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Trial registered on ANZCTR
Registration number
ACTRN12613001327774
Ethics application status
Approved
Date submitted
5/08/2013
Date registered
2/12/2013
Date last updated
2/12/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
OSSIES: Obese Subcuticular Sutures versus Interrupted Evaluation at caesarean Section: a randomized control trial
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Scientific title
OSSIES: Obese Subcuticular Sutures versus Interrupted Evaluation at caesarean Section: a randomized control trialon the effect of continuous subcuticular vs interrupted skin sutures on wound infection rates in obese patients at caesarean section
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Secondary ID [1]
282950
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nil
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Universal Trial Number (UTN)
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Trial acronym
OSSIES
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
post caesarean section wound in obese patients
289775
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obesity
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Condition category
Condition code
Reproductive Health and Childbirth
290120
290120
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0
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Childbirth and postnatal care
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Infection
290991
290991
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0
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Other infectious diseases
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Diet and Nutrition
290992
290992
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0
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Obesity
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
3.0 monocryl will be used in interrupted manner, 1-2cm apart long the caesarean section wound. they will be removed day 5-7 post op, this will take approximately ten minutes to carry out.
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Intervention code [1]
287655
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Treatment: Surgery
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Comparator / control treatment
3.0 monocryl will be used in a subcuticular continuous manner to approximate the skin. this is a dissolvable suture and does not need to be removed. this will take approximately ten minutes to carry out.
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Control group
Active
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Outcomes
Primary outcome [1]
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at 6 weeks post op the principal investigator will call the women to enquire if they have been on antibiotics for a wound infection at any point
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Assessment method [1]
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Timepoint [1]
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6 weeks post op
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Secondary outcome [1]
304024
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at the 6 week follow up phone call the principal investigator will also ask about any wound collections requiring drainage or dehiscence.
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Assessment method [1]
304024
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Timepoint [1]
304024
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6 weeks post-op
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Eligibility
Key inclusion criteria
BMI>30
Scheduled for elective caesarean section
Informed consent obtained
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Age<18
Unable to give consent
BMI<30
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Study design
Purpose of the study
Prevention
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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)
Patients with a BMI>30 will be approached in high-risk ante-natal clinic. They will be provided with the patient information and consent form and have the opportunity to ask the recruiting member of medical staff any questions they may have. they will also have the opportunity to take the consent form home to read and can consent on day of surgery.
Once signed, the consent will go onto their digital medical record. On the day of the caesarean section, the consent form will be printed alongside the operative consent form.
A computer generated randomized sequence of either interrupted or subcuticular sutures will be produced. A sequence of numbered envelopes will each contain the result of the randomization, indicating if the patient should have interrupted or continuous sutures. The envelopes will be stored in theatre. As each patient enters theatre they will have an envelope assigned to them that contains the random result: either subcuticular or interrupted sutures.The caesarean section will be carried out as per protocol. All patients included in this trial will have the subcutaneous fat layer closed with 2.0 vicryl. After closure of this layer, the envelope will be opened by the theatre scout and the corresponding suture type will be disclosed to the surgeon. The scout will instruct the surgeon on whether to perform subcuticular continuous suture or interrupted sutures
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A computer generated randomized sequence of either interrupted or subcuticular sutures will be produced. A sequence of numbered envelopes will each contain the result of the randomization, indicating if the patient should have interrupted or continuous sutures. The envelopes will be stored in theatre. As each patient enters theatre they will have an envelope assigned to them that contains the random result: either subcuticular or interrupted sutures.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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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
9/12/2013
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Actual
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Date of last participant enrolment
Anticipated
2/02/2015
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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
438
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
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Sunshine Hospital - St Albans
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Recruitment postcode(s) [1]
7247
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3021 - St Albans
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
287726
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Address [1]
287726
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Country [1]
287726
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Primary sponsor type
Hospital
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Name
sunshine hospital
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Address
sunshine hospital
furlong road
st albans
Melbourne
Vic
3021
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
286466
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Country [1]
286466
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
289692
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Melbourne Health human research and ethics committee
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Ethics committee address [1]
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Office for Research Level 6 East, Main Building 300 Grattan Street The Royal Melbourne Hospital VIC 3050
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Ethics committee country [1]
289692
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Australia
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Date submitted for ethics approval [1]
289692
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05/08/2013
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Approval date [1]
289692
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30/10/2013
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Ethics approval number [1]
289692
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hrec2013.175
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Summary
Brief summary
Throughout the world, rates of obesity and rates of caesarean sections are simultaneously increasingly. Moreover, women who have a body mass index (BMI) in the obese category ( that is >30) are much more likely to undergo caesarean section. These women there is a higher rate of wound infections and other wound complications such as wound breakdown and collection. In our study we propose that using interrupted stitches to close skin at caesarean section will reduce the rate of wound complications compared to using a continuous stitch.
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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
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Dr carole-anne whigham
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Address
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Sunshine Hospital, Western Health
16/44 waterloo crescent
st kilda
3182
vic
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Country
41934
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Australia
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Phone
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+61404644029
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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carole-anne whigham
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Address
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c/o: womens health unit
sunshine hospital
furlong road
st albans
Vic 3021
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Country
41935
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Australia
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Phone
41935
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+61404644029
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Fax
41935
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Email
41935
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[email protected]
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Contact person for scientific queries
Name
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carole-anne whigham
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Address
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Sunshine Hospital, western health
16/44 waterloo crescent
st kilda
vic 3182
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Country
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Australia
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Phone
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+61404644029
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Fax
41936
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Email
41936
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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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