Surgical Thoracic Outlet Decompression for Neurogenic Thoracic Outlet Syndrome
Netherlands50 participantsStarted 2018-10-01
Plain-language summary
This study will determine the value of TOD (first rib resection with partial scalenectomy and neurolysis) on functionality and quality of life for patients with neurogenic thoracic outlet syndrome. This will be done by randomizing patients into surgery or conservative therapy (physiotherapy and pain relief).
Who can participate
Age range18 Years
SexALL
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Inclusion Criteria:
* High suspicion of NTOS with high level of impairment.
* The decision to refer a patient with NTOS for surgery is placed at the sole authority of the TOS multidisciplinary workgroup. Members of this workgroup are 2 dedicated vascular surgeons, 2 neurologists, 1 orthopedic surgeon, 3 physiotherapists, 2 radiologists, 3 anesthesiologists.
* This decision is based on the reporting standards published by Illig et al. in 2016. If a patient fits the criteria postulated in the reporting standards and if there is consensus within the multidisciplinary team, only then patients are referred for TOD.
* Fit for surgery, at the discretion of the treating vascular surgeon and anesthesiologist.
* Signed informed consent form.
* 18 years of age or older
* Dutch or English speaking patients
Exclusion Criteria:
* Unfit for surgery, at the discretion of the treating vascular surgeon and anesthesiologist.
* Younger than 18 years of age
* Patients that do not speak Dutch or English.
* Patients with a history of TOD
* Patients that did not receive previous conservative physiotherapy for this condition
What they're measuring
1
Change in Disability of the Arm, Shoulder and Hand (DASH) score
Timeframe: Change in this outcome will be measured at 0, 3, 6, 12, 24, 36 and 60 months after inclusion