Fontan Circulation and Reproductive Health in a National Swedish Cohort
1 other identifier
observational
600
1 country
15
Brief Summary
In the Swedish registry for congenital heart defects, SWEDCON, over 230 patients with single-ventricle circulation are registered in the adult section. Congenital heart defects affect career choices, family planning, and leisure activities. Questions regarding heredity and pregnancy are common. The impact of Fontan circulation on reproductive health and fertility needs to be illuminated, and additional studies are required from both medical and psychosocial perspectives.Cognitive impairment is common among patients with congenital heart defects but is likely an overlooked cause of long-term illness. Objective To study a large national population (n=200) of adults with Fontan circulation and their potential partners regarding.
- the prevalence and explanatory factors for sexual dysfunction and infertility in women and men with Fontan circulation (Study A).
- the outcomes of pregnancy, choice of delivery mode, and complications in patients with Fontan circulation (Study B).
- the experiences and perceptions of becoming parents among women (n=20) and men (n=20), as well as elucidate reasoning and family planning among women and men (n=20) who have not become parents (Study C).
- Investigate the prevalence and explanatory factors for (Sub-study D):
- Fatigue
- In-depth cognitive screening to describe specific cognitive functions such as auditory memory, visuospatial memory, attention, cognitive speed, and executive functions. The aim of this research is to gain more knowledge in an area that has been relatively underexplored, thus improving care for women and men with congenital heart defects.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Nov 2023
Typical duration for all trials
15 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2023
CompletedFirst Submitted
Initial submission to the registry
February 6, 2024
CompletedFirst Posted
Study publicly available on registry
February 14, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2026
ExpectedOctober 16, 2024
October 1, 2024
1.9 years
February 6, 2024
October 11, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Prevalence and explanatory factors for sexual dysfunction and infertility in women and men with Fontan circulation
Reproductive health questionnaire for Woman/reproductive health questionnaire for Man, and a questionnaire for the potential partner, designed for this study. International Index of Erectile Function (IIEF5) Female Sexual Function Index (FSFI) EQ-5D is an instrument to describe and measure health and health-related quality of life.
3 hours
Secondary Outcomes (3)
Obstetric, neonatal and cardiological variables before, during, and after pregnancy
4 hours
Experiences and perceptions of parenthood
4 hours
Cognitive function
4 hours
Study Arms (6)
Male with Fontan circulation
Different data will be collected along with several questionnaires concerning reproductive health. Approximate 100 individuals will be included-
Female with Fontan circulation
Different data will be collected along with several questionnaires concerning reproductive health. Approximate 100 individuals will be included-
Partner to male with Fontan circulation
Different data will be collected along with several questionnaires concerning reproductive health. Approximate 100 individuals will be included-
Partner to female with Fontan circulation
Different data will be collected along with several questionnaires concerning reproductive health. Approximate 100 individuals will be included-
Male control group
Different data will be collected along with several questionnaires concerning reproductive health . Approximate 100 individuals will be included
Female control group
Different data will be collected along with several questionnaires concerning reproductive health. Approximate 100 individuals will be included
Interventions
Data will be collected from different sources. Questinnaires, Medical journal, Obstetrical records and functional tests
Eligibility Criteria
Approximately 200 patients with fontan circulation and their potential partners. Age and gender matched control groups.
You may qualify if:
- Fontan circulation,
- Follow-up at specialist clinics,
- Ability to fill in questionnaires in the Swedish language (no other alternative available) or
- Partner of a person with Fontan circulation,
- Ability to fill in questionnaires in the Swedish language (no other alternative available).
- or •Age- and gender-matched individuals are recruited via the population registry. They must not have congenital heart disease.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Caroline Lilliecreutzlead
- Uppsala Universitycollaborator
- Umeå Universitycollaborator
- Lund Universitycollaborator
- Göteborg Universitycollaborator
- Karolinska Institutetcollaborator
Study Sites (15)
Lund University Skåne University Hospital
Lund, Skåne County, Sweden
Sahlgrenska Academy, University of Gothenburg Sahlgrenska University Hospital
Gothenburg, Sweden
Sahlgrenska University Hospital,
Gothenburg, Sweden
University Hospital, Linköping
Linköping, Sweden
Skåne University Hospital, Lund University
Lund, Sweden
Karolinska University Hospital
Stockholm, Sweden
Karolinska University Hospital
Stockholm, Sweden
Karolinska University Hospital
Stockholm, Sweden
University West, Drottning Silvia's Children's Hospital/Sahlgrenska University Hospital,
Trollhättan, Sweden
Umeå University, Norrland University Hospital
Umeå, Sweden
Umeå University, Norrlands University Hospital
Umeå, Sweden
Umeå University, Norrlands University Hospital
Umeå, Sweden
Akademiska Hospital Uppsala.Uppsala University.
Uppsala, Sweden
Uppsala University, Akademiska Hospital
Uppsala, Sweden
Linköping University, University Hospital
Linköping, Östergötland County, 58158 Linköping, Sweden
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER GOV
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- MD. PhD, Associate Professor
Study Record Dates
First Submitted
February 6, 2024
First Posted
February 14, 2024
Study Start
November 1, 2023
Primary Completion
October 1, 2025
Study Completion (Estimated)
October 1, 2026
Last Updated
October 16, 2024
Record last verified: 2024-10