UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000029827
Receipt number R000024851
Scientific Title Comparative study between Japan and US for actual using state of prosthetic arm
Date of disclosure of the study information 2018/01/14
Last modified on 2019/05/08 15:57:28

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Basic information

Public title

Comparative study between Japan and US for actual using state of prosthetic arm

Acronym

actual using state of prosthetic arm

Scientific Title

Comparative study between Japan and US for actual using state of prosthetic arm

Scientific Title:Acronym

actual using state of prosthetic arm

Region

Japan North America


Condition

Condition

upper arm amputatee

Classification by specialty

Orthopedics Rehabilitation medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

to correct the data about patients with upper arm amputation in US and Japan
to understand the needs of upper limb amputee and put developing a new artificial limb to use

Basic objectives2

Others

Basic objectives -Others

study of epidemics

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

the big data about prosthetic usage in US and Japan

Key secondary outcomes

QOL and ADL of the patients with upper arm amputation


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

75 years-old >=

Gender

Male and Female

Key inclusion criteria

upper limb amputation patients who have made prosthetic arm

Key exclusion criteria

those who cann't speak Japanese or English

Target sample size

450


Research contact person

Name of lead principal investigator

1st name Hitoshi
Middle name
Last name Hirata

Organization

Nagoya University Graduate School of Medicine

Division name

Hand surgery

Zip code

466

Address

65 Tsurumai-cho Showa-ku, Nagoya

TEL

052-744-2957

Email

h-hirata@med.nagoya-u.ac.jp


Public contact

Name of contact person

1st name Michiro
Middle name
Last name Yamamoto

Organization

Nagoya University Graduate School of Medicine

Division name

Hand surgery

Zip code

466-8550

Address

65 tsurumai-cho, Showa-ku, Nagoya

TEL

052-744-2957

Homepage URL


Email

michi-ya@med.nagoya-u.ac.jp


Sponsor or person

Institute

Department of Hand Surgery, Nagoya University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Japan Society for the Promotion of Science

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nagoya University Graduate School of Medicine

Address

65 Tsurumai-cho, Showa-ku, Nagoya

Tel

0527412111

Email

ethics@med.nagoya-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2018 Year 01 Month 14 Day


Related information

URL releasing protocol

in press at Plastic and Reconstructeve Surgery Gloval Open

Publication of results

Published


Result

URL related to results and publications

in press at Plastic and Reconstructeve Surgery Gloval Open

Number of participants that the trial has enrolled

174

Results

Among 398 patients invited, 174 patients with upper limb loss participated in this study. The most common amputation level was trans-radial. Trauma was the most common cause of limb loss. The prosthesis rejection rate was 9% (n=16). The most common reason for abandonment was prosthesis functionality . The mean EQ-5D utility score of prosthesis users was significantly higher than that of nonusers (p<0.01).

Results date posted

2019 Year 05 Month 08 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The purpose of this international, cross-sectional, multicenter study was to examine prosthesis use and abandonment among patients with upper limb deficiencies in the USA and Japan. We determined the most common reasons for abandonment and compared prosthesis users and nonusers according to a variety of demographic and clinical characteristics. We hypothesized that prosthesis users would have higher QOL than nonusers, and that patients who used myoelectric prostheses were more likely to be employed full-time. We also compared EQ-5D scores between patients and live-in proxies to determine the agreement in QOL between patients and their close relationships, hypothesizing that patient-reported QOL would be superior to proxy-reported values.

Participant flow

Three rehabilitation centers in Japan and one academic medical center in the USA participated. Patients aged between 12 and 75 years with unilateral or bilateral upper limb absence from the level of wrist to shoulder disarticulation were included. Two questionnaires, an original questionnaire on prosthesis use and the EQ-5D. The questionnaires were completed by both the patient and a live-in proxy on the patients behalf.

Adverse events

none

Outcome measures

QOL and abandonment rate of the prosthesis

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2016 Year 03 Month 18 Day

Date of IRB

2016 Year 03 Month 18 Day

Anticipated trial start date

2016 Year 06 Month 01 Day

Last follow-up date

2017 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

We sent questionairs after uniformed protocol was made in Japan and US.


Management information

Registered date

2017 Year 11 Month 05 Day

Last modified on

2019 Year 05 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000024851


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name