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出境医 / 临床实验 / Mesh Debate Awareness Among Non-urogynecologists. A Practical Survey Study. (Mesh_Survey)

Mesh Debate Awareness Among Non-urogynecologists. A Practical Survey Study. (Mesh_Survey)

Study Description
Brief Summary:
This study evaluates the awareness of mesh discussions in urogynecology among non-urogynecologists. A web-based questionnaire will be sent to four groups. Group-1 is King's College Hospital doctors. Group-2 is Uludag University Hospital doctors. Group-3 is doctors from the United States, and Group-4 is doctors from all over the world.

Condition or disease Intervention/treatment
Pelvic Organ Prolapse Urinary Incontinence Complication of Surgical Procedure Other: Mesh debate awareness survey

Detailed Description:
There has been a great deal of discussion about mesh complications in urogynecology. During the following decade, vaginal mesh operations for pelvic organ prolapse increased exponentially all over the world, particularly in the United States. Once the complications started to increase, the publication of mesh-related complications on social and broadcast media and the increase of medico-legal claims the United States led to an extensive FDA (Food and Drug Administration) restriction on vaginal mesh procedures in 2013. On January 5, 2016, the FDA reclassified surgical mesh for transvaginal repair of the pelvic organ prolapse into class III, which require premarket approval. Finally, on April 16, 2019, the FDA ordered all manufacturers of urogynecological mesh intended for transvaginal repair to stop selling and distributing their products immediately. However, awareness of the other doctors in branches of medicine outside of gynecology and urology is unknown.
Study Design
Layout table for study information
Study Type : Observational
Estimated Enrollment : 1500 participants
Observational Model: Other
Time Perspective: Other
Official Title: Social Media Awareness Level of Non-urogynecologist Doctors About the Current Mesh Discussions in Urogynecology: A Practical Survey Study.
Actual Study Start Date : March 1, 2019
Estimated Primary Completion Date : September 1, 2019
Estimated Study Completion Date : September 15, 2019
Arms and Interventions
Group/Cohort Intervention/treatment
Group-1: King's College Hospital
Doctors in King's College Hospital, London, The United Kingdom (Excluding Urology and Gynecology)
Other: Mesh debate awareness survey

A web-based questionnaire with questions about recent discussions of mesh in urogynecology.

10 questions. Average survey completion time: 1 minute


Group-2: Uludag University Hospital
Doctors in Uludag University Hospital, Bursa, Turkey (Excluding Urology and Gynecology)
Other: Mesh debate awareness survey

A web-based questionnaire with questions about recent discussions of mesh in urogynecology.

10 questions. Average survey completion time: 1 minute


Group-3: The United States
Doctors from The United States (Excluding Urology and Gynecology)
Other: Mesh debate awareness survey

A web-based questionnaire with questions about recent discussions of mesh in urogynecology.

10 questions. Average survey completion time: 1 minute


Group-4: The World
Doctors from all over the world (Excluding Urology and Gynecology)
Other: Mesh debate awareness survey

A web-based questionnaire with questions about recent discussions of mesh in urogynecology.

10 questions. Average survey completion time: 1 minute


Outcome Measures
Primary Outcome Measures :
  1. Awareness of the current mesh discussion in urogynecology. [ Time Frame: 1 minute ]
    Web-based survey about current mesh discussion in Urogynecology with ten simple questions will be answered by the doctors in four groups (Question-8).


Secondary Outcome Measures :
  1. Social media awareness about the mesh discussions in urogynecology [ Time Frame: 1 minute ]
    Web-based survey about current mesh discussion in Urogynecology with ten simple questions will be answered by the doctors in four groups (Question-10).


Eligibility Criteria
Layout table for eligibility information
Ages Eligible for Study:   30 Years to 75 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Doctors from four different groups (1-KCH, 2-UUH, 3-USA, 4-WORLD) are expected to complete the questionnaire.
Criteria

Inclusion Criteria:

