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Trial registered on ANZCTR
Registration number
ACTRN12612000505808
Ethics application status
Not yet submitted
Date submitted
27/04/2012
Date registered
10/05/2012
Date last updated
4/07/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Long term follow up on metabolic characteristics and nutritional aspects following gastric bypass surgery compared with a non surgical group.
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Scientific title
Obese patients who have undergone gastric bypass surgery as compared to a non-surgical group. A Long term follow up study of metabolic and nutritional outcomes.
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Secondary ID [1]
280379
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Nil
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Universal Trial Number (UTN)
U1111-1130-1613
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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:
Obesity
286355
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Diabetes
286356
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Nutrition
286357
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Condition category
Condition code
Metabolic and Endocrine
286595
286595
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0
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Diabetes
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Diet and Nutrition
286596
286596
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0
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Obesity
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Surgery
286704
286704
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0
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Other surgery
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Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Roux-en-Y gastric bypass surgery for patients with obesity +/- diabetes. This study will observe glycaemic outcomes, weight loss achieved and maintained, lipid profiles, hypertension rates and micronutrient status following at least 5 years since surgery.
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Intervention code [1]
284742
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Not applicable
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Comparator / control treatment
A cohort of subjects who were considered for surgery but did not undergo the procedure
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Control group
Active
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Outcomes
Primary outcome [1]
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Glycaemic outcomes assessed using fasting glucose and HbA1c (based on current ADA guidelines for glycaemic assessment following bariatric surgery) , number and dose of diabetes medications required so as to be able to document rates of diabetes remission, or improvement, stability, or worsening of diabetes control.
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Assessment method [1]
287015
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Timepoint [1]
287015
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Greater than 5 years since surgery. This outcome is assessed in each patient at one timepoint only (specifically, when contact is made with suitable patients during the data collection period) and is not limited to a maximum time frame. The first procedure was performed in approximately 1990 so the effective maximal follow up time will be 22 years.
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Primary outcome [2]
287016
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Weight loss will be assessed using digital scales and calculations of body mass index and excess weight loss. The data collected during the data collection period will be compared with baseline data collected immediately prior to surgery.
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Assessment method [2]
287016
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Timepoint [2]
287016
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Greater than 5 years since surgery. This outcome is assessed in each patient at one timepoint only (specifically, when contact is made with suitable patients during the data collection period) and is not limited to a maximum time frame. The first procedure was performed in approximately 1990 so the effective maximal follow up time will be 22 years.
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Primary outcome [3]
287017
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Frequency of nutritional deficiencies assessed by laboratory analysis of micronutrient concentrations in conjunction with a dietary record.
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Assessment method [3]
287017
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Timepoint [3]
287017
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Greater than 5 years since surgery. This outcome is assessed in each patient at one timepoint only (specifically, when contact is made with suitable patients during the data collection period) and is not limited to a maximum time frame. The first procedure was performed in approximately 1990 so the effective maximal follow up time will be 22 years.
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Secondary outcome [1]
297205
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Frequency of Hypertension assessed by sphygmanometer measurements during a clincal examination and use of anti-hypertensive medication, compared with similar data that was collected immediately prior to surgery
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Assessment method [1]
297205
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Timepoint [1]
297205
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Greater than 5 years since surgery. This outcome is assessed in each patient at one timepoint only (specifically, when contact is made with suitable patients during the data collection period) and is not limited to a maximum time frame. The first procedure was performed in approximately 1990 so the effective maximal follow up time will be 22 years.
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Secondary outcome [2]
297206
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Ferquency of dyslipidaemia assessed by measurement of fasting lipids along with documentation of the use of lipid lowering medication. This data will be compared with similar data that was collected immediately prior to surgery
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Assessment method [2]
297206
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Timepoint [2]
297206
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Greater than 5 years since surgery. This outcome is assessed in each patient at one timepoint only (specifically, when contact is made with suitable patients during the data collection period) and is not limited to a maximum time frame. The first procedure was performed in approximately 1990 so the effective maximal follow up time will be 22 years.
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Eligibility
Key inclusion criteria
Roux-en-Y gastric bypass surgery performed by a single surgeon between 1990 and 2007 (Surgery group)
Referred to Obesity clinic for consideration of Roux-en-Y gastric bypass surgery between 1990 and 2007 but surgery did not proceed (Non-surgery group)
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Minimum age
No limit
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Maximum age
No limit
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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
Previous alternative bariatric surgery
Roux-en-Y Gastric Bypass (control group)
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Study design
Purpose
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Duration
Longitudinal
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Selection
Defined population
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Timing
Both
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/06/2012
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
800
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
4277
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New Zealand
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State/province [1]
4277
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Funding & Sponsors
Funding source category [1]
285150
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University
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Name [1]
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University of Otago
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Address [1]
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University of Otago
Wellington Campus
Mein Street
Newtown
Wellington 6021
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Country [1]
285150
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New Zealand
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Primary sponsor type
Hospital
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Name
Endocrine, diabetes and research centre, Wellington Regional Hospital
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Address
Riddiford Street
Newtown
Wellington 6021
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Country
New Zealand
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Secondary sponsor category [1]
284012
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Hospital
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Name [1]
284012
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Wakefield Obesity Clinic
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Address [1]
284012
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Wakefield Hospital
Rintoul Street
Newtown
Wellington 6021
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Country [1]
284012
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New Zealand
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
287164
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New Zealand Multi-regional ethics comittee
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Ethics committee address [1]
287164
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c/- Ministry of Health Level 2, Reception 1-3 The Terrace Wellington 6011
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Ethics committee country [1]
287164
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New Zealand
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Date submitted for ethics approval [1]
287164
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08/05/2012
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Approval date [1]
287164
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Ethics approval number [1]
287164
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Summary
Brief summary
Data is limited on the long term (greater than 5 years) outcomes following gastric bypass surgery. We wish to compare a group of subjects who have had a gastric bypass operation greater than 5 years ago to a group of obese subjects who have not had the same gastric bypass operation. We particularly want to focus on teh effect this procedure has on long term metabolic characteristics such as blood pressure, diabetes and cholesterol as well as some of the possible nutrient imbalances.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
34100
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Address
34100
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Country
34100
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Phone
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Fax
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Email
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Contact person for public queries
Name
17347
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Dr Richard Carroll
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Address
17347
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Endocrine, diabetes and research centre
Wellington Regional hospital
Riddiford Street
Newtown
Wellington 6021
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Country
17347
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New Zealand
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Phone
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+64 4 8062141
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Fax
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+64 4 3855819
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Email
17347
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[email protected]
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Contact person for scientific queries
Name
8275
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Dr Richard Carroll
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Address
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Endocrine, diabetes and research centre
Wellington Regional hospital
Riddiford Street
Newtown
Wellington 6021
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Country
8275
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New Zealand
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Phone
8275
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+64 4 8062141
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Fax
8275
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+64 4 3855819
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Email
8275
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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
No additional documents have been identified.
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