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Trial registered on ANZCTR
Registration number
ACTRN12610001084077
Ethics application status
Approved
Date submitted
8/12/2010
Date registered
10/12/2010
Date last updated
7/04/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
Comparison of different medications for the control of pain after tonsils and adenoid surgery.
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Scientific title
Comparative, prospective, and randomized study of tonsillectomy/adenotonsillectomy post-operative pain control in children.
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Secondary ID [1]
253270
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Post-operative pain control after tonsillectomy/adenotonsillectomy
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Condition category
Condition code
Oral and Gastrointestinal
258928
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
During the 7 days after tonsillectomy/adenotonsillectomy, children between 4-10 years will receive either analgesic alone as necessary (dipyrone - 20mg/kg/dose - or acetaminofen - 15mg/kg/dose, up to 4 times a day, oral drops) or analgesics combined with amoxicilin (50mg/kg/day, 3 times a day for 7 days, oral suspension), prednisolone (0.5mg/kg/day once a day for 7 days, oral solution), ibuprofen (15mg/kg/day, divided in 3 times a day for 7 days, oral drops) or amoxicilin+prednisolone for 7 days.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
Children will receive analgesics (dipyrone -20mg/kg/dose- or acetaminofen- 15mg/kg/dose) as necessary, up to 4 times a day each. Dipyrone will prefferentially be administered, unless there is history of allergy to dipyrone or there is need of pain control between the intervals of dipyrone use - in these situations, acetaminofen will be used.
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Control group
Active
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Outcomes
Primary outcome [1]
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Post-operative pain control measured by a clinical questionare that will be fill up by the parents or responsibles (PPP-parents's post-operative pain measure) and by The Faces Pain Scale-Revised filled up by the patient.
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Assessment method [1]
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Timepoint [1]
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7 days after surgery
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Secondary outcome [1]
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Evaluation of side effects with different therapies (diarrhea, abdominal pain, skin rash, bleeding)
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Assessment method [1]
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Timepoint [1]
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7 days after surgery
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Eligibility
Key inclusion criteria
Indication for tonsillectomy or adenotonsillectomy
Children between 4-10 years old
Low anaesthesic risk (ASA 1, ASA 2)
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Minimum age
4
Years
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Maximum age
10
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Child neuropsycological impairment
Use of medications for chronic pain control
Use of antibiotics or anticoagulants
Perfomance of another concomitant surgery (frenulectomy, ventilation tube insertion, etc)
Allergy to any medication proposed in this study (amoxicilin, prednisolone, ibuprofen)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation will be concealed by contacting the holder of the allocation (principal investigator) by phone, who will be off-site, at the day of the surgery
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computed sequence randomization
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/12/2010
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Actual
1/12/2010
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Date of last participant enrolment
Anticipated
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Actual
29/06/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
3078
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Brazil
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State/province [1]
3078
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Sao Paulo
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Funding & Sponsors
Funding source category [1]
258192
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University
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Name [1]
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Faculty of Medicine of Ribeirao Preto - University of Sao Paulo
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Address [1]
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Avenida dos Bandeirantes, 3900
Monte Alegre
Ribeirao Preto-SP
CEP 14049-900
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Country [1]
258192
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Brazil
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Funding source category [2]
289048
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Charities/Societies/Foundations
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Name [2]
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FAPESP - Fundacao de Amparo a Pesquisa do Estado de Sao Paulo
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Address [2]
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R. Pio XI, 1500 - Alto da Lapa - CEP 05468-901 Sao Paulo/SP - Brasil
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Country [2]
289048
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Brazil
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Primary sponsor type
Individual
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Name
Edwin Tamashiro
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Address
Av dos Bandeirantes, 3900
Monte Alegre
Ribeirao Preto-SP
CEP 14049-900
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Country
Brazil
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Secondary sponsor category [1]
257368
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None
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Name [1]
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Address [1]
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Country [1]
257368
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Other collaborator category [1]
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Individual
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Name [1]
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Carolina Brotto de Azevedo
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Address [1]
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Av dos Bandeirantes, 3900
Monte Alegre
Ribeirao Preto-SP
CEP 14049-900
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Country [1]
251721
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Brazil
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Other collaborator category [2]
251722
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Individual
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Name [2]
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Danielle Leite Cunha
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Address [2]
