Self-esteem and Neuro-urological Follow-up in Patients With Spina Bifida or Spinal Cord Injury

NCT ID: NCT01606618

Last Updated: 2021-04-15

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

TERMINATED

Total Enrollment

111 participants

Study Classification

OBSERVATIONAL

Study Start Date

2012-03-12

Study Completion Date

2017-09-11

Brief Summary

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With improved life expectancy over the last fifty years, spina bifida has become a disease of the adult. One of the major stakes for these patients is the preservation of a regular follow-up of uro-nephrologicals risk factors and of a respect for the rules of self management of their neurological bladder.

The main objective of this study is to highlight a difference in the level of global self-esteem among a population of adult patients with spina bifida and a population of adult patients with traumatic spinal cord injury gained the same level of neurological.

Detailed Description

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With improved life expectancy over the last fifty years, spina bifida has become a disease of the adult. The risk of developing a terminal renal insufficiency is eight times higher than the risk in the general population and twice as important as in acquired spinal cord injury. This risk continues to evolve with advancing age.

One of the major stakes for these patients is the preservation of a regular follow-up of uro-nephrologicals risk factors and of a respect for the rules of self management of their neurological bladder. However, some studies report that nearly two thirds of these patients are not monitored at regular neuro-urological in the adulthood. Different psychosocial determinants were analyzed as potential markers of the impact of chronic diseases from childhood to adulthood and could account for the disparity of follow-up and access to healthcare. Among these, the self-esteem is a psychological dimension of analysis particularly relevant within the framework of chronic states inherited from the childhood.

The investigators formulate the hypothesis that global self-esteem and lower perceived self-efficacy may be a causal predictive factor of a reduced access to the continence and a lower compliance monitoring in adult patients with a spina bifida.

Conditions

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Spina Bifida Aperta Acquired Traumatic Spinal Cord Injury

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Spina bifida aperta

No interventions assigned to this group

Acquired traumatic spinal cord injury

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Patients with a spina bifida aperta or an acquired traumatic spinal cord injury dating more than two years, the level of injury being below D12 and higher S1 (Score ASIA A).
* Age between 18 and 60
* Knowing how to read, write, count
* Having given their free, informed and in writing consent (an information is also given to the reliable person when it exists)
* Affiliated to the National Health Service

Exclusion Criteria

* Psychiatric history requiring an hospitalization in a specialized unit during more than two months
* Score MMS lower than 27 ( GRECO version)
* Serious associated pathology or associated pathology which could interfer with the management of vesico-sphincteral disorders
* Neurosurgery, dating from less than one year
* Symptoms of dysfunction of ventricular bypass valve at the time of inclusion
* Clinical epileptic attack within six months prior to inclusion
* Pregnancy or breastfeeding
* Simultaneous inclusion in an another therapeutic protocol or period of exclusion from an another protocol
* Traumatic spinal cord injury acquired before age 16
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rennes University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jacques Kerdraon, MD

Role: PRINCIPAL_INVESTIGATOR

CHU Rennes

Reymann Jean Michel, PhD

Role: STUDY_CHAIR

Rennes University Hospital

Locations

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CHU de Besançon

Besançon, , France

Site Status

Clinique Saint Augustin

Bordeaux, , France

Site Status

CHU de Lille

Lille, , France

Site Status

Urologie CH Lyon Sud et Hôpital Henry Gabrielle

Lyon, , France

Site Status

APHM - Hôpital de la Conception Service de chirurgie urologique et transplantation rénale

Marseille, , France

Site Status

MPR neurologique CHU de Nantes

Nantes, , France

Site Status

APHP Raymond Poincaré

Paris, , France

Site Status

APHP Rothschild

Paris, , France

Site Status

Neuro-urologie et explorations périnéales, APHP Tenon

Paris, , France

Site Status

Centre Mutualiste de Rééducation et de Réadaptation Fonctionnelles de KERPAPE

Ploemeur, , France

Site Status

CHU de Rennes CR Spina bifida

Rennes, , France

Site Status

Hôpital Pontchaillou - CHU de Rennes

Rennes, , France

Site Status

MPR St Hélier

Rennes, , France

Site Status

Urologie, CHU de Rouen

Rouen, , France

Site Status

MPR CHU Rangueuil

Toulouse, , France

Site Status

Urologie CHU Rangueuil Toulouse

Toulouse, , France

Site Status

Countries

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France

Other Identifiers

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B110797-30

Identifier Type: -

Identifier Source: org_study_id

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