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Trial registered on ANZCTR
Registration number
ACTRN12625001010482
Ethics application status
Approved
Date submitted
11/08/2025
Date registered
11/09/2025
Date last updated
11/09/2025
Date data sharing statement initially provided
11/09/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
What Patients Want to Know about Anaesthetic Risk Information before Robotic Surgery
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Scientific title
The Effect of Detailed versus Standard Anaesthetic Risk Information Sheets on Perioperative Anxiety for Patients Undergoing Robotic Gynaecological Surgery: A Multi-Centre Randomised Controlled Trial
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Secondary ID [1]
315071
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Perioperative anxiety
338456
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Perioperative satisfaction
338457
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Condition category
Condition code
Anaesthesiology
334754
334754
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0
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Anaesthetics
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Mental Health
334986
334986
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0
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Anxiety
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This study will compare two types of anaesthetic risk information provided to patients undergoing robotic surgery. At the time of the pre-anaesthetic clinic appointment prior to surgery, the control group will receive a standard hospital anaesthetic risk information sheet, while the intervention group will receive both the standard information sheet and a more detailed anaesthetic risk information sheet. The detailed information sheet which will be provided to the intervention group contains extra information in regard to specific complications relevant to robotic procedures and how they may occur in relation to the special positioning required, the limited access during the operation, and sometimes the increased length of the operation. It would be expected that these information sheets could be read within approximately 30 minutes, however there is no specific time constraint given to participants. Adherence to the intervention will not be specifically monitored, an approach which aligns with the shared decision-making model outlined in the protocol and assumes participants' good-faith compliance as part of their initial informed consent to follow study procedures.
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Intervention code [1]
331683
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Treatment: Other
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Comparator / control treatment
Patients in the control group will receive the standard hospital anaesthetic risk information sheet, which is the current standard of care for patients undergoing robotic surgery. This information sheet provides the basic, essential details about anaesthetic risks but does not include the additional information provided in the intervention group.
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Control group
Active
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Outcomes
Primary outcome [1]
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Perioperative anxiety
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Assessment method [1]
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Amsterdam Preoperative Anxiety and Information Scale (APAIS) A score greater than 13 indicates significant perioperative anxiety. Pre-intervention scores will be compared to post-intervention scores to allow for a comparative measure of perioperative anxiety.
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Timepoint [1]
342415
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Pre-anaesthetic information (baseline survey) Post-anaesthetic risk information (follow-up survey 1-2 weeks after baseline survey, performed immediately after receipt of standard or detailed anaesthetic risk information)
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Primary outcome [2]
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Perioperative Anxiety
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Assessment method [2]
342773
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Visual Analogue Scale (VAS) for anxiety. This scale ranges from 0 (no anxiety) to 100 (maximum anxiety) to assess the level of anxiety related to anaesthesia. Pre-intervention scores will be compared to post-intervention scores to allow for a comparative measure of perioperative anxiety.
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Timepoint [2]
342773
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Pre-anaesthetic information (baseline survey) Post-anaesthetic risk information (follow-up survey 1-2 weeks after baseline survey, performed immediately after receipt of standard or detailed anaesthetic risk information)
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Secondary outcome [1]
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Patient satisfaction with anaesthetic risk information
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Assessment method [1]
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Visual Analogue Scale (VAS) for satisfaction and Likert-type questions (rated 1-5) to assess overall satisfaction with the anaesthetic risk information provided. A free-text section will collect reasons for their level of satisfaction or dissatisfaction.
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Timepoint [1]
450724
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Post-anaesthetic risk information (follow-up survey 1-2 weeks after baseline survey, performed immediately after receipt of standard or detailed anaesthetic risk information)
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Secondary outcome [2]
450725
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Preparedness for decision-making
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Assessment method [2]
450725
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Preparedness for Decision-Making Scale (PrepDM), a measure of how well patients feel prepared to make decisions regarding their healthcare.
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Timepoint [2]
450725
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Pre-anaesthetic information (baseline survey) Post-anaesthetic risk information (follow-up survey 1-2 weeks after baseline survey, performed immediately after receipt of standard or detailed anaesthetic risk information)
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Secondary outcome [3]
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Desire for further information
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Assessment method [3]
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Likert-type questions to assess if patients desire more information regarding anaesthetic risks. Followed by a free-text section exploring specific areas where they feel more information would be beneficial.
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Timepoint [3]
450726
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Post-anaesthetic risk information (follow-up survey 1-2 weeks after baseline survey, performed immediately after receipt of standard or detailed anaesthetic risk information)
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Secondary outcome [4]
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Suggestions for improvement of the anaesthetic risk information sheet
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Assessment method [4]
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Free-text responses to capture patient suggestions on how the anaesthetic risk information can be improved. This will help inform future versions of the consent forms and risk information sheets.
