Randomised controlled trial comparing two treatment methods for symptomatic haemorrhoidal disease

ISRCTN ISRCTN23585705
DOI https://doi.org/10.1186/ISRCTN23585705
Secondary identifying numbers N/A
Submission date
05/05/2008
Registration date
23/06/2008
Last edited
09/01/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mr Malcolm Loudon
Scientific

Ward 50
Aberdeen Royal Infirmary
Foresterhill
Aberdeen
AB25 2ZN
United Kingdom

Study information

Study designSingle centre, randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific titleA randomised trial of stapled haemorrhoidopexy versus rubber band ligation in the treatment of circumferential symptomatic grade II haemorrhoids
Study objectivesTreatment with stapled haemorrhoidopexy produces better symptom control and less recurrent disease compared to rubber band ligation; both are considered to treat the disease in a similar mechanism of fixing the haemorrhoidal cushion without excising them.
Ethics approval(s)Ethics approval received from the Grampian Research Ethics Committee on the 11th August 2002 (ref: 01/0297).
Health condition(s) or problem(s) studiedCircumferential grade II symptomatic haemorrhoids
Intervention1. Rubber band ligation
2. Stapled haemorrhoidopexy

Both arms are treated as a one-off to begin with and then reviewed at six weeks. As per the protocol, If there is a recurrence of disease, a repeat treatment can be given. The rubber band ligation can be repeated up to four times at six-week intervals, before being declared failure of treatment. Similarly, the stapled haemorrhoidopexy will be repeated up to two more times before declared as failure of treatment.

Total follow-up is up to one year including 6-week and 26-week follow-ups in between.
Intervention typeOther
Primary outcome measureDisease recurrence at six weeks and one year.
Secondary outcome measures1. Symptom score (validated and published already)
2. Cleveland continence score
3. Quality of life score (36-item Short Form health survey [SF-36], EuroQoL instrument [EQ-5D] and Hospital Anxiety and Depression Scale [HAD] scores)
4. Cost effectiveness
5. Sphincter damage

All secondary outcomes were assessed at 6 weeks, 26 weeks and one year.
Overall study start date20/10/2002
Completion date02/04/2005

Eligibility

Participant type(s)Patient
Age groupOther
SexBoth
Target number of participants60
Key inclusion criteriaCircumferential grade II symptomatic haemorrhoids irrespective of age and gender.
Key exclusion criteria1. Associated anaorctal sepsis
2. Associated colonic malignancy or inflammatory bowel disease
3. Associated anal sphincter pathology
Date of first enrolment20/10/2002
Date of final enrolment02/04/2005

Locations

Countries of recruitment

  • Scotland
  • United Kingdom

Study participating centre

Ward 50
Aberdeen
AB25 2ZN
United Kingdom

Sponsor information

University of Aberdeen Medicines Assessment Research Unit (MARU)
Hospital/treatment centre

c/o Mr MA Loudon and Mr AJM Watson
Grampian Hospitals NHS Trust
Aberdeen Royal Infirmary
Ward 50
Foresterhill
Aberdeen
AB25 2ZN
Scotland
United Kingdom

Website http://www.nhsgrampian.org
ROR logo "ROR" https://ror.org/016476m91

Funders

Funder type

Hospital/treatment centre

Ethicon Endo-Surgery (Europe) GmbH (Germany)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/06/2010 Yes No

Editorial Notes

09/01/2020: Internal review.