Unique ID issued by UMIN | UMIN000016669 |
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Receipt number | R000019345 |
Scientific Title | Socioeconomic evaluation of clinical pharmacology to chronic low back pain |
Date of disclosure of the study information | 2015/03/01 |
Last modified on | 2016/03/18 17:46:17 |
Socioeconomic evaluation of clinical pharmacology to chronic low back pain
SECP-CLBP
Socioeconomic evaluation of clinical pharmacology to chronic low back pain
SECP-CLBP
Japan |
Patients who have been clinically diagnosed with non-specific low back pain or sciatica with a chief symptom of low back pain, and have been experiencing pain for at least 12 weeks will be considered for inclusion. Patients with pain caused by infections, trauma, and visceral diseases will be excluded.
Orthopedics |
Others
NO
Socioeconomic evaluation of clinical pharmacology to chronic low back pain
Others
The purpose of this study is to evaluate the socioeconomic effectiveness of drug therapy (pain management) in patients with noncancerous chronic low back pain. The evaluation is expected to contribute to the establishment of the evidence for proactive choice of effective drug therapy for chronic low back pain or to the promotion of medical resource investment which is appropriate to the value of drug therapy.
To examine the characteristics of chronic, intractable low back pain and the social transitions surrounding medical care, we will analyze (1) cost-effectiveness to evaluate prescription choice in consideration of economical aspects, and (2) efficacy of prescription choice based on a new set of values, including the patient's viewpoint (patient utility values).
Exploratory
Pragmatic
Not applicable
Cost-benefit: Medical fees/Quality-adjusted life year (Unit: Yen/QALY),
Cost-effectiveness: Cost of medical services/Scores of various health indicators (Unit: Yen/Score)
Efficacy-related endpoint:
Utility for patients
- Preference-based measures -> EQ-5D (EuroQol 5 Dimension)(Unit: QALY)
Health level of patients
- Comprehensive measures -> SF-8 (MOS short-form 8-item health survey)(Unit: Score)
- Disease-specific indicators for low back pain -> RDQ (Roland-Morris Disability Questionnaire), JOA-BPEQ (Japanese Orthopaedic Association Back Pain Evaluation Questionnaire), VAS (Visual Analogue Scale)(Unit: Score)
Cost-related endpoint
Medical fee bill(Unit: Points or Yen), Cost of medical services(Unit: Yen)
Observational
20 | years-old | <= |
85 | years-old | >= |
Male and Female
1) Men or women aged 20 to 85 years
2) Patients who have been experiencing low back pain for at least 12 weeks despite treatment with acetaminophen, NSAIDS (propionate, arylacetic acid, oxicam, and coxib), tramadol, etc.; or patients who have been experiencing low back pain for at least 12 weeks and have not received drugs.
3) Patients with BS-POP(Brief Scale for Psychiatric Problems in Orthopaedic Patients) scores that do not meet the criteria for psychiatric problems, which is 10 points or more for physicians and 15 points or more for patients.
The following are exclusion criteria established for the safety of the study and the reliability of the endpoint evaluation.
1) Patients with complicated hemorrhagic gastrointestinal diseases.
2) Patients with serious cardiac, hepatic, or renal function disorders, or other serious complications.
3) Patients with advanced blood disorders (bleeding tendency, etc.).
4) Patients with dementia or other psychiatric disorders who would be expected to have difficulties with the evaluation.
5) Patients with a history of alcohol or drug dependence.
6) Patients diagnosed with a malignant tumor within the previous 5 years.
Other patients considered inappropriate for study participation will be excluded by the investigator.
1400
1st name | |
Middle name | |
Last name | Yukihiro Matsuyama |
Hamamatsu University School of Medicine
Department of Orthopaedic Surgery
1-20-1 Handayama, Higashi-ku, Hamamatsu city, Shizuoka, Japan
053-435-2297
spine-yu@hama-med.ac.jp
1st name | |
Middle name | |
Last name | Hideki Yoshikawa |
Osaka UniversityGraduate School of Medicine
Department of Orthopedics
2-2, Yamadaoka Suita-shi, Osaka, 565-0871, JAPAN
06-6879-3552
yhideki@ort.med.osaka-u.ac.jp
The Japanese Society for Spine Surgery and Related Research
The Japanese Society for Spine Surgery and Related Research
Other
Japan
NO
大阪大学医学部附属病院(大阪府)、浜松医科大学(静岡県)、札幌医科大学附属病院(北海道)、福島県立医科大学附属病院(福島県)、筑波大学医学部附属病院(茨城県)、獨協医科大学附属病院(栃木県)、自治医科大学附属病院(栃木県)、埼玉医科大学附属病院(埼玉県)、千葉大学附属病院(千葉県)、帝京大学ちば総合医療センター(千葉県)、慈恵医科大学附属病院(東京都)、慶応義塾大学医学部附属病院(東京都)、日本大学医学部附属病院(東京都)、東海大学医学部附属病院(神奈川県)、富山大学医学部附属病院(富山県)、金沢大学医学部附属病院(金沢県)、福井大学医学部附属病院(福井県)、山梨大学医学部附属病院(山梨県)、名古屋大学医学部附属病院(愛知県)、京都大学医学部附属病院(京都県)、大阪市立大学医学部附属病院(大阪府)、川崎医科大学附属病院(岡山県)、山口大学医学部附属病院(山口県)、鹿児島大学医学部附属病院(鹿児島県)、九州大学医学部附属病院(福岡県)、東京大学医学部附属病院(東京都)、和歌山県立医科大学附属病院(和歌山県)、東京医科歯科大学医学部附属病院(東京都)、大阪医科大学附属病院(大阪府)、秋田大学附属病院(秋田県)、北里大学附属病院(神奈川県)、神戸大学附属病院(兵庫県) 等
2015 | Year | 03 | Month | 01 | Day |
Unpublished
Open public recruiting
2013 | Year | 12 | Month | 02 | Day |
2014 | Year | 05 | Month | 12 | Day |
Prospective, Nonrandomized, Open Study (Observational Study)
2015 | Year | 03 | Month | 01 | Day |
2016 | Year | 03 | Month | 18 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019345
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