[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"leadSponsorName\":\"Uppsala County Council, Sweden\",\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:":77},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,44],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":19,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":24,"briefSummary":26,"conditions":27,"keywords":4,"overallStatus":31,"whyStopped":4,"lastUpdateSubmitDate":32,"lastUpdatePostDateStruct":33,"startDateStruct":36,"completionDateStruct":38,"leadSponsor":40,"locationsCount":43},"100581932","improved-treatment-for-patients-with-long-term-opioid-therapy-for-non-cancer-pain-in-primary-care-100581932",false,"NCT06856733","Improved Treatment for Patients With Long-term Opioid Therapy for Non-cancer Pain in Primary Care","Improved Treatment for Patients With Long-term Opioid Therapy for Non-cancer Pain in Primary Care (Opi-Prim)","Opi-Prim","Inclusion Criteria:\n\n* Having received the equivalent of 90 days or more prescription of opioids for chronic pain made by the general practitioner during the recent 12 months\n* Able to speak Swedish or English\n\nExclusion Criteria:\n\n* Having been referred to a pain clinic (either at hospital or multimodal rehabilitation in primary care) within the last 6 months\n* No current opioid use, severe cognitive dysfunction, e.g., suicidal ideation, psychotic symptoms, or dementia, that prevents informed consent.\n* Using their opioids for cancer pain","ALL","18 Years","70 Years",{"count":21,"type":22},110,"ESTIMATED","INTERVENTIONAL",[25],"NA","The goal of this clinical trial is to reduce inappropriate long term opioid treatment (LTOT) and to optimize pain management in patients with LTOT for chronic non-cancer pain in primary care through a new person-centred and team-based approach. The main question it aims to answer is:\n\nWhat are the effects of a new person-centred and team-based approach on pain interference in patients with LTOT for chronic non-cancer pain in primary care?\n\nResearchers will compare a new person-centred and team-based approach to usual care to see if pain interference is lower.\n\nParticipants will receive a person-centred team-based treatment consisting of:\n\n* Phase 1 (investigation and assessment, week 1-3): A medication review, pain analysis and other assessments through separate visits to a pharmacist, general practitioner, physiotherapist, psychologist and care manager\n* Phase 2 (treatment plan, week 3-4): A team consultations with all healthcare personnel involved in Phase 1 including the patient where an individualized rehabilitation plan is made based.\n* Phase 3 (treatment and follow-up, week 4-24): Implementation of the individualized rehabilitation plan with frequent follow-up contacts (1 per 1-3 weeks) by phone with the care manager.",[28,29,30],"Chronic Pain","Chronic Pain Management","Primary Care","RECRUITING","2026-05-08",{"date":34,"type":35},"2026-05-13","ACTUAL",{"date":37,"type":35},"2025-03-10",{"date":39,"type":22},"2029-06-30",{"name":41,"class":42},"Uppsala County Council, Sweden","OTHER_GOV",3,{"id":45,"slug":46,"hasResults":11,"nctId":47,"briefTitle":48,"officialTitle":49,"acronym":50,"eligibilityCriteria":51,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":52,"enrollmentInfo":53,"targetDuration":4,"studyType":55,"phases":4,"briefSummary":56,"conditions":57,"keywords":61,"overallStatus":67,"whyStopped":4,"lastUpdateSubmitDate":68,"lastUpdatePostDateStruct":69,"startDateStruct":71,"completionDateStruct":73,"leadSponsor":75,"locationsCount":76},"100586731","short--and-long-term-effects-of-robot-assisted-plication-in-diaphragmatic-paralysis-100586731","NCT06919185","Short- and Long-term Effects of Robot-assisted Plication in Diaphragmatic Paralysis","Short- and Long-term Effects of Robot-assisted Plication in Diaphragmatic Paralysis - the Prospective RAPIDLY-study","RAPIDLY","Inclusion Criteria:\n\n* Patients with symptomatic unilateral diaphragmatic paralysis persisting for ≥1 year\n* Patients are scheduled for RATS at thoracic surgery clinics in five Swedish university hospitals (Gothenburg, Linköping, Lund, Umeå, and Uppsala).\n\nExclusion Criteria:\n\n* Inability to complete forms in Swedish\n* Neuromuscular disease as the cause of diaphragmatic paralysis\n* Other significant causes of dyspnea\n* Impaired physical capacity from other causes than diaphragmatic paralysis.","85 Years",{"count":54,"type":22},50,"OBSERVATIONAL","Diaphragmatic paralysis may lead to severe symptoms such as breathlessness and reduced physical capacity.\n\nDiaphragmatic plication using Robotic-Assisted Thoracic Surgery (RATS) is a minimally invasive surgical technique developed to improve lung function by correcting diaphragmatic elevation.\n\nWhile its benefits have been reported in retrospective reports, prospective studies are lacking.\n\nThis prospective observational cohort study aimsto evaluate the short- and long-term effects of robot-assisted diaphragmatic plication on subjective breathlessness, physical performance, lung function, blood gases, and imaging findings at five Swedish university hospitals: Gothenburg, Linköping, Lund, Umeå, and Uppsala.\n\nPatients will be assessed preoperatively and postoperatively after one to three months and after one and three years.",[58,59,60],"Diaphragmatic Plication","Diaphragmatic Paralysis","Diaphragmatic Eventration",[62,63,64,65,66],"RATS","robot-assisted thoracic surgery","plication","dyspnea","thoracotomy","NOT_YET_RECRUITING","2025-04-08",{"date":70,"type":35},"2025-04-11",{"date":72,"type":22},"2025-05",{"date":74,"type":22},"2031-12",{"name":41,"class":42},1,""]