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Trial registered on ANZCTR
Registration number
ACTRN12608000520336
Ethics application status
Approved
Date submitted
29/09/2008
Date registered
9/10/2008
Date last updated
4/07/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Dunedin Acute Back Pain Study: Identifying patients at risk to develop chronic low back pain
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Scientific title
Predicting the transition from acute to chronic low back pain: Development of a screening tool for patients with acute low back pain in a general practitioner (GP) setting
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Secondary ID [1]
253460
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Nil
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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:
Acute low back pain
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Condition category
Condition code
Musculoskeletal
3944
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0
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Other muscular and skeletal disorders
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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
Observational study on the course of acute low back pain over the time of 6 months. Postal survey of patients with acute back pain - after attending a GP clinic with low back pain for the first time or with a new episode after a pain free period of at least 6 months - assessing biomedical, psychological, social, and occupational factors at 4 points of follow-up (3, 6, 12 weeks and 6 months).
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Intervention code [1]
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Not applicable
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Comparator / control treatment
Observational study with one single cohort
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Condition-specific disability as measured by the Oswestry Disability Index (ODI) in % between 0 and 100 with an ODI of 100% being the highest disability
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Assessment method [1]
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Timepoint [1]
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At baseline and at 3, 6, 12 weeks and 6 months follow-up
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Secondary outcome [1]
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Pain as measured by the Visual Analogue Scale VAS
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Assessment method [1]
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Timepoint [1]
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At baseline and at 3, 6, 12 weeks and 6 months follow-up
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Secondary outcome [2]
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General health as measured by the SF-12
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Assessment method [2]
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Timepoint [2]
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At baseline and at 3, 6, 12 weeks and 6 months follow-up
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Secondary outcome [3]
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Screening tool including biomedical, psychological, social, and occupational factors predicting the development of chronic low back pain. In addition to ODI, VAS, and SF-12 the following assessment instruments/questions will be used at baseline, 3, 6, 12 weeks and 6 months follow-up:
-SF-McGill (pain rating and overall pain intensity)
-Deyo core measures (reduction in normal activities due to low back pain; patient satisfaction with condition and care; sick leave)
-Medication (use of analgesics and non-steroidal anti-inflammatory drugs)
-Modified depression index by Zung
-Modified Somatic Perception Questionnaire (MSPQ)
-Fear-Avoidance Beliefs Questionnaire (FABQ)
-Pain Catastrophizing Scale (PCS)
-Return to work according to the World Health Organization (WHO) Health Survey
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Assessment method [3]
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Timepoint [3]
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At baseline and at 3, 6, 12 weeks and 6 months follow-up
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Eligibility
Key inclusion criteria
Patients attending GP clinic with acute low back pain; good understanding of English/German
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Minimum age
18
Years
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Maximum age
65
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
Chronic low back pain; specific low back pain; comorbidity determining overall well-being; pregnancy; expected loss to follow-up; unwillingness to complete questionnaires
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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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
1/11/2008
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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]
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Switzerland
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State/province [1]
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Country [2]
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New Zealand
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State/province [2]
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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realHealth International AG
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Address [1]
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Schoeneggrain 4a
6285 Hitzkirch
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Country [1]
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Switzerland
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Funding source category [2]
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Charities/Societies/Foundations
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Name [2]
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The Wishbone Trust New Zealand
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Address [2]
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C/- New Zealand Orthopaedic Association
PO Box 7451
Wellington 6011
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Country [2]
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New Zealand
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Funding source category [3]
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University
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Name [3]
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Dunedin School of Medicine
University of Otago
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Address [3]
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PO Box 913
Dunedin 9054
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Country [3]
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New Zealand
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Primary sponsor type
University
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Name
University of Otago
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Address
Department of Orthopaedic Surgery
Dunedin Hospital
Private Bag 1921
Dunedin 9001
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Country
New Zealand
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Secondary sponsor category [1]
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Charities/Societies/Foundations
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Name [1]
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South Link Health Inc
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Address [1]
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Level 9
10 George Street
PO Box 6032
Dunedin 9016
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Country [1]
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New Zealand
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Other collaborator category [1]
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Hospital
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Name [1]
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Swiss Paraplegic Centre
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Address [1]
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Department of Surgery and Orthopaedics
Swiss Paraplegic Centre
Guido A. Zaech-Strasse 1
6207 Nottwil
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Country [1]
436
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Switzerland
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Lower South Regional Ethics Committee
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Ethics committee address [1]
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Fourth Floor Ministry of Health Buildings 229 Moray Place Dunedin 9016
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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Approval date [1]
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10/04/2008
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Ethics approval number [1]
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LRS/08/03/008
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Summary
Brief summary
Low back Pain is by far the most prevalent and most costly musculoskeletal problem in our society today. Our study aims to define outcome assessment tools of patients with acute low back pain and patient characteristics which allow the identification of patients at risk to develop chronic low back pain and at which point in time chronification becomes manifest. In this study, patients will be recruited from GP clinics in New Zealand and Switzerland. Participants will be assessed directly after attending their GP for acute back pain treatment and at different points of follow-up. Outcome assessment tools will cover disability, pain, physical and mental health. All of these tools are frequently used in outcome assessment of low back pain. This study will develop a set of outcome assessment tools for patients with acute low back pain in GP clinics showing if these patients are at risk to develop chronic low back pain. In addition, psychosocial and occupational patient characteristics will be identified which influence the course from acute to chronic low back pain. Furthermore, an appropriate point in time for follow-ups will be given to detect this transition. The international perspective of this study of patients in New Zealand and Switzerland will be an asset in terms of generalizability of our findings.
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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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Address
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Country
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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
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Dr Markus Melloh
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Address
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Department of Orthopaedic Surgery
Dunedin Hospital
Private Bag 1921
Dunedin 9001
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Country
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New Zealand
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Phone
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+64 3 474 7007 ext 8609
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Fax
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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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Dr Markus Melloh
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Address
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Department of Orthopaedic Surgery
Dunedin Hospital
Private Bag 1921
Dunedin 9001
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Country
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New Zealand
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Phone
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+64 3 474 7007 ext 8609
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Fax
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Email
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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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