UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057767
Receipt number R000065842
Scientific Title Retrospective diagnostic accuracy study on the clinical utility of preceding fever or shaking chills for diagnosing septic arthritis in acute monoarthritis
Date of disclosure of the study information 2025/05/06
Last modified on 2025/05/03 16:58:14

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Basic information

Public title

Study on the usefulness of preceding fever or shaking chills in identifying septic arthritis among patients with acute monoarthritis

Acronym

PREF-SA Study (PReceding Fever for Septic Arthritis study)

Scientific Title

Retrospective diagnostic accuracy study on the clinical utility of preceding fever or shaking chills for diagnosing septic arthritis in acute monoarthritis

Scientific Title:Acronym

PREF-SA study (PReceding Fever for Septic Arthritis study)

Region

Japan


Condition

Condition

septic arthritis

Classification by specialty

Medicine in general Clinical immunology Infectious disease
Orthopedics Emergency medicine Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To improve the quality of clinical care for acute monoarthritis in the emergency department by establishing new diagnostic evidence through the calculation of sensitivity, specificity, and likelihood ratios of various clinical features and risk factors, such as fever, shaking chills, and medical history, for the diagnosis of septic arthritis.

Basic objectives2

Others

Basic objectives -Others

This is a diagnostic accuracy study aiming to evaluate the usefulness of preceding fever or shaking chills, as well as other clinical factors, for identifying septic arthritis among patients with acute monoarthritis. Sensitivity, specificity, and likelihood ratios of each factor will be calculated.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Diagnostic performance (sensitivity, specificity, and likelihood ratios) of preceding fever or shaking chills for identifying septic arthritis in patients with acute monoarthritis

Key secondary outcomes



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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

The patient inclusion criteria were all of the following: (a) age of 18 years or older; (b) no penetrating joint injury; (c) no history of affected joint surgery within one year; (d) no prosthetic implantation of the affected joint; and (e) joint aspiration was performed and synovial fluid was submitted for analysis in the emergency department.

Key exclusion criteria

Patients were excluded if they met any of the following criteria: (a) joint aspiration was performed but no synovial fluid was obtained and submitted for analysis (i.e., dry tap); (b) diagnosis of bursitis instead of arthritis; (c) diagnosis of tuberculous arthritis.

Target sample size

224


Research contact person

Name of lead principal investigator

1st name Yasuhiro
Middle name
Last name Kano

Organization

Tokyo Metropolitan Tama Medical Center

Division name

Department of Emergency and General Medicine

Zip code

1838524

Address

2-8-29 Musashidai, Fuchu, Tokyo 183-8524, Japan

TEL

09074238717

Email

yasuhiro.kano.21@gmail.com


Public contact

Name of contact person

1st name Yasuhiro
Middle name
Last name Kano

Organization

Tokyo Metropolitan Tama Medical Center

Division name

Department of Emergency and General Medicine

Zip code

1838524

Address

2-8-29 Musashidai, Fuchu, Tokyo 183-8524, Japan

TEL

09074238717

Homepage URL


Email

yasuhiro.kano.21@gmail.com


Sponsor or person

Institute

Tokyo Metropolitan Tama Medical Center

Institute

Department

Personal name



Funding Source

Organization

None

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

Tokyo Metropolitan Tama Medical Center

Address

2-8-29 Musashidai, Fuchu, Tokyo 183-8524, Japan

Tel

(+81)42-323-5111

Email

yasuhiro.kano.21@gmail.com


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

2025 Year 05 Month 06 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2025 Year 04 Month 02 Day

Date of IRB

2025 Year 04 Month 16 Day

Anticipated trial start date

2025 Year 04 Month 16 Day

Last follow-up date

2025 Year 05 Month 31 Day

Date of closure to data entry

2025 Year 05 Month 31 Day

Date trial data considered complete

2025 Year 05 Month 31 Day

Date analysis concluded

2025 Year 05 Month 31 Day


Other

Other related information

Review of medical records


Management information

Registered date

2025 Year 05 Month 03 Day

Last modified on

2025 Year 05 Month 03 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065842