Long-Term Study On Home Spirometry After Lung Transplantation

NCT ID: NCT00743171

Last Updated: 2008-08-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

152 participants

Study Classification

OBSERVATIONAL

Study Start Date

2000-01-31

Study Completion Date

2007-12-31

Brief Summary

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Prospective cohort, mono-center study included electronic data of home spirometry (HS, lung function) of lung transplant recipients

Detailed Description

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Study period between 1/2/2000 and 31/12/2003 Follow-up until 31/12/2007

Patient will be stratified according to adherence to HS during the first 2 postoperative years Good adherent patient: patient performed ≥ 80% of predicted HS within 24 months Moderate adherent patient: patient performed ≥ 50% of predicted HS within 24 months Non-adherent patient: patient performed \< 50% of predicted HS within 24 months.

Primary outcome measure graft loss at end of follow-up

Secondary outcome measure number of acute rejections during follow-up number of hospitalisation during follow-up Incidence of bronchiolitis obliterans syndrome during follow-up

Conditions

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Lung Transplantation Rejection Death Bronchiolitis Obliterans

Keywords

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Lung transplantation Home spirometry non-adherence outcomes bronchiolitis obliterans

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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1

Good adherent patient: patient performed ≥ 80% of predicted HS within 24 months

No interventions assigned to this group

2

Moderate adherent patient: patient performed ≥ 50% of predicted HS within 24 months

No interventions assigned to this group

3

Non-adherent patient: patient performed \< 50% of predicted HS within 24 months.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Any type of lung transplant incl single, double, combined and re-do
* \> 18 years of age
* LTx or HLTx ≥ 6mts post Tx
* Stable health condition at study entry (pt stays within home environment)
* Sufficient language skills for AMOS training
* Successful AMOS training
* Follow-up at our center (≥6 mts post LTx)
* Willingness to participate by informed consent

Exclusion Criteria

* Refused consent
* BOS diagnosis before study inclusion
* Malignancy before study inclusion
* Loss for follow-up (≤ 6 mts after study inclusion
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hannover Medical School

OTHER

Sponsor Role lead

Responsible Party

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Hannover Medical School, Dpt. Pneumology

Principal Investigators

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Jens T Gottlieb, MD

Role: PRINCIPAL_INVESTIGATOR

Dpt. Pneumology

Christiane Kugler, MSc

Role: PRINCIPAL_INVESTIGATOR

Dpt. Cardiothoracic, Transplantation and Vascular Surgery

Locations

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Hannover Medical School

Hanover, , Germany

Site Status

Countries

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Germany

References

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Finkelstein SM, Scudiero A, Lindgren B, Snyder M, Hertz MI. Decision support for the triage of lung transplant recipients on the basis of home-monitoring spirometry and symptom reporting. Heart Lung. 2005 May-Jun;34(3):201-8. doi: 10.1016/j.hrtlng.2004.09.003.

Reference Type BACKGROUND
PMID: 16015225 (View on PubMed)

Dew MA, Dimartini AF, De Vito Dabbs A, Zomak R, De Geest S, Dobbels F, Myaskovsky L, Switzer GE, Unruh M, Steel JL, Kormos RL, McCurry KR. Adherence to the medical regimen during the first two years after lung transplantation. Transplantation. 2008 Jan 27;85(2):193-202. doi: 10.1097/TP.0b013e318160135f.

Reference Type BACKGROUND
PMID: 18212623 (View on PubMed)

De Geest S, Dobbels F, Fluri C, Paris W, Troosters T. Adherence to the therapeutic regimen in heart, lung, and heart-lung transplant recipients. J Cardiovasc Nurs. 2005 Sep-Oct;20(5 Suppl):S88-98. doi: 10.1097/00005082-200509001-00010.

Reference Type BACKGROUND
PMID: 16160588 (View on PubMed)

Finkelstein SM, Snyder M, Edin-Stibbe C, Chlan L, Prasad B, Dutta P, Lindgren B, Wielinski C, Hertz MI. Monitoring progress after lung transplantation from home-patient adherence. J Med Eng Technol. 1996 Nov-Dec;20(6):203-10. doi: 10.3109/03091909609008999.

Reference Type BACKGROUND
PMID: 9029392 (View on PubMed)

Bjortuft O, Johansen B, Boe J, Foerster A, Holter E, Geiran O. Daily home spirometry facilitates early detection of rejection in single lung transplant recipients with emphysema. Eur Respir J. 1993 May;6(5):705-8.

Reference Type BACKGROUND
PMID: 8390943 (View on PubMed)

Other Identifiers

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MHH 2008-3

Identifier Type: -

Identifier Source: org_study_id