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Timepoint [4]
450727
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Post-anaesthetic risk information (follow-up survey 1-2 weeks after baseline survey, performed immediately after receipt of standard or detailed anaesthetic risk information)
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Eligibility
Key inclusion criteria
Patients aged 18 years or over planning to undergo robot-assisted gynaecological procedures at the participating hospitals under the single nominated surgeon.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients self-assessed as unable to understand written English, aged less than 18, lacking individual capacity to consent for their surgical procedure, and/or having received prior robot-assisted surgical procedure(s) of any type.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants will be randomly assigned using sealed, opaque, numbered envelopes to ensure allocation concealment. The practice manager will carry out the allocation process.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomisation will be done using sequential ordering of sealed, opaque, numbered envelopes that ensure an unbiased allocation to either the standard or detailed risk information group. This process will be managed by the anaesthetic practice manager, who is blinded to the study.
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
Data will be analysed using t-tests to compare anxiety levels, preparedness for decision-making, and patient satisfaction between the two groups (standard versus detailed risk information).
Qualitative analysis will be performed on the free-text responses regarding improvement suggestions using thematic analysis based on a six-stage process described by Braun and Clarke.
Intention-to-treat analysis will be conducted, where all participants will be analysed based on their initial randomisation, regardless of whether they completed the study.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
29/09/2025
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Actual
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Date of last participant enrolment
Anticipated
29/09/2026
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Actual
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Date of last data collection
Anticipated
13/10/2026
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Actual
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Sample size
Target
50
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
28299
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St Vincent's Hospital - Toowoomba
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Recruitment hospital [2]
28300
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St Andrew's Toowoomba Hospital - Toowoomba
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Recruitment postcode(s) [1]
44511
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4350 - Rockville
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Recruitment postcode(s) [2]
44512
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4350 - Toowoomba East
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Funding & Sponsors
Funding source category [1]
319639
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Self funded/Unfunded
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Name [1]
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Dr Benjamin Cheung - St Vincent's Hospital Toowoomba
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Address [1]
319639
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Country [1]
319639
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Australia
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Primary sponsor type
Individual
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Name
Dr Benjamin Cheung - St Vincent's Hospital Toowoomba
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Address
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Country
Australia
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Secondary sponsor category [1]
322143
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Individual
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Name [1]
322143
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Dr Charles Halliday - Queensland Health
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Address [1]
322143
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Country [1]
322143
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
318205
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St Vincent's Hospital Melbourne Human Research Ethics Committee
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Ethics committee address [1]
318205
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https://www.svhm.org.au/research/researchers/human-research-ethics-committee
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Ethics committee country [1]
318205
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Australia
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Date submitted for ethics approval [1]
318205
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26/05/2025
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Approval date [1]
318205
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17/06/2025
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Ethics approval number [1]
318205
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ERM ID: 119056, SAGE ID: 2025/PID00149
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Summary
Brief summary
This study aims to assess the impact of detailed anaesthetic risk information on patient anxiety, satisfaction, and decision-making preparedness in individuals undergoing robotic gynaecological surgery. The participants will be randomised into two groups, receiving either the standard anaesthetic risk information or both the standard and detailed information sheets. Anxiety will be measured pre- and post-intervention using validated scales (APAIS and VAS). This study is designed as a mixed-methods randomised controlled trial, with both quantitative and qualitative data collection. We hypothesise that providing patients with more detailed information about anaesthetic risks before robotic surgery will not increase their anxiety, and may improve their preparedness for decision-making and satisfaction with the consent process. The findings will contribute to improving informed consent practices and enhancing the patient experience during robotic surgery.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Benjamin Cheung
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Address
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St Vincent's Private Hospital, 22-36 Scott St, Toowoomba QLD 4350
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Country
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Australia
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Phone
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+61 07 4638 5711
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
143431
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Patient Liaison Officer at St Vincent’s Hospital Melbourne
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Address
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St Vincent’s Hospital Melbourne, 41 Victoria Parade, Fitzroy VIC 3065
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Country
143431
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Australia
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Phone
143431
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+61 03 9231 1954
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Fax
143431
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Email
143431
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[email protected]
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Contact person for scientific queries
Name
143432
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Benjamin Cheung
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Address
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St Vincent's Private Hospital, 22-36 Scott St, Toowoomba QLD 4350
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Country
143432
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Australia
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Phone
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+61 07 4690 4000
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Fax
143432
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Email
143432
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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