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Rua Antonio Deloiagono, 96 ap 41
Vila Ana Maria
Ribeirao Preto-SP
CEP 14026-210
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Country [2]
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Brazil
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Other collaborator category [3]
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Individual
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Name [3]
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Lucas Rodrigues Carenzi
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Address [3]
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Av dos Bandeirantes, 3900 Monte Alegre
CEP 14049-900
Ribeirao Preto - SP
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Country [3]
277912
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Brazil
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Other collaborator category [4]
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Individual
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Name [4]
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Wilma Terezinha Anselmo-Lima
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Address [4]
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Av dos Bandeirantes, 3900 Monte Alegre
Ribeirao Preto - SP
CEP 14049-900
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Country [4]
277913
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Brazil
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Other collaborator category [5]
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Individual
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Name [5]
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Daniel Salgado Kupper
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Address [5]
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Av dos Bandeirantes, 3900 Monte Alegre
Ribeirao Preto - SP
CEP 14049-900
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Country [5]
277914
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Brazil
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Other collaborator category [6]
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Individual
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Name [6]
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Fabiana Cardoso Pereira Valera
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Address [6]
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Av dos Bandeirantes, 3900 Monte Alegre
Ribeirao Preto - SP
CEP 14049-900
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Country [6]
277915
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Brazil
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Human Research Ethics Comittee of the Hospital of Clinics of the Faculty of Medicine of Ribeirao Preto -USP
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Ethics committee address [1]
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Av dos Bandeirantes, 3900 Monte Alegre Ribeirao Preto-SP CEP 14049-900
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Ethics committee country [1]
260169
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Brazil
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Date submitted for ethics approval [1]
260169
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Approval date [1]
260169
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04/10/2010
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Ethics approval number [1]
260169
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9838/2010
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Summary
Brief summary
Tonsillectomy and Adenotonsillectomy are the main surgeries performed in children worlwide. However, there is no consensus on how is the best way to manage pain after surgery in these cases. In this study, our primary goal will be to investigate if the additional use of antibiotics (amoxicilin), non-esteroidal antiinflammatory (ibuprofen) or corticosteroid (prednisolone) can change the history of pain that follows these surgeries. Additionally, we will also investigate if the use of these drugs in the post-operative period leads to adverse effects. Finally, we will balance the risk/benefit use of these drugs in the post-operative time of tonsillectomy/adenotonsillectomy in children.
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Trial website
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Trial related presentations / publications
Azevedo CB, Carenzi LR, Queiroz DLC, Anselmo-Lima WT, Valera FC, Tamashiro E. Clinical utility of PPPM and FPS-R to quantify post-tonsillectomy pain in children. Int J Pediatr Otorhinolaryngol. 2014 Feb;78(2):296-9. doi: 10.1016/j.ijporl.2013.11.027.27/11/2013
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Edwin Tamashiro
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Address
31994
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Ribeirao Preto School of Medicine
University of Sao Paulo
Av dos Bandeirantes, 3900 Monte Alegre
Ribeirao Preto - SP - Brazil
CEP 14049-900
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Country
31994
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Brazil
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Phone
31994
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55-16-36022863
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Fax
31994
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Email
31994
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[email protected]
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Contact person for public queries
Name
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Edwin Tamashiro
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Address
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Av dos Bandeirantes, 3900
Monte Alegre
Ribeirao Preto-SP
CEP 14049-900
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Country
15241
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Brazil
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Phone
15241
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55-16-3602-2863
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Fax
15241
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Email
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[email protected]
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Contact person for scientific queries
Name
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Edwin Tamashiro
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Address
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Av dos Bandeirantes, 3900
Monte Alegre
Ribeirao Preto-SP
CEP 14049-900
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Country
6169
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Brazil
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Phone
6169
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55-16-3602-2863
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Fax
6169
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Email
6169
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Does ibuprofen, prednisolone, or amoxicillin reduce post-tonsillectomy pain in children? A prospective randomized controlled trial.
2021
https://dx.doi.org/10.1016/j.ijporl.2021.110824
N.B. These documents automatically identified may not have been verified by the study sponsor.
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