UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000034515
Receipt number R000039275
Scientific Title Comparison between bedside evaluation and evaluation using equipment on dysphagia patient.
Date of disclosure of the study information 2018/12/17
Last modified on 2020/10/21 11:18:52

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Basic information

Public title

Comparison between bedside evaluation and evaluation using equipment on dysphagia patient.

Acronym

Comparison between bedside evaluation and evaluation using equipment on dysphagia patient.

Scientific Title

Comparison between bedside evaluation and evaluation using equipment on dysphagia patient.

Scientific Title:Acronym

Comparison between bedside evaluation and evaluation using equipment on dysphagia patient.

Region

Japan


Condition

Condition

dysphagia

Classification by specialty

Oto-rhino-laryngology Rehabilitation medicine Dental medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

When a patient with dysphagia eats a certain food type, it compares with the result of VF or VE to ascertain how much the observation evaluation can correctly detect the symptoms.

Basic objectives2

Others

Basic objectives -Others

Comparing the food type chosen in the observation evaluation table with the food type selected by VF or VE.

Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Eating observation evaluation by food type, VF or VE result

Key secondary outcomes

Details when the result obtained from the observation evaluation table is different from the result of VF or VE


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

99 years-old >=

Gender

Male and Female

Key inclusion criteria

*A patient in charge who is diagnosed as having eating dysphagia and who is scheduled to perform VF for food form determination

*can be ingested orally

*Person who obtained written informed consent

Key exclusion criteria

Those who have judged that the research director is inappropriate for incorporation into research

Target sample size

180


Research contact person

Name of lead principal investigator

1st name Jnko
Middle name
Last name Fujitani

Organization

National Center for Global Health and Medicine

Division name

department of rehabilitation medicine

Zip code

162-8655

Address

1-21-1 Toyama, Shinjuku-ku, Tokyo

TEL

0332027181

Email

jufujita@hosp.ncgm.go.jp


Public contact

Name of contact person

1st name Juno
Middle name
Last name Fujitani

Organization

National Center for Global Health and Medicine

Division name

department of rehabilitation medicine

Zip code

162-8655

Address

1-21-1 Toyama, Shinjuku-ku, Tokyo

TEL

0332027181

Homepage URL


Email

jufujita@hosp.ncgm.go.jp


Sponsor or person

Institute

National Center Golobal Health and Medicine
department of rehabilitation medicine

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labor and Welfare

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Center for Global Health and Medicine

Address

1-21-1 toyama shinjuku-ku Tokyo, Japan

Tel

0332027181

Email

kenkyu-sinsa@hosp.ncgm.go.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

国立国際医療研究センター 他


Other administrative information

Date of disclosure of the study information

2018 Year 12 Month 17 Day


Related information

URL releasing protocol

http://hosp.ncgm.go.jp/s027/index.html

Publication of results

Published


Result

URL related to results and publications

http://hosp.ncgm.go.jp/s027/index.html

Number of participants that the trial has enrolled

155

Results

Meal observation determined that 88 subjects were unable to ingest food orally, while 444 were able. Both VF and VE demonstrated that 68 were unable while 464 were able. With GUSS, 232 were unable and 300 were able. Therefore, the meal observation assessment table exhibited sensitivity of 86.9% and specificity of 39.7% . In addition, laterally asymmetrical movements of the corners of the mouth, was useful in choosing safe foods that require mastication.

Results date posted

2020 Year 10 Month 21 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Among cases that were diagnosed with dysphagia with ability to orally ingest food by the joint research facilities, and had VF or VE performed to determine the appropriate food type, we selected those who provided written consent to participate in the study.

Participant flow

multi-facility traial

Adverse events

no

Outcome measures

*Mastication was estimated based on external appearance of laterally asymmetrical movements of the corners of the mouth.

*We assessed whether subjects can swallow food or not, and if there was a delay.

*We observed whether the subject choked before, during, and after swallowing, and

judged whether coughing occurred, as if the subject had something in their throat.

*Cervical auscultation was employed to determine if there was any abnormal swallowing sound or respiration sound after swallowing. We assessed abnormal sounds, such as long swallowing sound, weak swallowing sound, bubbling sound during swallowing, expectoration sound associated with coughing, muddy and wet sound immediately after swallowing, hoarseness, and the sound of liquid vibrating.

*Drooling was assessed by presence or absence of flowing saliva from the moment subject put food in their mouth, and during mastication, to swallowing.
*Voice change was assessed by having subject say eeeh after swallowing and observing for changes such as wet hoarse voice.

*Respiration was observed for changes during meals, specifically shallow and fast respiration after swallowing.

*Oral residue was assessed by observing oral cavity residue after swallowing. If there was any residue, it was categorized into two levels based on the amount.

*Clearance of oral residue was assessed by examining if gargling cleared any residues.

Plan to share IPD

none

IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2018 Year 12 Month 17 Day

Date of IRB

2018 Year 12 Month 28 Day

Anticipated trial start date

2018 Year 12 Month 28 Day

Last follow-up date

2019 Year 05 Month 31 Day

Date of closure to data entry

2019 Year 05 Month 31 Day

Date trial data considered complete

2019 Year 05 Month 31 Day

Date analysis concluded

2020 Year 03 Month 31 Day


Other

Other related information

multi-institutional joint research


Management information

Registered date

2018 Year 10 Month 16 Day

Last modified on

2020 Year 10 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000039275


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name