Unique ID issued by UMIN | UMIN000052038 |
---|---|
Receipt number | R000058222 |
Scientific Title | The Validation of a program to promote adherence of compression therapy in elderly patients with lower limb lymphedema.: a randomized controlled trial |
Date of disclosure of the study information | 2023/08/29 |
Last modified on | 2024/08/29 13:33:03 |
The Validation of a program to promote adherence of compression therapy in elderly patients with lower limb lymphedema.: a randomized controlled trial
The Validation of a program to promote adherence of compression therapy in elderly patients with lower limb lymphedema.: a randomized controlled trial
The Validation of a program to promote adherence of compression therapy in elderly patients with lower limb lymphedema.: a randomized controlled trial
The Validation of a program to promote adherence of compression therapy in elderly patients with lower limb lymphedema.: a randomized controlled trial
Japan |
Patients with cancer diagnosed with lymphedema of the lower extremities after cancer treatment
Obstetrics and Gynecology | Plastic surgery | Rehabilitation medicine |
Nursing |
Malignancy
NO
A randomized, concurrent, controlled feasibility study will be conducted to test the feasibility of a "program to promote adherence to compression therapy" in cancer patients diagnosed with lower extremity lymphedema who are 65 years of age or older to determine if patients will continue to receive compression therapy compared to a group of patients receiving standard care.
Safety,Efficacy
Confirmatory
Explanatory
Not applicable
Calculate the continuation rate of compression therapy at baseline, 1 month after allocation, and 3 months after allocation from the "self-care diary". The continuation rate is calculated from the denominator of the self-care diary (30 days after 1 month and 90 days after 3 months) to the number of days performed (numerator). If the self-care diary cannot be written (forgotten), it is considered "missing" and the number of days is considered not performed.
1) Change in quality of life measures at baseline, 1 month after allocation, and 3 months after allocation
2) Percentage decrease in edema volume at baseline, 1 month after allocation, and 3 months after allocation
3) Skin condition on the affected side (CTCAEver 5.0) at baseline, 1 month after allocation, and 3 months after allocation
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
YES
Institution is considered as adjustment factor in dynamic allocation.
YES
Central registration
2
Treatment
Behavior,custom |
Patients who meet the eligibility criteria will be instructed on lymphedema self-care after baseline data are obtained, using the leaflet "Cancer Treatment and Lymphedema: Therapy from Now on" published by Cancer Information of the National Cancer Center.
Subjects who are in the intervention group will select and wear one-leg type stockings (5-10 mmhg) based on the measurement of the circumference of edema. The subjects will also be asked to observe the edema and the skin on the edema side by themselves using a "self-care diary" and to check off the days when compression therapy is performed. Explain the need for continuity of compression therapy to the family members living with the subject and ask for their support in dressing and undressing the subject. If the subject is unable to keep a "self-care diary," family members should perform the checks instead. Observation of edema and skin should also be done by the family together. The researcher will call the subject once a week to check on the continuity of the compression therapy, to promote wearing it and to explain what to do in case of difficulties.
For the comparison group, the co-investigator will provide instruction on lymphedema self-care to patients who meet the eligibility criteria, after baseline data are obtained, using the leaflet "Cancer Therapy and Lymphedema: Treatment from This" published by Cancer Information, National Cancer Center. Subjects who are in the comparison group will be selected from the measurement of the circumference of edema, and explained to wear one-leg type stockings. In addition, the patients will be handed a "self-care diary" and asked to observe the edema and the skin on the edema side by themselves, as well as to check off the days when compression therapy is performed. The researcher will provide standard lymphedema care within the scope of usual medical practice.
65 | years-old | <= |
Not applicable |
Male and Female
1. Patients 65 years of age or older
2.Patients with a diagnosis of lymphedema of the lower limbs according to the diagnostic criteria of the International Lymphedema Society
1. Those with DVT or venous edema in the lower extremities
2. Those who have edema all over the body due to cardiac or renal failure
3. Those who cannot obtain cooperation from their family members living with them.
60
1st name | Tomoko |
Middle name | |
Last name | Izawa |
kyoto university hospital
department of nursing
6068507
53 kawahara-cho shougoin sakyo-ku, kyoto, Japan
0757513744
tizawa@kuhp.kyoto-u.ac.jp
1st name | Tomoko |
Middle name | |
Last name | Izawa |
Kyoto university hospital
department of nursing
606-8507
53kawahara-cho, shogoin, sakyo-ku, kyoto
0757513744
tizawa@kuhp.kyoto-u.ac.jp
Kyoto university Hospital
IzawaTomoko
Kyoto university Hospital
Other
Japan
Kyoto university graduate school and faculty of medicine, ethics committee
Yoshida-konoe-cho, sakyo-ku, kyoto 606-8501
075-753-4642
ethcom@kuhp.kyoto-u.ac.jp
NO
2023 | Year | 08 | Month | 29 | Day |
Unpublished
Enrolling by invitation
2023 | Year | 08 | Month | 29 | Day |
2023 | Year | 10 | Month | 05 | Day |
2023 | Year | 10 | Month | 05 | Day |
2026 | Year | 03 | Month | 31 | Day |
Research has been initiated and so far six people have entered the study and five have completed it. The study will continue to be implemented.
2023 | Year | 08 | Month | 29 | Day |
2024 | Year | 08 | Month | 29 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000058222