NCT03072927ClinicalTrials.gov
MILD® Percutaneous Image-Guided Lumbar Decompression: A Medicare Claims Study
باختصار
This prospective longitudinal study will compare incidence rates of Medicare beneficiary surgical and minimally invasive intervention post index procedure, as well as harms associated with the MILD procedure, at 24 months post-treatment with MILD, tested against a control group of…
رصديةمطلوب 8,000 مشارك2,388 موقعاًدولة واحدة
الفئات
مسجَّلة في سجل واحد
- ClinicalTrials.govNCT03072927فتح هذا السجل في ClinicalTrials.govتمت المزامنة قبل أسبوعين
يمكن أن تُسجَّل دراسة واحدة في عدة سجلات. نعرضها مرة واحدة ونربط بكل سجل نحتفظ به.
تُعرض معلومات التجربة كما نشرها السجل، بلغتها الأصلية.
هل أنت مهتم بهذه الدراسة؟
تسجيل الدخول أو أنشئ حسابًا لتسجيل اهتمامك ومتابعة هذه الدراسة.
How this study is set up
The points below are drawn from the public registry record for this study. Each one cites the field or sentence it came from. A dash (—) means the record does not state something — not that it is missing or wrong. Many well-run studies, especially small ones, leave some of these blank.
- Present: Registered before enrolment beganFirst posted 2017-03-07; recorded start 2017-03-10
- Present: Has a defined primary outcomeA primary outcome measure is listed in the record
- Present: The primary outcome states a time frameThe primary outcome measure records a time frame
- Not stated: Whether participants are randomly assigned is not stated in the registry recordNo allocation method is recorded
- Present: Has a comparison groupThe record lists a placebo or comparator arm, or more than one study arm
- Not stated: Whether the study is blinded is not stated in the registry recordNo masking information is recorded
- Not stated: An ethics committee is not stated in the registry recordThis registry's ingested record has no ethics-committee field
- Not stated: Regulatory oversight (such as an IND or IDE) is not stated in the registry recordThis registry's ingested record has no regulatory-authorisation field
- Not stated: A data monitoring committee is not stated in the registry recordThis registry's ingested record has no data-monitoring-committee fieldA data monitoring committee is not required for many smaller studies, and its absence here is not unusual.
- Present: No cost to participants is mentioned in the recordChecked the summary, description and eligibility text; no cost-to-participant phrase found
- Present: Sponsor has 1 other study in this databaseCounted from the lead sponsor named in the record (Stryker Instruments)
- Not stated: No posted results from this sponsor are in this database yetBased on the sponsor’s studies in this database
- The record lists 1 condition.
- Lead sponsor type recorded as: industry.
Trial stature
Three independent measures of this study, described from its registry record — not a recommendation about it. A rigorous study by investigators nobody has heard of is better evidence than a weak study led by a famous one. How these are scored.
An exploratory-stage design for a study of this type, judged from its ClinicalTrials.gov record.
How this score is built
- Randomised allocation0/20
Allocation not stated in the record
- Blinding0/20
Masking not stated in the record
- Control arm0/15
No comparator arm stated in the record
- Primary-outcome specificity10/10
Named primary outcome with a defined time frame
- Endpoint type3/10
Surrogate or intermediate endpoint (conservative default)
- Multi-centre8/8
Multi-centre: 2343 sites
- Data monitoring committee0/7
No data monitoring committee stated
- Prospective registration5/5
Registered before the study start date
- Protocol / SAP posted0/5
No protocol or SAP posted to the registry
A very large study: 8,000 participants (target), run at 2,388 sites.
How this score is built
- Enrolment37/40
8,000 participants (target)
- Site count25/25
2,343 sites
- Country count0/15
Single country
- Planned duration10/10
Planned over about 118 months
- Sponsor scale1/10
Stryker Instruments has led 2 trials in our corpus
We have no verifiable track record for the investigator named on this trial. That is common for early-career investigators and for records held outside ClinicalTrials.gov — it is not a negative signal.
How this score is built
- Investigator standing0/100
No investigator recorded in the registry for this trial
These describe the registry record only, and today we hold ClinicalTrials.gov data. Absent fields lower a score, and absence often reflects registration practice rather than study quality. A high-stature trial is not necessarily safer or a better choice for you — enrolling in a large definitive trial can mean a higher chance of receiving placebo, while a small early-phase study may be the only route to a new therapy.
