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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ISRCTN
Last refreshed on: 17 October 2016
Main ID:  ISRCTN26872154
Date of registration: 07/08/2003
Prospective Registration: No
Primary sponsor: The Netherlands Organisation for Health Research and Development (ZonMw) (The Netherlands)
Public title: A multicentre randomised cost-effectiveness trial concerning the timing of surgery for sciatica caused by a lumbar disc herniation
Scientific title: A multicentre randomised cost-effectiveness trial concerning the timing of surgery for sciatica caused by a lumbar disc herniation
Date of first enrolment: 15/11/2002
Target sample size: 283
Recruitment status: Completed
URL:  http://isrctn.com/ISRCTN26872154
Study type:  Interventional
Study design:  Randomised controlled trial (Treatment)  
Phase: 
Countries of recruitment
Netherlands
Contacts
Name: Wilco C.    Peul
Address:  Department of Neurosurgery LUMC Leiden University Medical Center Albinusdreef 2 2333 ZA Leiden Netherlands
Telephone: +31 (0)71 5262109
Email: w.c.peul@lumc.nl
Affiliation: 
Name:    
Address: 
Telephone:
Email:
Affiliation: 
Key inclusion & exclusion criteria
Inclusion criteria: Patients (18 - 65 years old) with at least 6 weeks and a maximum of 12 weeks sciatica not reacting to conservative treatment. An indication for surgery is made by the clinical picture with magnetic resonance imaging (MRI) confirmation of a lumbar disc herniation.
Exclusion criteria: 1. Cauda equina syndrome
2. Severe paresis (MRC less than 3)
3. Identical complaints in the past twelve months
4. A history of spine surgery, bony stenosis, spondylolisthesis
5. Pregnancy
6. Severe comorbidity


Age minimum:
Age maximum:
Gender: Both
Health Condition(s) or Problem(s) studied
Severe sciatica caused by a lumbar disc herniation with root compression
Musculoskeletal Diseases
Sciatica
Intervention(s)
1. Surgery as soon as possible and within two weeks after randomisation
2. Prolonged conservative treatment by the General Practitioner. If natural history leads to aggravation of sciatica or does not result in some recovery 6 months after randomisation, 'late surgery' will be performed
Primary Outcome(s)
1. Roland Disability Questionnaire
2. Visual Analogue Scale (VAS) leg pain
3. Global perceived recovery during the first year after randomisation
Secondary Outcome(s)
1. 36-item Short Form health survey
2. VAS back pain
3. Sciatica frequency and bothersomeness index
4. PROLO scale
Secondary ID(s)
945-02-035
Source(s) of Monetary Support
Netherlands Organisation for Health Research and Development
Secondary Sponsor(s)
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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