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What are the first measurable signs of the early phase of chronic pancreatitis?

Observational longitudinal multicentre investigation of acute pancreatitis. (GOULASH PLUS): Follow-up of the GOULASH study

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ISRCTN
Registry ID
ISRCTN63396106
Enrollment
577
Registered
2019-02-05
Start date
2019-01-31
Completion date
Unknown
Last updated
2024-01-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acute pancreatitis Digestive System

Interventions

Current intervention as of 08/04/2019: This trial is designed as an observational study, no intervention is performed. Anamnestic data will be collected by the following questionnaires at 1, 2, 3, 4,

Sponsors

University of Pécs, Medical School
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Aged over 18 years 2. Diagnosed with AP on the basis of the '2 out of 3' rule of the IAP/APA guideline: (a) upper abdominal pain; (b) serum amylase or lipase >3x upper limit of normal range; (c) characteristic findings on pancreatic imaging; however those patients without abdominal pain will be excluded because the onset of acute pancreatitis cannot be assessed 3. Participated in GOULASH study and signed the informed consent form

Exclusion criteria

Exclusion criteria: Does not meet the inclusion criteria

Design outcomes

Primary

MeasureTime frame
Current primary outcome measures as of 08/04/2019: 1. Incidence of CP assessed once yearly for 6 years using abdominal ultrasound in years 1, 3 and 5 and endoscopic ultrasound in years 2, 4 and 6 2. Incidence of recurrent AP based on the IAP/APA guideline’s 2 out of 3 rule. Patients will be followed up at least once a year for 6 years and will be asked to bring all medical records for review and discussion. 3. Incidence of exocrine pancreatic insufficiency assessed using the presence of steatorrhoea and the fecal elastase test assesed once yearly for 6 years 4. Incidence of endocrine pancreatic insufficiency (based on oral glucose tolerance test [OGTT] and fasting plasma glucose [FPG] test) once yearly for 6 years if the patient has not already been diagnosed with diabetes mellitus and the fasting plasma glucose level is =7 mmol/l Previous primary outcome measures: 1. Incidence of CP assessed once yearly for 5 years using abdominal ultrasound in years 1, 3 and 4 and endoscopic ultrasound in years 2 and 5 2. Incidence of recurrent AP based on the IAP/APA guideline’s 2 out of 3 rule. Patients will be followed up at least once a year for 5 years and will be asked to bring all medical records for review and discussion. 3. Incidence of exocrine pancreatic insufficiency assessed using the presence of steatorrhoea and the fecal elastase test assesed once yearly for 5 years 4. Incidence of endocrine pancreatic insufficiency (based on oral glucose tolerance test [OGTT] and fasting plasma glucose [FPG] test) once yearly for 5 years if the patient has not already been diagnosed with diabetes mellitus and the fasting plasma glucose level is =7 mmol/l

Secondary

MeasureTime frame
Current secondary outcome measures as of 08/04/2019: 1. Need for radiological/surgical interventions assessed by reviewing patient medical records in every follow-up visit during the 6-year follow-up period. 2. Dietary intake assessed using Diet History Questionnaire (Version 2.0. National Institutes of Health) on follow-up visits once a year for 6 years 3. Quality of life assessed using RAND 36-Item Health Survey Version 1.0 SF-36 once a year for 6 years 4. Stress assessed using the 10-item Perceived Stress Scale once a year for 6 years 5. Physical activity assessed using International Physical Activity Questionnaire (IPAQ; long, usual week version) once a year for 6 years 6. Pain assessed by RAND 36-Item Health Survey Version 1.0 SF-36 once a year for 6 years 7. Development of pancreas tumor and cystic lesions assessed by reviewing patient medical records once a year for 6 years 8. Laboratory parameters to assess organ function – inflammatory cytokines, pancreatic peptides etc once a year for 6 years Previous secondary outcome measures: 1. Need for radiological/surgical interventions assessed by reviewing patient medical records in every follow-up visit during the 5-year follow-up period. 2. Dietary intake assessed using Diet History Questionnaire (Version 2.0. National Institutes of Health) on follow-up visits once a year for 5 years 3. Quality of life assessed using RAND 36-Item Health Survey Version 1.0 SF-36 once a year for 5 years 4. Stress assessed using the 10-item Perceived Stress Scale once a year for 5 years 5. Physical activity assessed using International Physical Activity Questionnaire (IPAQ; long, usual week version) once a year for 5 years 6. Pain assessed by RAND 36-Item Health Survey Version 1.0 SF-36 once a year for 5 years 7. Development of pancreas tumor and cystic lesions assessed by reviewing patient medical records once a year for 5 years 8. Laboratory parameters to assess organ function – inflammatory cytokines, pancreatic peptides etc

Countries

Hungary

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 20, 2026