[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"pelvic-fracture\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:pelvic-fracture":23},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,6,0,[8,41,69,112,135,157],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":13,"acronym":14,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":4,"maxAge":4,"enrollmentInfo":17,"targetDuration":4,"studyType":20,"phases":4,"briefSummary":21,"conditions":22,"keywords":4,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":29,"lastUpdatePostDateStruct":30,"startDateStruct":33,"completionDateStruct":35,"leadSponsor":37,"locationsCount":40},"100649819","a-cohort-study-on-factors-leading-to-vulnerability-in-adult-patients-with-serious-medical-conditions-the-cosmos-i-trial-100649819",false,"NCT07740239","A COhort Study on Factors Leading to Vulnerability in Adult Patients With Serious Medical cOnditionS: the COSMOS-I Trial","COSMOS-I","Inclusion Criteria:\n\n* Suspected or diagnosed disease\n* ≥60 years old patients, except for patients receiving high-dose chemotherapy and stem cell transplantion who need to be ≥18 years old\n* Cross-sectional imaging maximum 45 days prior to consenting or before the next treatment line\n* Patients with cancer (other than patients with prostate cancer treated with hormonal treatment before radiation treatment): study procedures (excluding image analyses) must have been carried out maximum 1 month prior to the start of a new treatment line\n* Patients with prostate cancers receiving hormonal treatment before radiation treatment): study procedures (excluding image analyses) must be carried out maximum 3 months after the start of hormonal treatment\n* Patients with other conditions: study procedures (excluding image analyses) must have been carried out maximum 4 days after the start of the hospitalization\n\nExclusion Criteria:\n\n* Not willing or unable to give written consent\n* Patient not deemed suitable for the study by the researcher approaching the patient","MALE",{"count":18,"type":19},2050,"ESTIMATED","OBSERVATIONAL","The objective of this prospective multicentre study that recruits altogether 1500 older patients from the university hospitals of Tampere, Kuopio, and Oulu is to explore the clinical significance and detection of causes of generalized vulnerability. The objectives are:\n\nO1 - Establish the prevalence of causes of generalized vulnerability among patients diagnosed with severe yet non-malignant diseases and local\u002Flocally advanced and advanced cancers, O2 - Study how causes of generalized vulnerability affect the time between the diagnosis and the adoption of a fully palliative treatment line, overall survival, and patient-reported quality of life in older adults severe diseases, and O3 - Evaluate how screening tools commonly used in patients without cancer perform in screening for causes of vulnerability in older adults with cancer",[23,24,25,26,27],"Pelvic Fracture","Prostate Cancer","Lung Cancer","Brain Metastasis","Chronic Subdural Hematoma","RECRUITING","2026-07-28",{"date":31,"type":32},"2026-07-31","ACTUAL",{"date":34,"type":32},"2024-11-13",{"date":36,"type":19},"2030-12-30",{"name":38,"class":39},"Tampere University Hospital","OTHER",1,{"id":42,"slug":43,"hasResults":11,"nctId":44,"briefTitle":45,"officialTitle":46,"acronym":4,"eligibilityCriteria":47,"healthyVolunteers":11,"sex":48,"minAge":49,"maxAge":4,"enrollmentInfo":50,"targetDuration":4,"studyType":52,"phases":53,"briefSummary":55,"conditions":56,"keywords":57,"overallStatus":59,"whyStopped":4,"lastUpdateSubmitDate":60,"lastUpdatePostDateStruct":61,"startDateStruct":63,"completionDateStruct":65,"leadSponsor":67,"locationsCount":4},"100638781","robot-assisted-treatment-versus-conventional-surgery-for-tile-b-and-c-pelvic-fractures-100638781","NCT07624942","Robot Assisted Treatment Versus Conventional Surgery for Tile B and C Pelvic Fractures","Comparing the Efficacy and Safety of Robot Assisted Treatment Versus Conventional Surgery in Patients With Tile B and C Pelvic Fractures","Inclusion Criteria:\n\n* Age ≥ 18 years\n* Diagnosis of Tile B or Tile C pelvic fracture\n* Injury duration less than 3 weeks\n* Ability to provide written informed consent\n\nExclusion Criteria:\n\n* Severe open injury or skin infection at the surgical site\n* Hemodynamic instability preventing anesthesia or surgery\n* Severe