  • Doctors from all branches of medicine
  • Basic sciences: Immunology, Medical Biochemistry, Microbiology and Infectious Diseases, Forensic Medicine, Family Medicine, Public Health, Medical genetics, Medical pharmacology.
  • Pediatrics: Pediatric allergy, Pediatric respiratory, Pediatric dentistry, Pediatric endocrinology, Pediatric gastroenterology and nutrition, Pediatric haematology, Pediatric nephrology, Pediatric neurology, Pediatric oncology, Pediatric ophthalmology, Pediatric surgery, Child and adolescent psychiatry, Pediatric orthopedics.
  • Basic internal medicine specialties: Gastroenterology, Medical Oncology, Rheumatology, Hematology, Nephrology, Endocrinology
  • Other internal medicine specialties: Neurology, Nuclear medicine, Radiology, Radiation Oncology, Psychiatry, Sport medicine, Respiratory medicine, Physical medicine and rehabilitation, Geriatrics, Dermatology, Cardiology
  • Surgical Departments: Emergency and Accident Medicine, Heart and vascular surgery, Ophthalmatology, Orthopedics and Traumatology, Plastic and reconstructive surgery, Medical pathology, Anesthesiology and reanimation, Neurosurgery, General surgery, Chest surgery

Exclusion Criteria:

  • Obstetricians and Gynaecologists,
  • Urogynecologists,
  • Urologists,
  • Perinatologists ,
  • Gynecological Oncologists,
  • Doctors from Reproductive Endocrinology and Infertility,
  • Uro-oncologists
  • Andrologists.
Contacts and Locations

Contacts
Layout table for location contacts
Contact: Adnan Orhan, M.D. +905056337102 dr.adnan.orhan@hotmail.com
Contact: Angela Rantell, PhD +44 (0)20 3299 3568 angela.rantell@nhs.net

Locations
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Turkey
Uludag University Hospital, Department of Obstetrics and Gynecology Recruiting
Bursa, Ozluce, Turkey, 16059
Contact: Adnan Orhan, M.D.    +90 505 6337102    dr.adnan.orhan@hotmail.com   
Contact: Isil Kasapoglu, M.D    +905305455848    kasapogluisil@hotmail.com   
Sponsors and Collaborators
Uludag University
King's College Hospital NHS Trust
Investigators
Layout table for investigator information
Study Director: Kemal Ozerkan, M.D. Uludag University
Tracking Information
First Submitted Date July 2, 2019
First Posted Date July 8, 2019
Last Update Posted Date July 9, 2019
Actual Study Start Date March 1, 2019
Estimated Primary Completion Date September 1, 2019   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: July 2, 2019)
Awareness of the current mesh discussion in urogynecology. [ Time Frame: 1 minute ]
Web-based survey about current mesh discussion in Urogynecology with ten simple questions will be answered by the doctors in four groups (Question-8).
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures
 (submitted: July 2, 2019)
Social media awareness about the mesh discussions in urogynecology [ Time Frame: 1 minute ]
Web-based survey about current mesh discussion in Urogynecology with ten simple questions will be answered by the doctors in four groups (Question-10).
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title Mesh Debate Awareness Among Non-urogynecologists. A Practical Survey Study.
Official Title Social Media Awareness Level of Non-urogynecologist Doctors About the Current Mesh Discussions in Urogynecology: A Practical Survey Study.
Brief Summary This study evaluates the awareness of mesh discussions in urogynecology among non-urogynecologists. A web-based questionnaire will be sent to four groups. Group-1 is King's College Hospital doctors. Group-2 is Uludag University Hospital doctors. Group-3 is doctors from the United States, and Group-4 is doctors from all over the world.
Detailed Description There has been a great deal of discussion about mesh complications in urogynecology. During the following decade, vaginal mesh operations for pelvic organ prolapse increased exponentially all over the world, particularly in the United States. Once the complications started to increase, the publication of mesh-related complications on social and broadcast media and the increase of medico-legal claims the United States led to an extensive FDA (Food and Drug Administration) restriction on vaginal mesh procedures in 2013. On January 5, 2016, the FDA reclassified surgical mesh for transvaginal repair of the pelvic organ prolapse into class III, which require premarket approval. Finally, on April 16, 2019, the FDA ordered all manufacturers of urogynecological mesh intended for transvaginal repair to stop selling and distributing their products immediately. However, awareness of the other doctors in branches of medicine outside of gynecology and urology is unknown.
Study Type Observational
Study Design Observational Model: Other
Time Perspective: Other
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population Doctors from four different groups (1-KCH, 2-UUH, 3-USA, 4-WORLD) are expected to complete the questionnaire.
Condition
  • Pelvic Organ Prolapse
  • Urinary Incontinence
  • Complication of Surgical Procedure
Intervention Other: Mesh debate awareness survey

A web-based questionnaire with questions about recent discussions of mesh in urogynecology.

