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Trial registered on ANZCTR
Registration number
ACTRN12609000494235
Ethics application status
Approved
Date submitted
25/05/2009
Date registered
22/06/2009
Date last updated
22/06/2009
Type of registration
Retrospectively registered
Titles & IDs
Public title
A randomised controlled study of the efficacy of a workstations group training program compared to a "one on one" program in improving the balance and mobility of a post acute inpatient group
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Scientific title
A randomised controlled study of the efficacy of a workstations group training program compared to a "one on one" program in improving the balance and mobility of a post acute inpatient group
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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:
Fraility in post acute inpatients requiring physiotherapy
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Condition category
Condition code
Physical Medicine / Rehabilitation
237197
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0
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Physiotherapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Functional training and exercise rehabilitation program administered in physiotherapy workstations group sessions. Each group workstation session will consist of up to 6 individualised workstations which each patient completes for a period of 6-10 minutes before moving to the next activity. The maximum staff to patient ratio of 1:5.
Subjects attend 1hr / day, 5 days a week until time of discharge from unit
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Intervention code [1]
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Rehabilitation
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Comparator / control treatment
1 hour a day of physiotherapy provided on a one to one basis 5 days a week until time of discharge from the unit.
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Control group
Active
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Outcomes
Primary outcome [1]
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Functional mobility status as measured by the Clinical Outcomes Variable scale (COVS)
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Assessment method [1]
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Timepoint [1]
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At admission to study, at discharge from unit and at 4 weeks post discharge
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Secondary outcome [1]
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Standing balance as measured by the Functional reach test
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Assessment method [1]
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Timepoint [1]
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At admission to study, at discharge from unit and at 4 weeks post discharge
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Secondary outcome [2]
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Standing balance as measured by the Step test
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Assessment method [2]
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Timepoint [2]
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At admission to study, at discharge from unit and at 4 weeks post discharge
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Secondary outcome [3]
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Mobility status as measured by the Timed Up and Go test
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Assessment method [3]
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Timepoint [3]
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At admission to study, at discharge from unit and at 4 weeks post discharge
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Secondary outcome [4]
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Mobility status as measured by the 6 minute walk test
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Assessment method [4]
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Timepoint [4]
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At admission to study, at discharge from unit and at 4 weeks post discharge
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Secondary outcome [5]
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Quality of Life as measured by the EQ-5D health questionnaire
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Assessment method [5]
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Timepoint [5]
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At admission to study, at discharge from unit and at 4 weeks post discharge
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Secondary outcome [6]
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Patient satisfaction as measured by questionnaire adapted from Pound et al.
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Assessment method [6]
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Timepoint [6]
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at discharge from unit and at 4 weeks post discharge
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Eligibility
Key inclusion criteria
Admitted to the Extended Care Unit 1 of The Prince Charles Hospital, Brisbane, Australia
Assessed as requiring Physiotherapy intervention
Able to sit unsupported
Able to transfer independently and safely or with only 1 person assistance
able to follow 2 stage instructions
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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
Require 2 person assistance with transfers
Require mechanical assistance (e.g.Hoist) with transfers
Unable to stand unsupported for > 10 seconds
Unable to follow 2 stage instructions
Have disruptive or behaviourial problems that preclude inclusion in a group
Have an inffective condition that precludes inclusion in a group
Have unmanaged incontinence (bladder or bowel)
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Study design
Purpose of the study
Treatment
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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)
Following admission to the unit where the study is undertaken, the patient's medical record is screened to determine appropriateness. Patient's are assessed by the study nurse as to whether they meet the inclusion criteria and none of the exclusioncriteria. If so they are invited to participate in the study. If patient consents to inclusion they are then randomised by person not involved in study
A large opaque envelop contains 100 slips of paper: 50 marked "circuit", 50 marked "usual". As each subject is enrolled a slip of paper is drawn out to determine allocation. The slip of paper is not replaced in the envelop.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
simple randomisation - consecutive subjects were randomised using a simple sequence.
