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Trial registered on ANZCTR
Registration number
ACTRN12619000690156
Ethics application status
Approved
Date submitted
5/05/2019
Date registered
8/05/2019
Date last updated
8/05/2019
Date data sharing statement initially provided
8/05/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Use of Smart Phone Technology in Predicting Liver Viability Pre Biopsy
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Scientific title
Will Tech's Triumph? Yes/No: Visual Inspection Pre-Biopsy
The ability of different health care professionals to assess the viability of a potential donor liver from photographs taken of the organ in situ
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Secondary ID [1]
298157
0
None
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Universal Trial Number (UTN)
U1111-1232-8500
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Trial acronym
WiTTY VIP
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Organ Donation
312705
0
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Liver Transplant
312706
0
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Condition category
Condition code
Surgery
311206
311206
0
0
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Other surgery
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Oral and Gastrointestinal
311227
311227
0
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
Observational
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Patient registry
False
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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
No of Participants: 25: 5 Liver transplant surgeons > 1 year experience; 5 Theatre technicians > 1 year experience; 5 Transplant coordinators > 1 year experience; 5 Consultant anaesthetists > 1 year experience; 5 Liver Pathologists >1 year experience.
Time Scale: 1 year
Method: The pictures of 25 organ procurements will be taken from existing records and de-identified (50 pictures total). Each participant will be sent an invitation to their Austin Health email to participate in this project with a link to a REDCaps survey.
Consent will be implied by filling out the survey. Anyone not wishing to take part will not be required to do so.
The survey will contain the following demographic questions: Occupation, Number of years in current role. There will then be an image showing pre and post perfusion pictures of a donor liver and participants will be asked to assess them for organ viability, organ age (to nearest 10 years), percentage fat (nearest 5%) and fibrosis score. In order to maintain interest, there will also be two sham photos (chopped liver, foie grass). The survey will take approximately 10 minutes to complete and can only be filled out by each participant once.
We will ask participants to fill out the survey using their smartphones as this will mimic the conditions they are likely to see pre procurement liver photos in the clinical setting
The survey results will be exported into an Excel spread sheet prior to data analysis. Answers for each group would be compared with actual donor age, organ viability and the laboratory result for percentage fat.
Data Analysis: The results for each group will be combined and receiver operating curves constructed.
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Intervention code [1]
314380
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Not applicable
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Comparator / control treatment
Consultant anaesthetists who are not members of the liver transplant ream
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Control group
Active
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Outcomes
Primary outcome [1]
319966
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Ability to predict if a donor liver is suitable for transplant using photos only. Participants will be shown pre and postperfusion phots of donor livers via a RedCaps survey some of which are suitable for transplant and some of which are not. They will be asked as part of the survey whether they think the organ in the picture is suitable for transplant. The results for each care provider subgroup will be collated and a user response curve created
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Assessment method [1]
319966
0
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Timepoint [1]
319966
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1 year - The survey its self should only take 10 minutes however the whole project (making the survey, collating and analysing results) will take a year
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Secondary outcome [1]
369997
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Abitily to predict fat content of a donor liver by looking at a photo of it. The results for each care provider subgroup will be collated and a user response curve created
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Assessment method [1]
369997
0
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Timepoint [1]
369997
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1 year
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Secondary outcome [2]
369998
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Ability to predict fibrosis score of a liver by looking at a photo of it. The results for each care provider subgroup will be collated and a user response curve created
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Assessment method [2]
369998
0
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Timepoint [2]
369998
0
1 year
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Secondary outcome [3]
369999
0
ability to predict the age of a donor lover by looking at a photo of it. The results for each care provider subgroup will be collated and a user response curve created
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Assessment method [3]
369999
0
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Timepoint [3]
369999
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1 year
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Eligibility
Key inclusion criteria
Members of the liver team at Austin Health including:
- Consultant Surgeons
- Transplant Co-ordinators
- Transplant technicians
- Liver pathologists
Consultant Anesthetists at Austin Health who are not members of the liver team.
