Beneficial effects of thoracic epidural anaesthesia on mortality after surgery for colon cancer

ISRCTN ISRCTN10994336
DOI https://doi.org/10.1186/ISRCTN10994336
Secondary identifying numbers MarienVEC_12
Submission date
25/05/2019
Registration date
07/06/2019
Last edited
29/08/2019
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

Background and study aims
Perioperative use of epidural analgesia reduces the 36-month postoperative mortality rate. This effect may be due to systemic effects of local anaesthetics or to a reduced stress response caused by the thoracic epidural analgesia itself.

Who can participate?
Patients scheduled to undergo elective open colon cancer surgery.

What does the study involve?
Patients records are followed up over a 4 year period following surgery.

What are the possible benefits and risks of participating?
None.

Where is the study run from?
Marienhospital Vechta gGmbH, Germany.

When is the study starting and how long is it expected to run for?
January 1997 to December 2015

Who is funding the study?
The study is funded by the investigator.

Who is the main contact?
Dr Christian Hönemann,
c.honemann@icloud.com

Contact information

Dr Christian Hönemann
Scientific

arienstraße 6-8
Vechta
49377
Germany

ORCiD logoORCID ID 0000-0002-9658-253X
Phone +4915208961106
Email christian.hoenemann@kh-vec.de

Study information

Study designObservational study
Primary study designObservational
Secondary study designCohort study
Study setting(s)Hospital
Study typeOther
Participant information sheet No participant information sheet available
Scientific titleEpidural anaesthesia reduces mortality after colon cancer surgery
Study acronymEARMAC
Study objectivesEpidural anaesthesia reduces mortality after colon cancer surgery
Ethics approval(s)Approved DATE, Ethikkommission der Aerztekammer Niedersachsen (Ethical Committee of the Aerztekammer Niedersachsen, ÄKN Ethikkommission, Berliner Allee 20, 30175 Hannover, Germany; 05113802208; ethikkommission@aekn.de), ref:
Health condition(s) or problem(s) studiedPatients with elective colon cancer surgery
InterventionPatient records were used to follow-up on outcomes over 4 years for patients who had undergone elective colon cancer surgery with or without thoracic epidural anesthesia/analgesia.
Intervention typeOther
Primary outcome measureMortality, measured by review of patient charts and a database of a local cancer database in Oldenburg, Germany
Secondary outcome measures1. Perioperative complications
2. Stroke
3. Myocardial infarction
4. Blood transfusion
5. Duration of stay
All measured by review of patient charts and a database of a local cancer database in Oldenburg, Germany
Overall study start date01/01/2003
Completion date31/12/2015

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants240
Key inclusion criteriaScheduled to undergo elective open colon cancer surgery
Key exclusion criteria1. Non elective surgery
2. Laparoscopic surgery
Date of first enrolment01/01/1997
Date of final enrolment31/12/2007

Locations

Countries of recruitment

  • Germany

Study participating centre

Marienhospital Vechta gGmbH
Marienstraße 6-8
Vechhta
49377
Germany

Sponsor information

Marienhospital Vechta gGmbH
Hospital/treatment centre

Marienstraße 6-8
Vechta
49377
Germany

Phone +494441992933
Email christian.hoenemann@kh-vec.de
Website www.marienhospital-vechta.de

Funders

Funder type

Other

Investigator initiated and funded

No information available

Results and Publications

Intention to publish date01/06/2019
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in BMC Anesthesiology
IPD sharing planThe datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request

Editorial Notes

29/08/2019: Internal review.
06/06/2019: Trial’s existence confirmed by Aerztekammer Niedersachsen.