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Table 1 Schedule of assessments (SPIRIT figure)

From: Determining the effectiveness of fibrin sealants in reducing complications in patients undergoing lateral neck dissection (DEFeND): study protocol for a randomised external pilot trial

Procedures

Head and Neck Clinic/MDT

Screening

Pre-operative assessment

Baseline*

Day of surgery (day 0)

Follow-up schedule

Premature discontinuation

Daily in-patient assessment

Follow-up 1 (days 7–14)

Follow-up unscheduled

Follow-up 2 (days 28–42)

Identify potential participant

X

X

        

Approach potential participant to discuss study

X

X

        

Medical history

 

X

        

Physical examination

 

X

        

Assessment of eligibility criteria

 

X

        

Review of concomitant anticoagulant medications

 

X

X

X

X

X

X

X

X

X

Review of previous treatment to the ipsilateral neck

 

X

        

Demographic assessment

 

X

        

Signed consent form

   

X

      

Randomisation

   

X

      

Assessment of patient-reported outcome measures

 Neck pain (VAS)

   

X

 

X

X

X

X

X

 Neck Dissection Impairment Index (NDII)

   

X

    

X

X

 Wound Healing Questionnaire (WHQ)

        

X

X

Surgical protocol

 Neck dissection surgery

    

X

     

 Allocation revealed at point of wound closure

    

X

     

 Prepare and administer ARTISS (interventional arm only)

    

X

     

Assessment of clinical outcome measures

 Assessment of AEs (Clavien-Dindo)

    

X

X

X

X

X

X

 Wound drainage volume (ml)

     

X

    

 Wound drain removal

     

X

    

 Hospital discharge

     

X

    

Assessment of pilot study outcomes

 Assessment of blinding strategy

        

X

X

 Assessment of minimal clinically important Difference

        

X

X

Laboratory tests

 Full blood count**

   

X

      

 INR & APTT

   

X

      

 Pregnancy test (women of childbearing age)

   

X

      

 Histological lymph node yield

        

X

 
  1. VAS visual analogue scale, INR international normalized ratio, APTT activated partial thromboplastin time
  2. *At baseline, all procedures should be done before study intervention
  3. **Full Blood Count must include haemoglobin concentration, platelet count and white cell count