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STOOL - Stepped Treatment of Older adults On Laxatives
ISRCTN ISRCTN11557289
ClinicalTrials.gov identifier
Public title STOOL - Stepped Treatment of Older adults On Laxatives
Scientific title
Acronym STOOL
Serial number at source HTA 98/32/99
Study hypothesis 1. To investigate the clinical and cost effectiveness of bulk forming, stimulant and osmotic laxatives prescribed by primary care to ambulant older people living at home.
2. To investigate the clinical and cost effectiveness of prescribing an additional second type of laxative agent in the treatment of patients whose constipation is not resolved by a single agent.
3. To describe the adherence by patients to treatment protocols.
Ethics approval Not provided at time of registration.
Study design Pragmatic factorial randomised trial
Countries of recruitment United Kingdom
Disease/condition/study domain Constipation
Participants - inclusion criteria People aged 55 or over with chronic constipation living in private households.
Participants - exclusion criteria Not provided at time of registration.
Anticipated start date 01/10/2002
Anticipated end date 30/04/2006
Status of trial Stopped
Patient information material
Target number of participants 19
Interventions Different forms of stepped pharmacological treatment of constipation with economic evaluation. An add-on qualitative study of the meaning and experience of constipation to older people and the views of general practitioners.

Added as of 25/08/2009: the trial was closed after recruiting 19 participants due to problem with recruitment.
Primary outcome measure(s) The primary clinical outcome is the reported number of bowel movements per week at the end of each step (6 and 10 weeks after randomisation) and at six months follow-up.
Secondary outcome measure(s) Secondary clinical outcomes include the presence/absence of the other Rome criteria for constipation; adverse effects of treatment (although some of these may also be symptoms of constipation); and relapse rates. In addition to the measurement of these clinical outcomes, patient satisfaction and the impact of the treatment on costs and quality of life will be assessed
Sources of funding NIHR Health Technology Assessment Programme - HTA (UK)
Trial website
Publications 2008 results in http://www.ncbi.nlm.nih.gov/pubmed/18462572
Contact name Prof  John  Bond
  Address Centre for Health Services Research
University of Newcastle upon Tyne
21 Claremont Place
  City/town Newcastle upon Tyne
  Zip/Postcode NE2 4AA
  Country United Kingdom
  Tel +44 (0)191 222 6777
  Fax +44 (0)191 222 6043
  Email john.bond@newcastle.ac.uk
Sponsor Department of Health (UK)
  Address Quarry House
Quarry Hill
  City/town Leeds
  Zip/Postcode LS2 7UE
  Country United Kingdom
  Email Sheila.Greener@doh.gsi.gov.uk
  Sponsor website: http://www.dh.gov.uk/en/index.htm
Date applied 25/04/2003
Last edited 25/08/2009
Date ISRCTN assigned 25/04/2003
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