ملخص
This prospective longitudinal study will compare incidence rates of Medicare beneficiary surgical and minimally invasive intervention post index procedure, as well as harms associated with the MILD procedure, at 24 months post-treatment with MILD, tested against a control group of similar patients that have had a comparable procedure. This study will start with patients treated with a study procedure having an index date on or after January 1, 2017, and enrollment will continue until stopped by the sponsor.
الحالات
- Lumbar Spinal Stenosis
الأهلية
| الجنس | الجميع |
|---|---|
| الأعمار | 18 Years – لا حد أقصى |
| المتطوعون الأصحّاء | لا |
| طريقة أخذ العينات | PROBABILITY_SAMPLE |
مجتمع الدراسة
Study participants will include Medicare beneficiaries for whom claims have been submitted to the Medicare Claims database and who have been enrolled in Medicare fee-for-service or Medicare Advantage for one year prior to their index procedure and two years post index procedure.
الأهلية كما كُتبت في السجل
الأهلية في عبارات بسيطة
لم تُقسَّم معايير هذا السجل إلى عبارات منفصلة بعد. نص السجل أعلاه كامل وهو النسخة المُعتمَدة.
تصميم الدراسة
| نوع الدراسة | رصدية |
|---|---|
| المرحلة | غير مذكور في سجل السجل |
| التخصيص | غير مذكور في سجل السجل |
| نموذج التدخّل | غير مذكور في سجل السجل |
| الغرض الأساسي | غير مذكور في سجل السجل |
| التعمية | غير مذكور في سجل السجل |
| التجنيد | مطلوب 8,000 مشارك |
الجهة الراعية والمتعاونون
- Stryker Instruments الجهة الراعية
الأذرع والتدخلات
- MILD
All Medicare patients treated with MILD as reported via CPT® Code 0275T or successor codes (62330/62331).
- Interspinous Process Decompression
All Medicare patients treated with interspinous process decompression (CPT Code 22869 or 22870, or successor code(s)) for the treatment of LSS with NC.
التدخلات
- جهاز Interspinous Process Decompression
Interspinous Process Decompression
- جهاز MILD
MILD is performed under fluoroscopic image guidance through an ipsilateral interlaminar dorsal approach to the spine. Partial decompression is performed through the removal of tissue and bone at the symptomatic level confirmed with correlated MRI and clinical findings.
مقاييس النتائج
مقياس النتيجة الأولي
Rate of participants with harms associated with the index procedure
Rate of participants with harms associated with the index procedure including, but not limited to, revisions, displacement, mechanical complications, and death. Complications will be counted if they are recorded during the index hospitalization, or any rehospitalization within 30 days of discharge.
الإطار الزمني 24 months
مقياس النتيجة الأولي
Rate of surgical, minimally invasive intervention.
Measure the rate of Medicare beneficiary surgical and minimally invasive intervention for LSS with NC post index procedure.
الإطار الزمني 24 months
التواريخ
| تاريخ البدء | 10 مارس 2017 (فعلي) |
|---|---|
| الإتمام الأولي | 1 ديسمبر 2026 (تقديري) |
| الإتمام | 1 ديسمبر 2026 (تقديري) |
| أول نشر | 7 مارس 2017 (فعلي) |
| آخر تحديث | 4 سبتمبر 2026 |
| النتائج منشورة | غير مذكور في سجل السجل |
| آخر تأكيد للحالة | يناير 2026 |
فعلي يعني أن الحدث وقع. تقديري يعني أن الجهة الراعية تتوقعه. للكلمتين معنيان مختلفان.