psychiatric disorders or dementia\n* Severe obesity affecting imaging quality\n* Severe systemic diseases preventing surgery\n* Pathological fracture\n* Current chemotherapy, radiotherapy, systemic corticosteroid therapy, or growth factor therapy","ALL","18 Years",{"count":51,"type":19},88,"INTERVENTIONAL",[54],"NA","This prospective randomized controlled trial aims to compare the efficacy and safety of robot assisted treatment versus conventional surgery in patients with Tile B and C pelvic fractures. Eligible patients will be stratified according to Tile fracture classification and randomly assigned in a 1:1 ratio to receive either robot assisted minimally invasive fixation or conventional surgical treatment. Primary and secondary outcomes include pain relief, early mobilization, functional recovery, imaging outcomes, perioperative complications, venous thromboembolism events, laboratory parameters, opioid consumption, and healthcare resource utilization. The study aims to provide evidence for optimizing surgical treatment strategies for unstable pelvic fractures.",[23],[23,58],"Robot Assisted Surgery","NOT_YET_RECRUITING","2026-05-30",{"date":62,"type":32},"2026-06-03",{"date":64,"type":19},"2026-06-01",{"date":66,"type":19},"2028-12-30",{"name":68,"class":39},"Junbo Liang",{"id":70,"slug":71,"hasResults":11,"nctId":72,"briefTitle":73,"officialTitle":73,"acronym":74,"eligibilityCriteria":75,"healthyVolunteers":11,"sex":48,"minAge":4,"maxAge":4,"enrollmentInfo":76,"targetDuration":4,"studyType":20,"phases":4,"briefSummary":78,"conditions":79,"keywords":93,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":103,"lastUpdatePostDateStruct":104,"startDateStruct":106,"completionDateStruct":108,"leadSponsor":110,"locationsCount":40},"100434493","developing-a-decision-instrument-to-guide-abdominal-pelvic-ct-imaging-of-blunt-trauma-patients-100434493","NCT04937868","Developing a Decision Instrument to Guide Abdominal-pelvic CT Imaging of Blunt Trauma Patients","NEXUS AP CT","Inclusion Criteria:\n\nBlunt trauma patients who undergo abdominal-pelvic CT imaging during their initial trauma evaluation in the emergency department.\n\nExclusion Criteria:\n\nNone",{"count":77,"type":19},12000,"Unrecognized abdominal and pelvic injuries can result in catastrophic disability and death. Sporadic reports of \"occult\" injuries have generated concern, and physicians, fearing that they may miss such an injury, have adopted the practice of obtaining computed tomography on virtually all patients with significant blunt trauma. This practice exposes large numbers patients to dangerous radiation at considerable expense, while detecting injuries in a small minority of cases.\n\nExisting data suggest that a limited number of criteria can reliably identify blunt injury victims who have \"no risk\" of abdominal or pelvic injuries, and hence no need for computed tomography (CT), without misidentifying any injured patient. It is estimated that nationwide implementation of such criteria could result in an annual reduction in radiographic charges of $75 million, and a significant decrease in radiation exposure and radiation induced malignancies.\n\nThis study seeks to determine whether \"low risk\" criteria can reliably identify patients who have sustained significant abdominal or pelvic injuries and safely decrease CT imaging of blunt trauma patients. This goal will be accomplished in the following manner:\n\nAll blunt trauma victims undergoing computed tomography of the abdomen\u002Fpelvis in the emergency department will undergo routine clinical evaluations prior to radiographic imaging. Based on these examinations, the presence or absence of specific clinical findings (i.e. abdominal\u002Fpelvic\u002Fflank pain, abdominal\u002Fpelvic\u002Fflank tenderness, bruising abrasions, distention, hip pain, hematuria, hypotension, tachycardia, low or falling hematocrit, intoxication, altered sensorium, distracting injury, positive FAST imaging, dangerous mechanism, abnormal x-ray imaging) will be recorded for each patient, as will the presence or absence of abdominal or pelvic injuries. The clinical findings will serve as potential imaging criteria. At the completion of the derivation portion of the study the criteria will be examined to find a subset that predicts injury with high sensitivity, while simultaneously excluding injury, and hence the need for imaging, in the remaining patients. These criteria will then be confirmed in a separate validation phase of the study.