跳至主要内容
临床试验/NCT06181708
NCT06181708已完成不适用

Estimating & Comparing the Performance, Clinical Effectiveness, and Cost-effectiveness of Current Diagnostic Options for Patients That Present to Primary Care With Suspected Venous Ulcers

Imperial College London1 个研究点 分布在 1 个国家目标入组 135 人开始时间: 2023年11月13日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
135
试验地点
1
主要终点
Primary Care Practitioners and the Management of Venous Leg Ulcers.

研究概览

简要总结

This project aims to investigate 'The minimum diagnostic requirements for patients presenting to primary care with suspected venous ulcers.' In order to do this, the investigators intend to run a series of questionnaires with primary care services, vascular science services, and perform some cost effectiveness modelling on running diagnostic services in primary care and in secondary care settings. A one off questionnaire, designed in Qualtrics, will be sent out to primary care practitioners via social media and email contacts. This will be aimed at establishing their current role and any guidelines they follow with regards to the diagnosis and management of venous leg ulcers in primary care, and to determine their opinion of what this patient pathway should involve. A Delphi consensus will be carried out amongst vascular scientists across the UK to determine current and streamline future practice in diagnostics for patients with venous leg ulcers. The consensus will be achieved when there is ≥ 70% agreement. Cost effectiveness modelling will be carried out on two different scenarios of managing this cohort of patients, one in primary care and one in secondary care settings. Descriptive statistics will be performed on the results.

详细描述

The main objective of this project is to determine the role/position of diagnostic imaging in the patient journey for a patient with active or healed ulceration.

  1. To determine the current practice in primary care for venous leg ulcer management and availability of services to onward referral.
  2. To determine the current practice for diagnosis and management of suspected venous leg ulcers in vascular scientist departments across the UK
  3. To establish what the minimum diagnostics should be for this cohort of patients including what scans should be performed and can a set criterion be applied to this cohort of patients.
  4. To determine the cost effectiveness of implementing this in both primary and secondary care settings.

研究设计

研究类型
Observational
观察模型
Other
时间视角
Prospective

入排标准

性别
All
接受健康志愿者

入选标准

  • Primary care practitioners working in the UK will be recruited for the primary care questionnaire.
  • Vascular Scientists working in a secondary care hospital in the UK will be recruited for the online delphi consensus.

排除标准

  • Participants not meeting the inclusion criteria.

研究组 & 干预措施

Primary care practitioners

A one off questionnaire to be sent to primary care practitioners via qualtrics to determine the current practice in primary care for venous leg ulcer management and availability of services to onward referral.

干预措施: N/A - Questionnaire based study (Other)

Vascular Scientists

A Delphi Consensus questionnaire will be performed via Qualtrics to determine the current practice for diagnosis and management of suspected venous leg ulcers in vascular scientist departments across the UK

干预措施: N/A - Questionnaire based study (Other)

结局指标

主要结局

Primary Care Practitioners and the Management of Venous Leg Ulcers.

时间窗: 3 months

What percentage of respondents have access to onward specialist referral for venous leg ulcer management? What percentage of primary care practitioners have access to refer for venous duplex imaging? What percentage of primary care practitioners felt there needs to be clearer guidelines on the management of patients with venous leg ulcers.

Vascular Scientists

时间窗: 3 months

To determine a consensus on the diagnostic management of suspected venous leg ulcers in vascular scientist departments across the UK. What % of respondents felt there needed to be clearer guidelines on how to best manage these patients diagnostically? What % of respondents felt that specialist leg ulcer clinics should be run? What % felt patients should be able to access an ABPI as part of this clinic? What % felt patients should be able to access a venous duplex scan as part of this clinic? What % felt leg ulcer clinics should be held in secondary

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

Loading locations...

相似试验