High- and Low-risk Actinic Keratosis Referrals to Secondary Care. Implementation of the General Practitioners Guidelines for Actinic Keratosis Patients.
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 3,379
- 试验地点
- 1
- 主要终点
- Change in proportion of low-risk actinic keratosis patients among all actinic keratosis patients.
研究概览
简要总结
This study evaluates the implementation of the General Practitioners guidelines 'Suspicious Skin Lesions' and investigated whether their publication and implementation has led to a reduction in the proportion of referrals of low-risk patients with actinic keratosis to secondary care, after publication of the General Practitioners guidelines and implementation activities.
详细描述
In the Dutch healthcare system, patients are first examined by the general practitioner who decides whether a referral to a dermatologist is indicated. Both general practitioners and dermatologists can diagnose and treat patients with actinic keratosis. Therefore, it is necessary to distinguish which patients the general practitioner should refer to a dermatologist and which patients are suitable to be treated by the general practitioner.
This retrospective data study evaluates the proportion of low risk actinic keratosis patients in 2019 en 2018.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients of 18 years and older
- •referred to dermatologist for suspicion of actinic keratosis and diagnosed as actinic keratosis by the dermatologist
- •treated at MaastrichtUMC+ or TergooiHospital
排除标准
- •different diagnosis than actinic keratosis
- •referred by a different specialist than the general practitioner
- •referred with multiple problems
- •referred for a second opinion
- •if the patients was treated as different diagnosis than actinic keratosis by general practitioner
结局指标
主要结局
Change in proportion of low-risk actinic keratosis patients among all actinic keratosis patients.
时间窗: 2018 compared to 2019 (2 years)
The change in proportion of low-risk actinic keratosis patients among all actinic keratosis patients referred by the general practitioner to the dermatologist. The definition of low-risk actinic keratosis patients was based on the General Practitioners guidelines 'Suspicious skin lesions' (published in 2017). Patients were defined as low-risk when they were not immunocompromised, did not have a cutaneous malignancy in their medical history, did not have previous treatment or if they did not have extensive lesions.
次要结局
未报告次要终点