\n\nThe criteria will be considered to be reliable if the lower statistical confidence limit for the measured sensitivity exceeds 98.0%. Potential reductions in CT imaging will be estimated by determining the proportion of \"low-risk\" patients that do not have significant abdominal or pelvic injuries.",[80,23,81,82,83,84,85,86,87,88,89,90,91,92],"Abdominal Injury","Genital Hemorrhage","Lumbar Spine Injury","Hip Injuries","Liver Injury","Spleen Injury","Renal Injury","Diaphragm Injury","Aortic Rupture","Aortic Dissection","Bowel Disease","Vascular System Injuries","Sacral Fracture",[94,95,96,97,98,99,100,101,102],"Blunt trauma","Abdominal injury","Pelvic injury","Spine injury","Genital injury","Vascular injury","Hip injury","Computed tomography","Decision instrument","2026-01-09",{"date":105,"type":32},"2026-01-13",{"date":107,"type":32},"2018-01-15",{"date":109,"type":19},"2027-06-15",{"name":111,"class":39},"University of California, Los Angeles",{"id":113,"slug":114,"hasResults":11,"nctId":115,"briefTitle":116,"officialTitle":117,"acronym":118,"eligibilityCriteria":119,"healthyVolunteers":11,"sex":48,"minAge":49,"maxAge":4,"enrollmentInfo":120,"targetDuration":4,"studyType":20,"phases":4,"briefSummary":122,"conditions":123,"keywords":4,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":126,"lastUpdatePostDateStruct":127,"startDateStruct":129,"completionDateStruct":131,"leadSponsor":133,"locationsCount":40},"100409716","pelvic-and-acetabular-fracture-a-prospective-observational-study-100409716","NCT04615104","Pelvic and Acetabular Fracture: A Prospective Observational Study","Functional, Clinical, and Performance Outcomes Following Pelvic and Acetabular Fracture: A Prospective Observational Study","PACE","Inclusion Criteria:\n\n* Fracture of the pelvic ring\n* Fracture of the acetabulum\n\nExclusion Criteria:\n\n* Patients unwilling to provide consent to participate.",{"count":121,"type":19},200,"The purpose of this study is to understand the trajectory of function and self-reported outcomes of patients following pelvic and acetabular, treated both operatively and nonoperatively.",[23,124,125],"Acetabular Fracture","Pubic Rami Fracture","2025-11-20",{"date":128,"type":32},"2025-11-21",{"date":130,"type":32},"2020-01-01",{"date":132,"type":19},"2029-12",{"name":134,"class":39},"Wake Forest University Health Sciences",{"id":136,"slug":137,"hasResults":11,"nctId":138,"briefTitle":139,"officialTitle":140,"acronym":4,"eligibilityCriteria":141,"healthyVolunteers":11,"sex":48,"minAge":49,"maxAge":4,"enrollmentInfo":142,"targetDuration":4,"studyType":20,"phases":4,"briefSummary":144,"conditions":145,"keywords":4,"overallStatus":59,"whyStopped":4,"lastUpdateSubmitDate":148,"lastUpdatePostDateStruct":149,"startDateStruct":151,"completionDateStruct":153,"leadSponsor":155,"locationsCount":4},"100557609","a-snapshot-audit-of-traumatic-pelvic-ring-injuries-100557609","NCT06540339","A Snapshot Audit of Traumatic Pelvic Ring Injuries","SnapPelvis: International Prospective Observational Cohort Study of Traumatic Pelvic Ring Injuries","Inclusion Criteria:\n\n* Adult patients (≥18 years of age) admitted for traumatic pelvic ring injuries (AO\u002FFFP-Classification).\n\nExclusion Criteria:\n\n* Concomitant acetabular fractures",{"count":143,"type":19},500,"Multicenter, snapshot cohort studies or audits have the ability to gather large patient numbers in short time periods from many healthcare systems with different resources or practices of care concerning one specific surgical condition. This type of studies allows exploration of differences in patient populations and management across the sampled cohort to identify areas of practice variability that may result in apparent differences in outcome. As such, whilst not providing true evidence of efficacy or the impact of a single variable on overall outcome, these studies can be hypothesis-generating and identify areas warranting further study in future randomized controlled trials (1). Snapshots also shed light on the real world practice, rather than the presumed or guideline suggested patient care (2).