EAST Multicenter Study Proposal

Proposal forms must be completed in its entirety, incomplete forms will not be considered.

General Information

If you need assistance in finding a Sponsor please contact Rachel Dixon at rdixon@east.org.

Background & Significance

Innovation & Impact

Please describe briefly.

Specific Aims/Hypotheses

Primary aim should be succinctly stated here – single sentence ideal
Any secondary aims should be stated here


If no specific interventions are required and this is only a retrospective or prospective observational study, include that language here. Such as: “Prospective observational study only. Patients will be managed according to surgeon’s discretion.”

Outcomes Measures

(List here)
(List here)

Variables To Be Collected

If applicable.

Data Collection

If you require examples please visit http://www.east.org/research/multicenter-trials
PI, fellows, residents, med students, rsrch. coordinator, rsrch. assistance, clinical rsrch. nurse

Statistical Considerations & Data Analysis

Including parametric & non-parametric tests used to handle the data.
Anticipated # of sites needed to participate & estimate of ave. # of patients enrolled per site.

Enrollment Procedure & Need for Informed Consent

Primary Site Resources


With DOI to allow easy access. Vancouver style.
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Instructions for submitting data collection tools:

All data submissions should be entered through the EAST Multicenter Trial Committee website portal.  Instructions can be found on the EAST website.  The data collection sheet located under the Multicenter Trial Committee heading for this study can be utilized to record the data, and then the information transferred to the portal entry system.  For any questions regarding this study, please contact the PI.

Questions?  Please contact EAST Management Office at (312) 202-5616 or rdixon@east.org.