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NCT03959020

Applying Long-term Follow-up to Improve Patient Selection in Laparoscopic Anti-reflux Surgery

Completed Last updated 3 November 2020
What this trial tests

trial testing Anti-reflux surgery in GERD in 520 participants. Completed in 1 October 2020.

Timeline
1 March 2018
Primary endpoint
1 May 2019
1 October 2020

Quick facts

Lead sponsorUniversity of Southern Denmark
StatusCompleted
Study typeOBSERVATIONAL
Enrollment520
Start date1 March 2018
Primary completion1 May 2019
Estimated completion1 October 2020
Sites1 location across Denmark

Drugs / interventions tested

Conditions studied

Sponsor

University of Southern Denmark

Who can join

18 and older, any sex, with GERD or Reflux, Gastroesophageal. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Introduction Laparoscopic anti-reflux surgery is considered standard of care in surgical treatment of gastro-oesophageal reflux disease and is not without risks of adverse effects, most notably disruption of the fundoplication, post-fundoplication dysphagia and gas-bloat-syndrome, in some cases leading to reoperation. Non-surgical factors such as pre-existing anxiety or depression disorders can influence postoperative satisfaction and symptom relief. Previous studies have focused on short-term follow-up or only certain aspects of disease, resulting in a less than complete picture. The aim of this study is to evaluate long-term patient-satisfaction and durability of laparoscopic anti-reflux surgery in a large Danish cohort using comprehensive multimodal follow-up, and using the results of follow-up, to develop a clinically applicable scoring system usable in selecting patients for anti-reflux surgery. Methods and analysis The study is a retrospective cohort study utilizing data from patient records and follow-up with patient-reported quality of life as well as registry-based data. The study population consists of all adult patients having undergone laparoscopic anti-reflux surgery at The Department of Surgery, Kolding Hospital, a part of Lillebaelt Hospital Denmark in an 11-year period. From electronic records; patient characteristics, preoperative endoscopic findings, reflux disease characteristics and details on type of surgery, will be identified. Disease specific quality-of-life and dysphagia will be identified from patient-reported follow-up. From Danish national registries, data on comorbidity, reoperative surgery, use of pharmacological anti-reflux treatment, mortality and socioeconomic factors will be included. Primary outcome of this study is treatment success at follow-up. Ethics and dissemination For the study approval will be sought from The Danish Patient Safety Agency, The Danish Health Data Authority and Statistics Denmark, complying to Danish and EU current legislation. Inclusion in the study will require informed consent from participating subjects.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Long-term patient satisfaction and durability of laparoscopic anti-reflux surgery in a large Danish cohort: study protocol for a retrospective cohort study with development of a novel scoring system for patient selection.
    Sanberg Ljungdalh J, Rubin KH, Durup J, Houlind KC. · · 2020 · cited 1× · PMID 32184312 · DOI 10.1136/bmjopen-2019-034257

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Other recruiting trials for GERD

Currently open trials in the same condition.

Other University of Southern Denmark trials

Trials by the same sponsor.

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Data sources for this page

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