\n\nTraumatic Pelvic Ring Injuries (TPRI) represent a broad spectrum of trauma-associated pathologies with a distinct bimodal age distribution in patients admitted through the Emergency Departments of all acute care hospitals. In younger patients, this type of injury is often associated with high-energy trauma, hemodynamic instability, high mortality and morbidity rates (3-6). In the elderly population, pelvic fractures result from low energy trauma mechanisms (e.g. ground level fall) and can affect the long-term independency and life quality of geriatric patients (7).\n\nThere is substantial variation in the management of pelvic ring injuries among pelvic trauma surgeons; these variations include but are not limited to the timing of definitive fixation, the indications and protocols of conservative treatment, and the appropriate osteosynthesis of the anterior and\u002For posterior pelvic fractures (8).\n\nThis 'ESTES snapshot audit' -a prospective observational cohort study- has a dual purpose. Firstly, as an epidemiological study, it aims to report the burden of injury in specific hospitals, distributed widely throughout Europe. Secondly, this study aims to demonstrate current strategies for both, younger (after high-energy trauma) and geriatric patients (after low-energy trauma) employed to assess and treat these patients. These twin aims will serve to provide a 'snapshot' of current medical practice, but will also be hypothesis-generating while providing a rich source of patient-level data to allow further analysis of particular clinical questions. The acquired study data can be subsequently evaluated and compared to patient data of established pelvic trauma registries across Europe.",[146,23,147],"Pelvic Trauma","Fragility Fractures of the Pelvis (FFP)","2024-12-07",{"date":150,"type":32},"2024-12-12",{"date":152,"type":19},"2025-03-01",{"date":154,"type":19},"2026-11-30",{"name":156,"class":39},"University Hospital, Aachen",{"id":158,"slug":159,"hasResults":11,"nctId":160,"briefTitle":161,"officialTitle":162,"acronym":163,"eligibilityCriteria":164,"healthyVolunteers":11,"sex":48,"minAge":165,"maxAge":4,"enrollmentInfo":166,"targetDuration":4,"studyType":52,"phases":168,"briefSummary":169,"conditions":170,"keywords":4,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":173,"lastUpdatePostDateStruct":174,"startDateStruct":176,"completionDateStruct":178,"leadSponsor":180,"locationsCount":182},"100520253","impact-of-a-clinical-pathway-for-pelvic-fragility-fractures-100520253","NCT06054165","Impact of a Clinical Pathway for Pelvic Fragility Fractures","Impact of Regional Implementation of a Clinical Pathway for ELderly Patients With pelVIc Fragility fraCtures (PELVIC); a Multicenter, Stepped-wedge Randomized Controlled Trial","PELVIC","Inclusion Criteria:\n\n* Pelvic fragility fracture caused by low energetic trauma\n* Patients presented at the emergency room or out-patient clinic of a participating hospital\n\nExclusion Criteria:\n\n* Patients with high suspicion of a pelvic fracture due to a malignant tumor\n* Patients who are unable to follow instructions due to severe cognitive decline (for example due to dementia or Alzheimer's disease)\n* Patients who pre-trauma received palliative or terminal care\n* Patients who pre-trauma were wheelchair bound or bedridden\n* Patients who suffer from complications from previous pelvic ring fixation\n* Patients with insufficient comprehension of the Dutch language to be able to carry out the physiotherapy instructions for early mobilization","50 Years",{"count":167,"type":19},393,[54],"Patients with pelvic fragility fractures suffer from high morbidity and mortality rates. Despite the high incidence of these injuries, there is currently no regional or nationwide treatment protocol which results in a wide variety of clinical practice. New insights in treatment strategies, such as early diagnosis and minimal invasive operative treatment of these fragile patient population, has led to the development of several clinical pathways in recent literature. The aim of this study is to implement an evidence and experience-based treatment clinical pathway to improve the outcomes in this fragile patient population that currently has multifactorial risks for poor outcome.",[171,92,23,172],"Pelvic Bone Injury","Fragility Fracture","2024-06-21",{"date":175,"type":32},"2024-06-24",{"date":177,"type":32},"2024-01-21",{"date":179,"type":19},"2027-04-27",{"name":181,"class":39},"Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)",8]