Objective of this study is to assess the efficiency of NOVATEX MEDICAL compression garments in patients with an Ehlers-Danlos syndrome (EDS). To answer this objectif a comparison before/after use of compression garments will be performed for all patients.
Inclusion period: 1 year Follow-up period: 26 months Study period : 38 months Patient visits will be organized as follow: * V0: first visit at inclusion, clinical evaluation * V1: 4 months after inclusion, clinical evaluation without compression garments and presure garments prescription * V2: 8 months after inclusion, clinical evaluation with compression garments * V3: 14 months after inclusion, clinical evaluation with compression garments * V4: 20 months after inclusion, clinical evaluation with compression garments * V5: 26 months after inclusion, clinical evaluation with compression garments Only the first two visits are specific to the study to be able to compare before and after the use of compression garments. Next visits are the usual visits (every 6 months) for the use of compression garments in patients with an EDS.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
106
Patients will wear the compression garments since 4 months after inclusion in order to have a comparison before and after use. Usual practice would give to the patient the compression garments at inclusion.
Centre Médical ISM
Boulogne-Billancourt, France
CHU de CAEN
Caen, France
Hopital Saint Joseph
Marseille, France
Chu de Marseille - Hôpital de La Conception
Marseille, France
Improvement of Functional Independence Measure (FIM) scale from 4 months at 8 months
Functional Independence Measure (FIM) is an 18- Item of physical, psychological and social function. The FIM uses the level of assistance an individual needs to grade the functional status of a person. For each item, disability level is coded from 1 (Total Assistance or not Testable) to 7 (Complete Independence) A total score is calculated using an addition of all items. Thus, score ranges are \[18;126\]. More the score is high, better is the independence. The proportion of patients who present an improvement of 10% of the FIM score between 4 months and 8 months will be calculated.
Time frame: month 4, month 8
Patient characteristics
Describe the characteristics of included patients: age, gender, height, weight, profession, Ehlers-Danlos Syndrom type
Time frame: Inclusion
Relative improvement of Functional Independence Measure (FIM) scale at 8 months
Functional Independence Measure (FIM) is an 18- Item of physical, psychological and social function. The FIM uses the level of assistance an individual needs to grade the functional status of a person. For each item, disability level is coded from 1 (Total Assistance or not Testable) to 7 (Complete Independence) A total score is calculated using an addition of all items. Thus, score ranges are \[18;126\]. More the score is high, better is the independence. The FIM score at 8 months will be compared to the FIM score at 4 months.
Time frame: month 4, month 8
Evolution of Functional Independence Measure (FIM) scale at long-term from inclusion at 14 months, 20 months and 26 months
Functional Independence Measure (FIM) is an 18- Item of physical, psychological and social function. The FIM uses the level of assistance an individual needs to grade the functional status of a person. For each item, disability level is coded from 1 (Total Assistance or not Testable) to 7 (Complete Independence) A total score is calculated using an addition of all items. Thus, score ranges are \[18;126\]. More the score is high, better is the independence. The FIM score will be described at each visit and if relevant, compared to FIM score at inclusion
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Hôpital de L'Hotel Dieu - Aphp
Paris, France
Hopital Lariboisiere
Paris, France
Hopital de La Croix Saint Simon
Paris, France
CHU de REIMS
Reims, France
CHU de SAINT QUENTIN
Saint-Quentin, France
CHRU de NANCY
Vandœuvre-lès-Nancy, France
Time frame: Inclusion, month 14, month 20, month 26
Evolution of Pain (before and after compression garments using)
Pain evolution using the VAS scale (from 0=no pain to 100=worst imaginable pain) The pain VAS is a continuous scale comprised of a horizontal line, 10 centimeters (100 mm) in length, anchored by 2 verbal descriptors, one for each symptom extreme. For each visit, proportion of patients who present a decrease of at least 30% of pain score from inclusion, or a pain score \<= 2, will be calculated.
Time frame: Inclusion, month 4, month 8, month 14, month 20, month 26
Evolution of Tiredness from inclusion at each visit (4 months, 8 months, 14 months, 20 months, 26 months)
Tiredness evolution using Pichot scale Eight items are coded from 0 to 4 (0 = not at all, 1 = a little 2 = moderately 3 = much 4 = extremely). Lower is the score, better is the patient tiredness For each visit, proportion of patients who present a decrease of at least 30% of Pichot score from inclusion, or a pichot score \< 20, will be calculated.
Time frame: Inclusion, month 4, month 8, month 14, month 20, month 26
Evolution of Anxiety and depression from inclusion at each visit (4 months, 8 months, 14 months, 20 months, 26 months)
Evolution using the HAD scale (Hospital Anxiety and Depression scale) 14 items are included in this scale divided in two sub-scores (7 for assessment of the depression and 7 for the assessment of anxiety). A total score is also calculated. Lower is the score, better is the patient status For each visit, proportion of patients who present a decrease of at least 30% of HAD score from inclusion, or a HAD score \< 14, will be calculated.
Time frame: Inclusion, month 4, month 8, month 14, month 20, month 26
Evolution of Quality of Life from inclusion at each visit (4 months, 8 months, 14 months, 20 months, 26 months)
Evolution of the Quality of Life using the EQ-5D-3L scale This scale is composed of 5 items with 3 levels from 1 to 3. Based on these levels, an index can be calculated from 0 to 1. Higher is the score, better is the patient status For each visit, proportion of patients who present an improvement of at least 0.10 of index from inclusion will be calculated.
Time frame: Inclusion, month 4, month 8, month 14, month 20, month 26
Evolution of the Use of concomitant medication from inclusion at each visit (4 months, 8 months, 14 months, 20 months, 26 months)
Assess the decreasing of use of concomitant medication The proportion of patient who present a decreasing of concomitant medication will be calculated at each visit.
Time frame: Inclusion, month 4, month 8, month 14, month 20, month 26
Evolution of Compliance
Compliance of compression garments wearing using a patient notebook Proportion of patients who are compliant with the compression garments wearing will be calculated at each visit. To be compliant is defined by a continuous or daily use
Time frame: Month 8, month 14, month 20, month 26
Compression garments safety
All adverse events related to the compression garments wearing from inclusion to 26 months will be presented and described
Time frame: month 26
Evolution of Patient satisfaction
Patient satisfaction regarding compression garments will be calculated at each visit using the following scale : * very satisfied * satisfied * not satisfied * very not satisfied
Time frame: month 8, month 14, month 20, month 26