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Trial registered on ANZCTR
Registration number
ACTRN12620000961943
Ethics application status
Approved
Date submitted
14/04/2020
Date registered
25/09/2020
Date last updated
25/09/2020
Date data sharing statement initially provided
25/09/2020
Type of registration
Retrospectively registered
Titles & IDs
Public title
The NASA Task Load Index study measuring the technical difficulty of performing an operation.
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Scientific title
The NASA Task Load Index study measuring the technical difficulty of performing an operation in those undergoing elective surgery for right hemicolectomy or repeat bariatric surgery.
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Secondary ID [1]
301010
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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:
Technical difficulty of surgery
317049
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Condition category
Condition code
Surgery
315216
315216
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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
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
Using the NASA TLX to measure the technical difficulty of performing an operation. Surgeons will complete the NASA TLX survey upon completion of an operation. This produces a numerical score of the technical difficulty encountered. This is compared to other surrogate measures of difficulty including clinical outcomes and complications. Each surgeon will enrol 20 patients. The encounter will not differ from normal for the patients.
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Intervention code [1]
317328
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Not applicable
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Comparator / control treatment
Clinical outcomes are being used as comparators to the NASA TLX score.
NASA TLX scores will be correlated with clinical outcome parameters. These include:
1. Duration of operation
2. Blood loss
3. Transfusion requirement
4. Intra-operative complications
5. Conversion to open surgery
6. In-hospital complications (Clavien-Dindo)
7. Length of stay
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Control group
Active
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Outcomes
Primary outcome [1]
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The NASA TLX score. The tool being measured is the NASA Task Load Index, and this is being compared to clinical outcomes to assess if this tool can measure the technical difficulty of an operation.
NASA TLX scores will be correlated with clinical outcome parameters. These include:
1. Duration of operation
2. Blood loss
3. Transfusion requirement
4. Intra-operative complications
5. Conversion to open surgery
6. In-hospital complications (Clavien-Dindo)
7. Length of stay
These are relatively blunt measures of technical difficulty and are not very useful in a research setting. If the NASA TLX can be shown to accurately measure technical difficulty it would be a beneficial tool in future research.
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Assessment method [1]
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Timepoint [1]
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Immediately after the end of surgery
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Secondary outcome [1]
382019
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The NASA TLX score. The tool being measured is the NASA Task Load Index, and this is being compared to clinical outcomes to assess if this tool can measure the technical difficulty of an operation.
At discharge the NASA TLX scores will be correlated with the following clinical outcome parameter:
In-hospital complications (Clavien-Dindo)
These are relatively blunt measures of technical difficulty and are not very useful in a research setting. If the NASA TLX can be shown to accurately measure technical difficulty it would be a beneficial tool in future research.
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Assessment method [1]
382019
0
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Timepoint [1]
382019
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At discharge
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Secondary outcome [2]
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Duration of operation, as assessed by passage of time on a clock at the time of the surgery.
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Assessment method [2]
385508
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Timepoint [2]
385508
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At completion of surgery
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Secondary outcome [3]
385509
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Blood loss, assessed at the time of completion of surgery by contents of sucker canister(s) minus any lavage.
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Assessment method [3]
385509
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Timepoint [3]
385509
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At completion of surgery
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Secondary outcome [4]
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Transfusion requirement, from hospital record.
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Assessment method [4]
385510
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Timepoint [4]
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At discharge
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Secondary outcome [5]
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Conversion to open surgery, which is self explanatory at the completion of the operation.
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Assessment method [5]
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Timepoint [5]
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At completion of operation
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Secondary outcome [6]
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Length of stay, which is self explanatory at the time of patient's discharge, and obtainable at any later date by review of the hospital record.
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Assessment method [6]
385512
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Timepoint [6]
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At discharge
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Eligibility
Key inclusion criteria
Elective surgery for right hemicolectomy and re-do bariatric surgery
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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?
