallowing Change in Anterior Cervical Spine Surgery Patients. Front Surg. 2022 Mar 16;9:851126. doi: 10.3389/fsurg.2022.851126. eCollection 2022.

    PubMed 35372473

Questions about this trial

What is this clinical trial studying?

An observational study of Patients Receiving Anterior Cervical Spine Surgery, run by National Taiwan University Hospital.

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 1 inclusion and 2 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 27 Mar 2019. 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 Fon-Yih Tsuang, MD (+886972651124, tsuangfy@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

upper esophageal sphincter pressure changes (time frame: everage 1 month in the perioperative period). 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 NCT03891940, which also lists 1 linked publication.

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 27 Mar 2019.

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