Sensate DIEP flaps - assessment of breast sensation on quality of life and body image

ISRCTN ISRCTN25603476
DOI https://doi.org/10.1186/ISRCTN25603476
Secondary identifying numbers N0265166244
Submission date
29/09/2006
Registration date
29/09/2006
Last edited
29/01/2015
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Mr L Yap
Scientific

Burns & Plastics
Selly Oak Hospital
Birmingham
B29 6JD
United Kingdom

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleSensate DIEP flaps - assessment of breast sensation on quality of life and body image
Study objectives1. To assess how important breast sensation is to patients undergoing breast reconstruction both pre and post operatively and the degree that this impacts on patient quality of life and body image
2. To assess the recovery of sensation in a breast reconstructed with abdominal skin and nerve reattachment, and to compare this to a breast reconstructed with abdominal skin that has not had the nerve reattached, and a bust reconstructed with skin/muscle from the back
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedSurgery: Breast
InterventionPatients preparing for an excision of breast cancer and reconstruction are seen pre-operatively and followed up in our breast reconstruction clinic. These patients are counselled as to the expected loss of breast sensation following surgery. They are then offered a choice of reconstructive options, which include:
1. Implant only
2. Skin and muscle from the back
3. Skin and muscle from the stomach (+ or - nerve reattachment

We intend to ask all patients within these three groups how important they think breast sensation is to them before the operation. We also wish to obtain validated measures of anxiety and depression and body image,
Following the Operation. We will repeat the questionnaire and body Image assessment to establish how much this does impact upon their everyday life and how much sensory return they achieve. This will be repeated at each clinic visit (3 monthly) for 1 year.

The patients who are having reconstructions from their abdominal skin and muscle will be randomised into two groups: those receiving nerve reattachment and those not having nerve reattachment. At present the nerve is reattached occasionally, if it is deemed easy 10 perform intra-operatively. The vast majority of patients do not have the nerve reattached. It will add 30-60 minutes to the operation time. The study will be double blinded.

The questionnaire is a VAS addressing the impact of sensation upon quality of life. The wording has been finalised after speaking to a group of patients attending the clinic.
Intervention typeProcedure/Surgery
Primary outcome measureNot provided at time of registration
Secondary outcome measuresNot provided at time of registration
Overall study start date24/06/2005
Completion date24/03/2008

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participantsNot provided at time of registration
Key inclusion criteriaAll patients attending the breast reconstruction clinic for one of the three types of breast reconstruction will be seen at the clinic and asked if they wish to participate in the research. They will not have to attend any extra clinics. The questionnaire will simply be given out whilst they are in the waiting room and can be completed before they are called in to see the doctor.
Those patients who are having reconstruction with abdominal skin and muscle will be informed of the procedure to reattach the nerve and asked if they would be happy to be randomised into nerve reattachment or no nerve reattachment.
Key exclusion criteriaNot provided at time of registration
Date of first enrolment24/06/2005
Date of final enrolment24/03/2008

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Selly Oak Hospital
Birmingham
B29 6JD
United Kingdom

Sponsor information

Record Provided by the NHSTCT Register - 2006 Update - Department of Health
Government

The Department of Health, Richmond House, 79 Whitehall
London
SW1A 2NL
United Kingdom

Phone +44 (0)20 7307 2622
Email dhmail@doh.gsi.org.uk
Website http://www.dh.gov.uk/Home/fs/en

Funders

Funder type

Government

University Hospital Birmingham NHS Trust (UK)

No information available

NHS R&D Support Funding

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