No
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Key exclusion criteria
Emergency surgery
Complex surgery requiring ICU/HDU
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Study design
Purpose
Psychosocial
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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
Comparing the NASA TLX scores with other measures of technical difficulty such as duration of operation and blood loss. An assessment of correlation will be made.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
7/08/2020
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Date of last participant enrolment
Anticipated
31/12/2021
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Actual
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Date of last data collection
Anticipated
31/12/2021
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Actual
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Sample size
Target
180
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Accrual to date
5
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
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Recruitment hospital [1]
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The Alfred - Melbourne
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Recruitment hospital [2]
16464
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Cabrini Hospital - Malvern - Malvern
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Recruitment hospital [3]
16465
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The Avenue Private Hospital - Windsor
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Recruitment hospital [4]
16466
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Frankston Hospital - Frankston
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Recruitment hospital [5]
16467
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Peninsula Private Hospital - Frankston - Frankston
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Recruitment hospital [6]
16468
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Sydney Adventist Hospital - Wahroonga
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Recruitment hospital [7]
16469
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Holy Spirit Northside - Chermside
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Recruitment hospital [8]
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Royal Brisbane & Womens Hospital - Herston
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Recruitment postcode(s) [1]
30004
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3004 - Melbourne
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Recruitment postcode(s) [2]
30005
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3144 - Malvern
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Recruitment postcode(s) [3]
30006
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3181 - Windsor
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Recruitment postcode(s) [4]
30007
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3199 - Frankston
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Recruitment postcode(s) [5]
30008
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2076 - Wahroonga
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Recruitment postcode(s) [6]
30009
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4032 - Chermside
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Recruitment postcode(s) [7]
30010
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4029 - Herston
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Monash University
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Address [1]
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99 Commercial Rd
Prahran, Victoria, 3181
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Country [1]
305456
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Australia
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Primary sponsor type
University
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Name
Monash University Dept of Surgery
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Address
99 Commercial Rd
Prahran, Victoria 3181
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Country
Australia
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Secondary sponsor category [1]
305853
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None
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Name [1]
305853
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Address [1]
305853
0
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Country [1]
305853
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
305772
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Alfred Hospital
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Ethics committee address [1]
305772
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Alfred Hospital 99 Commercial Rd Prahran, Victoria, 3181
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Ethics committee country [1]
305772
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Australia
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Date submitted for ethics approval [1]
305772
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27/02/2020
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Approval date [1]
305772
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27/03/2020
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Ethics approval number [1]
305772
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61221
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Summary
Brief summary
The technical difficulty each individual operation creates for a surgeon is difficult to measure. Each surgeon knows after an operation how easy or hard it was, but there are no accurate measures of this difficulty. In a research setting and in a teaching setting it would be valuable to be able to accurately measure this degree of difficulty. Any new surgical technique or intervention needs to be measured for improvements in clinical outcomes. It would also be beneficial to measure any improvement in technical difficulty for the surgeon. The ability of a trainee to learn a new operation, and the ability to measure a trainees progress is also beneficial. This project will measure the NASA Task Load Index (NASA TLX) and correlate this against other current, relatively weak, measures of technical difficulty. The NASA TLX produces a numerical score for each operation, and this can be measured against clinical outcome parameters. The study does not alter the clinical or operative management of the patient, but merely has the surgeon complete a survey immediately after the operation, along with other clinical outcome parameters. The project will study eight surgeons from both upper gastrointestinal and colorectal surgery, and at two levels of experience: consultant surgeons and post-fellowship advanced trainees. Each surgeon will enrol 20 patients to the study, giving an adequate volume per surgeon to detect a correlation, plus a total of 160 operations overall to produce overall power of the study.
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Trial website
Nil
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Trial related presentations / publications
Nil so far
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Public notes
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Contacts
Principal investigator
Name
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Dr Stephen Bell
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Address
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Alfred Hospital
99 Commercial Rd
Prahran, 3181
Victoria
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Country
101542
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Australia
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Phone
101542
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+61 3 92762000
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Fax
101542
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nil
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Email
101542
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[email protected]
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Contact person for public queries
Name
101543
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Stephen Bell
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Address
101543
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Alfred Hospital
99 Commercial Rd
Prahran, 3181
Victoria
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Country
101543
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Australia
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Phone
101543
0
+61 3 90762000
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Fax
101543
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nil
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Email
101543
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[email protected]
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Contact person for scientific queries
Name
101544
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Stephen Bell
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Address
101544
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Alfred Hospital
99 Commercial Rd
Prahran, 3181
Victoria
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Country
101544
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Australia
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Phone
101544
0
+61 3 92762000
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Fax
101544
0
nil
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Email
101544
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 de-identified data
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When will data be available (start and end dates)?
After data analysis, no end date
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Available to whom?
Only researchers with a methodologically sound proposal
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Available for what types of analyses?
Any analyses that has been reviewed and approved by the principal investigator.
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How or where can data be obtained?
All requests may by made to the principal investigator:
[email protected]
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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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