21
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      CELEB trial: Comparative Effectiveness of Lung volume reduction surgery for Emphysema and Bronchoscopic lung volume reduction with valve placement: a protocol for a randomised controlled trial

      protocol

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Introduction

          Although lung volume reduction surgery and bronchoscopic lung volume reduction with endobronchial valves have both been shown to improve lung function, exercise capacity and quality of life in appropriately selected patients with emphysema, there are no direct comparison data between the two procedures to inform clinical decision-making.

          Methods and analysis

          We describe the protocol of the CELEB study, a randomised controlled trial which will compare outcomes at 1 year between the two procedures, using a composite disease severity measure, the iBODE score, which includes body mass index, airflow obstruction, dyspnoeaand exercise capacity (incremental shuttle walk test).

          Ethics and dissemination

          Ethical approval to conduct the study has been obtained from the Fulham Research Ethics Committee, London (16/LO/0286). The outcome of this trial will provide information to guide treatment choices in this population and will be presented at national and international meetings and published in peer-reviewed journals. We will also disseminate the main results to all participants in a letter.

          Trial registration number

          ISRCTN19684749; Pre-results.

          Related collections

          Most cited references31

          • Record: found
          • Abstract: not found
          • Article: not found

          Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper

            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Endobronchial Valves for Emphysema without Interlobar Collateral Ventilation.

            Bronchoscopic lung-volume reduction with the use of one-way endobronchial valves is a potential treatment for patients with severe emphysema. To date, the benefits have been modest but have been hypothesized to be much larger in patients without interlobar collateral ventilation than in those with collateral ventilation.
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Bronchoscopic lung volume reduction with endobronchial valves for patients with heterogeneous emphysema and intact interlobar fissures (the BeLieVeR-HIFi study): a randomised controlled trial.

              Lung volume reduction surgery improves survival in selected patients with emphysema, and has generated interest in bronchoscopic approaches that might achieve the same effect with less morbidity and mortality. Previous trials with endobronchial valves have yielded modest group benefits because when collateral ventilation is present it prevents lobar atelectasis.
                Bookmark

                Author and article information

                Journal
                BMJ Open
                BMJ Open
                bmjopen
                bmjopen
                BMJ Open
                BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                2044-6055
                2018
                17 October 2018
                : 8
                : 10
                : e021368
                Affiliations
                [1 ] departmentNIHR Respiratory Disease, Biomedical Research Unit , Royal Brompton and Harefield NHS Foundation Trust, Imperial College London , London, UK
                [2 ] departmentThorax Centre , Barts Health NHS Trust , London, UK
                [3 ] departmentSchool of Public Health , National University of Singapore , Singapore
                [4 ] departmentLeicester Respiratory Biomedical Research Unit , University Hospitals of Leicester NHS Foundation Trust , Leicester, UK
                Author notes
                [Correspondence to ] Dr Nicholas S Hopkinson; n.hopkinson@ 123456ic.ac.uk
                Article
                bmjopen-2017-021368
                10.1136/bmjopen-2017-021368
                6196851
                30337307
                faea3f3b-e404-4429-b584-b7e56a3fbba8
                © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY. Published by BMJ.

                This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.

                History
                : 02 February 2018
                : 31 July 2018
                : 07 August 2018
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100000761, Imperial College London;
                Funded by: NIHR research for patient benefit;
                Categories
                Respiratory Medicine
                Protocol
                1506
                1731
                Custom metadata
                unlocked

                Medicine
                copd,lung volume reduction,thoracic surgery,emphysema
                Medicine
                copd, lung volume reduction, thoracic surgery, emphysema

                Comments

                Comment on this article