A large opaque envelop contains 100 slips of paper: 50 marked "circuit", 50 marked "usual". As each subject is enrolled a slip of paper is drawn out. The slip of paper is not replaced in the envelop.
Stratified allocation was not employed
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Masking / blinding
Blinded (masking 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
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Type of endpoint/s
Efficacy
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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
1/07/2006
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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
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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The Prince Charles Hospital Foundation
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Address [1]
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The Prince Charles Hospital
Rode Rd Chermside
Queensland 4012
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Country [1]
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Australia
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Funding source category [2]
5013
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Charities/Societies/Foundations
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Name [2]
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Australian Physiotherapy Association
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Address [2]
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Level 1, 1175 Toorak Rd, Camberwell, Victoria, 3124
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Country [2]
5013
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Australia
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Funding source category [3]
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Government body
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Name [3]
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Allied Health Workforce Advice and Coordination Unit
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Address [3]
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GPO Box 48, Brisbane
Queensland
4001
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Country [3]
5014
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Australia
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Primary sponsor type
Individual
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Name
Mr Paul Bew
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Address
Internal Medicine Services
4th Floor Administration Building
The Prince Charles Hospital
Rode Rd Chermside
Queensland
4032
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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]
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Country [1]
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Other collaborator category [1]
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Individual
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Name [1]
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Associate Professor Nancy Low Choy
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Address [1]
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Physiotherapy Program Coordinator
Faculty of Health Sciences and Medicine
Bond University
Gold Coast
Queensland
4229
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Country [1]
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Australia
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Other collaborator category [2]
680
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Individual
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Name [2]
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Dr Jennifer Nitz
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Address [2]
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Physiotherapy Department
School of Health and Rehabilitation Sciences
Univeristy of Queensland
St Lucia,
Queensland
4067
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Country [2]
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Australia
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Other collaborator category [3]
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Individual
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Name [3]
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Dr Terrence Haines
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Address [3]
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Allied Health Research Unit
Kingston Centre, Cnr Warrigal and Kingston Rds, Cheltemham
Victoria
3192
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Country [3]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Human Research Ethics Committee
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Ethics committee address [1]
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The Prince Charles Hospital Rode Rd Chermside Queensland 4032
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
7111
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Approval date [1]
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26/04/2006
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Ethics approval number [1]
7111
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EC2424
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Ethics committee name [2]
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Medical research Ethics Committee
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Ethics committee address [2]
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University of Queensland St Lucia Queensland 4032
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
7112
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Approval date [2]
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16/05/2007
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Ethics approval number [2]
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2007000644
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Summary
Brief summary
Physiotherapy improves a person’s balance and mobility. This project will compare the traditional ‘one-on-one’ model of physiotherapy with a workstations training model. With workstations, patients complete specifically designed activities at a number of stations. Each station will address a specific aspect such as strength, flexibility or balance. Workstations have been shown to be effective with chronic stroke patients, fallers and adults with cerebral palsy however to date there is no published research evaluating such an approach with hospital inpatients. This study will address the 2 questions: - Does a physiotherapy workstations training program result in improved balance and mobility in a post acute inpatient group - Is a physiotherapy workstations training program as effective as one on one physiotherapy intervention in improving balance and mobility in a post acute inpatient group?
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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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Mr Paul Bew
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Address
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Internal Medicine Services
The Prince Charles Hospital
Rode Rd, Chermside,
Queensland,
4032
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Country
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Australia
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Phone
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+61 7 3139 5897
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Fax
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+61 7 3139 4923
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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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Mr Paul Bew
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Address
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Internal Medicine Services
The Prince Charles Hospital
Rode Rd, Chermside,
Queensland
4032
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Country
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Australia
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Phone
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+61 7 3139 5897
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Fax
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+61 7 3139 4923
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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.
Download to PDF