المواقع
2,383 موقعاً قيد التجنيد
United States
| المنشأة | المدينة | الولاية أو المنطقة | الحالة |
|---|---|---|---|
| Abilene Spine and Joint Surgery Center | Abilene | Texas | قيد التجنيد |
| Hendrick Med Ctr South | Abilene | Texas | قيد التجنيد |
| Abilene Ctr For Ortho and Multi | Abilene | Texas | قيد التجنيد |
| Abington Memorial Hospital | Abington | Pennsylvania | قيد التجنيد |
| Center for Spine Interventions ASC, LLC (ASC3) | Acworth | Georgia | قيد التجنيد |
| Apex Surgery Center | Ada | Oklahoma | قيد التجنيد |
| Ambulatory Surgical Institute of Dallas | Addison | Texas | قيد التجنيد |
| Star Valley Med Ctr | Afton | Wyoming | قيد التجنيد |
| Vidant Roanoke Chowan Hospital- Pain Management | Ahoskie | North Carolina | قيد التجنيد |
| Aiken Regional Medical Center | Aiken | South Carolina | قيد التجنيد |
| Parkwest Surgical Ctr | Akron | Ohio | قيد التجنيد |
| Waverly Surgery Center | Albany | Oregon | قيد التجنيد |
| Everett Road Surgery Center | Albany | New York | قيد التجنيد |
| OrthoNY | Albany | New York | قيد التجنيد |
| VA Medical Center | Albuquerque | New Mexico | قيد التجنيد |
| University of New Mexico Hospital | Albuquerque | New Mexico | قيد التجنيد |
| Outpatient Surg and Imaging Svcs | Albuquerque | New Mexico | قيد التجنيد |
| Modern Pain & Spine PC | Albuquerque | New Mexico | قيد التجنيد |
| Center for Pain Management Ambulatory Surgery, LLC | Alexandria | Minnesota | قيد التجنيد |
| Pacific Ambulatory Surgery Center | Alhambra | California | قيد التجنيد |
| Western PA Surg Ctr Beaver County | Aliquippa | Pennsylvania | قيد التجنيد |
| Northaven Surg Ctr | Allen | Texas | قيد التجنيد |
| Lehigh Valley Hospital - Cedar Crest | Allentown | Pennsylvania | قيد التجنيد |
| Surgery Center of Allentown | Allentown | Pennsylvania | قيد التجنيد |
| Carepath Injury Ctr of Pennsylvania | Allentown | Pennsylvania | قيد التجنيد |
| Cedar Crest Surg Ctr | Allentown | Pennsylvania | قيد التجنيد |
| Aultman Alliance Community Hospital | Alliance | Ohio | قيد التجنيد |
| Bacon County Hospital | Alma | Georgia | قيد التجنيد |
| Pain Physicians of Atlanta | Alpharetta | Georgia | قيد التجنيد |
| Advanced Asc | Altamonte Springs | Florida | قيد التجنيد |
| Alton Memorial Hospital | Alton | Illinois | قيد التجنيد |
| OSF Saint Anthony Medical Center | Alton | Illinois | قيد التجنيد |
| Allegheny Surgery Center | Altoona | Pennsylvania | قيد التجنيد |
| Oakleaf Surgl Hosp | Altoona | Wisconsin | قيد التجنيد |
| Ctr For the Surgl Arts | Altoona | Pennsylvania | قيد التجنيد |
| Acute & Chronic Pain and Spine Center Ambulatory Surgery Center | Amarillo | Texas | قيد التجنيد |
| Surgery Center of Amarillo | Amarillo | Texas | قيد التجنيد |
| Ames Surgery Center | Ames | Iowa | قيد التجنيد |
| Amherst Surgery Center | Amherst | New York | قيد التجنيد |
| Island Health Hospital | Anacortes | Washington | قيد التجنيد |
| Unicare Surgery Center | Anaheim | California | قيد التجنيد |
| AA Spine & Pain Clinic | Anchorage | Alaska | قيد التجنيد |
| Memorial Hermann Surgery Center Brazoria | Angleton | Texas | قيد التجنيد |
| Ann Arbor Surgl Ctr | Ann Arbor | Michigan | قيد التجنيد |
| East Ann Arbor Amb Surg and Med | Ann Arbor | Michigan | قيد التجنيد |
| Univ of Michigan Univ Hosp | Ann Arbor | Michigan | قيد التجنيد |
| Medstar Surg Ctr At Annapolis | Annapolis | Maryland | قيد التجنيد |
| Riva Road Surgery Center | Annapolis | Maryland | قيد التجنيد |
| Clearway Pain Solutions | Annapolis | Maryland | قيد التجنيد |
| AdventHealth Orlando | Apopka | Florida | قيد التجنيد |
يُدرَج 2,338 موقعاً إضافياً في سجل السجل.
مستندات الدراسة
لا تُرتبط أي مستندات في سجل السجل هذا.
التغيّرات عبر الزمن
- 4 سبتمبر 2026
أُضيف موقع
18 sites added (2388 total)
23702388
- 1 سبتمبر 2026
أُضيف موقع
1 site added (2370 total)
23692370
- 18 أغسطس 2026
أُضيف موقع
1 site added (2369 total)
23682369
- 10 أغسطس 2026
أُضيف موقع
25 sites added (2368 total)
23432368