All participants must have a minimum of 1-year experience in their current role
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Minimum age
18
Years
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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?
Yes
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Key exclusion criteria
Anaesthetists who are currently or have in the past been part of the liver team
Refusal to participate
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
The results for each group will be pooled to make user response curves
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
30/05/2019
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Actual
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Date of last participant enrolment
Anticipated
28/09/2019
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Actual
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Date of last data collection
Anticipated
28/05/2020
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Actual
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Sample size
Target
25
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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]
13688
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Austin Health - Austin Hospital - Heidelberg
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Recruitment postcode(s) [1]
26379
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3084 - Heidelberg
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Funding & Sponsors
Funding source category [1]
302684
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Hospital
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Name [1]
302684
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Austin Health
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Address [1]
302684
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Liver Transplant Unit
Austin Health
145 Studley Road
Heidleberg
Victoria
3084
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Country [1]
302684
0
Australia
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Primary sponsor type
Hospital
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Name
Austin Health
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Address
Department of Anaesthesia
Austin Health
145 Studley Road
Heidleberg
Victoria
3084
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Country
Australia
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Secondary sponsor category [1]
302616
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None
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Name [1]
302616
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None
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Address [1]
302616
0
none
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Country [1]
302616
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
303302
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Austin Health Human Research Ethics Committee.
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Ethics committee address [1]
303302
0
Austin Health 145 Studley Road Heidleberg Victoria 3084
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Ethics committee country [1]
303302
0
Australia
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Date submitted for ethics approval [1]
303302
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07/12/2018
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Approval date [1]
303302
0
19/12/2018
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Ethics approval number [1]
303302
0
QI 31291
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Summary
Brief summary
Currently transplant during organ procurement specially trained theatre technicians take photos of the potential donor liver prior to aortic cross clamp and following reperfusion. These pictures are then sent to the transplant surgeon, transplant coordinator, liver pathologist via secure communication and stored on the liver database. In addition a biopsy is sent to the lab to confirm viability. On the basis of these pictures the surgeon either decides to go ahead with surgery or wait for the biopsy. An operating theatre is placed on hold from the time the team leave for organ retrieval until the biopsy results come back at which point they either proceed with the transplant or cancel it. This process can take several hours during which time each person who has seen the photo claims to be as accurate as the eventual laboratory result in predicting organ viability, organ age and organ fat content. We would like to create user response curves to see if there is a correlation between health care provider groups and their ability to predict organ viability in liver transplant
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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
93198
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Dr Ruth Shaylor
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Address
93198
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Department of Anaesthesia
Austin Health
145 Studley Road
Heidleberg
Victoria
3048
NB - I am an honorary researcher as Austin Health but live in Israel hence the different area code
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Country
93198
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Australia
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Phone
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+972535676112
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Fax
93198
0
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Email
93198
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[email protected]
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Contact person for public queries
Name
93199
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Ruth Shaylor
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Address
93199
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Department of Anaesthesia
Austin Health
145 Studley Road
Heidleberg
Victoria
3048
NB - I am an honorary researcher as Austin Health but live in Israel hence the different area code
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Country
93199
0
Australia
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Phone
93199
0
+972535676112
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Fax
93199
0
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Email
93199
0
[email protected]
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Contact person for scientific queries
Name
93200
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Ruth Shaylor
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Address
93200
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Department of Anaesthesia
Austin Health
145 Studley Road
Heidleberg
Victoria
3048
NB - I am an honorary researcher as Austin Health but live in Israel hence the different area code
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Country
93200
0
Australia
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Phone
93200
0
+972535676112
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Fax
93200
0
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Email
93200
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
all of the individual participant data collected during the trial
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When will data be available (start and end dates)?
upon email request to the principal investigator following publication. there will be no end date
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Available to whom?
researchers in other liver centers who request
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Available for what types of analyses?
any requested
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How or where can data be obtained?
email request to the principal investigator and secured database
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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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