10 questions. Average survey completion time: 1 minute

Study Groups/Cohorts
  • Group-1: King's College Hospital
    Doctors in King's College Hospital, London, The United Kingdom (Excluding Urology and Gynecology)
    Intervention: Other: Mesh debate awareness survey
  • Group-2: Uludag University Hospital
    Doctors in Uludag University Hospital, Bursa, Turkey (Excluding Urology and Gynecology)
    Intervention: Other: Mesh debate awareness survey
  • Group-3: The United States
    Doctors from The United States (Excluding Urology and Gynecology)
    Intervention: Other: Mesh debate awareness survey
  • Group-4: The World
    Doctors from all over the world (Excluding Urology and Gynecology)
    Intervention: Other: Mesh debate awareness survey
Publications *
  • Lensen EJ, Withagen MI, Kluivers KB, Milani AL, Vierhout ME. Surgical treatment of pelvic organ prolapse: a historical review with emphasis on the anterior compartment. Int Urogynecol J. 2013 Oct;24(10):1593-602. doi: 10.1007/s00192-013-2074-2. Epub 2013 Mar 15. Review.
  • LANE FE. Repair of posthysterectomy vaginal-vault prolapse. Obstet Gynecol. 1962 Jul;20:72-7.
  • Maher C, Feiner B, Baessler K, Christmann-Schmid C, Haya N, Brown J. Surgery for women with anterior compartment prolapse. Cochrane Database Syst Rev. 2016 Nov 30;11:CD004014. Review.
  • Nygaard IE, McCreery R, Brubaker L, Connolly A, Cundiff G, Weber AM, Zyczynski H; Pelvic Floor Disorders Network. Abdominal sacrocolpopexy: a comprehensive review. Obstet Gynecol. 2004 Oct;104(4):805-23. Review.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: July 2, 2019)
1500
Original Estimated Enrollment Same as current
Estimated Study Completion Date September 15, 2019
Estimated Primary Completion Date September 1, 2019   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • Doctors from all branches of medicine
  • Basic sciences: Immunology, Medical Biochemistry, Microbiology and Infectious Diseases, Forensic Medicine, Family Medicine, Public Health, Medical genetics, Medical pharmacology.
  • Pediatrics: Pediatric allergy, Pediatric respiratory, Pediatric dentistry, Pediatric endocrinology, Pediatric gastroenterology and nutrition, Pediatric haematology, Pediatric nephrology, Pediatric neurology, Pediatric oncology, Pediatric ophthalmology, Pediatric surgery, Child and adolescent psychiatry, Pediatric orthopedics.
  • Basic internal medicine specialties: Gastroenterology, Medical Oncology, Rheumatology, Hematology, Nephrology, Endocrinology
  • Other internal medicine specialties: Neurology, Nuclear medicine, Radiology, Radiation Oncology, Psychiatry, Sport medicine, Respiratory medicine, Physical medicine and rehabilitation, Geriatrics, Dermatology, Cardiology
  • Surgical Departments: Emergency and Accident Medicine, Heart and vascular surgery, Ophthalmatology, Orthopedics and Traumatology, Plastic and reconstructive surgery, Medical pathology, Anesthesiology and reanimation, Neurosurgery, General surgery, Chest surgery

Exclusion Criteria:

  • Obstetricians and Gynaecologists,
  • Urogynecologists,
  • Urologists,
  • Perinatologists ,
  • Gynecological Oncologists,
  • Doctors from Reproductive Endocrinology and Infertility,
  • Uro-oncologists
  • Andrologists.
Sex/Gender
Sexes Eligible for Study: All
Ages 30 Years to 75 Years   (Adult, Older Adult)
Accepts Healthy Volunteers Yes
Contacts
Contact: Adnan Orhan, M.D. +905056337102 dr.adnan.orhan@hotmail.com
Contact: Angela Rantell, PhD +44 (0)20 3299 3568 angela.rantell@nhs.net
Listed Location Countries Turkey
Removed Location Countries  
 
Administrative Information
NCT Number NCT04010162
Other Study ID Numbers UU-SUAM-MREC-2018-13/11
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement
Plan to Share IPD: No
Responsible Party Adnan Orhan, Uludag University
Study Sponsor Uludag University
Collaborators King's College Hospital NHS Trust
Investigators
Study Director: Kemal Ozerkan, M.D. Uludag University
PRS Account Uludag University
Verification Date July 2019