ENDometriosis: Evaluation of Detection and Need for ALGOlogic Care Before Surgery
NCT ID: NCT06997809
Last Updated: 2025-05-30
Study Results
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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NOT_YET_RECRUITING
NA
187 participants
INTERVENTIONAL
2025-05-31
2028-11-30
Brief Summary
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But not all patients could benefit from this pathway and no screening strategy does exist to detect these complications that could be treated prior to endometriosis surgery
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
DIAGNOSTIC
DOUBLE
Study Groups
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Control
Surgery without calculation of pain questionnaire scores
No interventions assigned to this group
group with adapted support
The calculation of pain questionnaire scores is carried out to direct or not the patient towards pain consultations before surgery.
Only patients with at least one positive test benefit from an algology consultation before surgery.
pathway care
Group for whom the test results will be used to determine the management strategy. If one of the tests performed before randomization is positive an algological consultation before surgery will be performed with an adapted treatment. Then surgical treatment as planned.
If all tests are negative, surgical treatment is performed. The dedicated algology consultation must be done with an experienced practitioner different from the one who will perform the surgery. A rapid algological treatment circuit must be put in place to maintain the surgery date set.
Group without using the results of test for associated pain components. Standard surgical treatment as planned through dedicated staff on endometriosis treatment.
Interventions
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pathway care
Group for whom the test results will be used to determine the management strategy. If one of the tests performed before randomization is positive an algological consultation before surgery will be performed with an adapted treatment. Then surgical treatment as planned.
If all tests are negative, surgical treatment is performed. The dedicated algology consultation must be done with an experienced practitioner different from the one who will perform the surgery. A rapid algological treatment circuit must be put in place to maintain the surgery date set.
Group without using the results of test for associated pain components. Standard surgical treatment as planned through dedicated staff on endometriosis treatment.
Eligibility Criteria
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Inclusion Criteria
* Women affiliated to social coverage insurance
* Women who understand French
* Women who signed the written consent
* Women with impaired quality of life (pain) linked to endometriosis
* Women with formal radiological signs of endometriosis (MRI lesions more than 5 mm or endometrioma more than 20 mm on radiological examinations).
* Surgical indication for resection of lesions by laparoscopy or robotic surgery for management of pain or impairment of quality of life
* Patients requiring complete conservative or radical resections of all lesions
* Indication of surgery validated within dedicated meeting for endometriosis.
* Purpose of pain associated or not with infertility
* Date of surgery fixed with sufficient time for algological treatment. Maximum delay of 4 months between randomization and surgery
Exclusion Criteria
* Patient with previous surgery for removal of deep lesions of endometriosis or endometriotic cysts (history of exploratory laparoscopy accepted)
* Patient with suspicious lesions on MRI or specialized ultrasound.
* A patient who needs to be treated for another uterine pathology at the same time.
* Pregnant women
* Patient with a desire for pregnancy immediately and/or within one year after surgery
* Women who refuse clinical examination (some algological tests couldn't be performed without clinical examination)
* Patient who has already received algological treatment or who should receive it before surgery
* Patient with previous other psychiatric disorders (depressive symptoms treated)
* Women without rights
18 Years
50 Years
FEMALE
No
Sponsors
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University Hospital, Limoges
OTHER
Responsible Party
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Principal Investigators
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François Dr. Margueritte
Role: PRINCIPAL_INVESTIGATOR
University Hospital, Limoges
Locations
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Bordeaux University Hospital
Bordeaux, France, France
IFEMENDO
Bordeaux, France, France
Versailles Hospital
Le Chesnay, France, France
Saint-Vincent-de-Paul Hospital
Lille, France, France
Limoges University hospital
Limoges, France, France
Poissy-St-Germain Intercommunal hospital center
Poissy, France, France
Poitiers University Hospital
Poitiers, France, France
Mutual Clinic La Sagesse
Rennes, France, France
South Hospital Rennes University Hospital
Rennes, France, France
Countries
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Central Contacts
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Facility Contacts
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Other Identifiers
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87RI23_0049 (ENDALGO)
Identifier Type: -
Identifier Source: org_study_id
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