Point-of-care Ultrasonography in Norwegian General Practice and Self-perceived Use in Diagnostics - a Prospective Observational Study
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- How general practitioners use POCUS in their daily practice
研究概览
简要总结
The scope of this study is to explore how general practitioners (GPs) use Point-of-Care Ultrasonography (POCUS) in Norway. Thirty GPs will register information each time they use POCUS during a three-month period. Acquired information include the purpose of the scan, which organ is scanned, frequencies of POCUS and changes in diagnosis, plan, and treatment after the scan.
This is a strict observational study without any intervention.
详细描述
The scope of this prospective, observational study is to explore how general practitioners (GPs) use Point-of-care Ultrasonography (POCUS) in their daily practice and whether or not POCUS affects the diagnostic process. A similar study has previously by the university of Aalborg, Denmark with Clinical Trials ID NCT03375333. A part of this project is to assess the external validity of their questionaire.
POCUS use will be explored through reports of indication, frequency, consumed time both in total and the the scan, changes in diagnosis and further follow-up by the following questions:
What is the purpose of the planned scan? Which organ(s) do the GPs plan to scan? What is(are) the tentative diagnosis(-es) that warrants the use of POCUS? How would the GP follow-up the patient, if scanning was not possible? Would treatment be initiated? What kind of treatment?
The GP will register the precise time before and after the scan to assess how much time the use of POCUS adds to the consultation. The time spent scanning will also be registered to explore how much time is spent undressing/dressing the patient and booting the ultrasound device.
Which organ(s) was(were) scanned? How often are the GPs able to display the relevant structure(s) with POCUS? How confident are the GPs in their assessments? Did the scan alter the tentative diagnosis? What are the new diagnosis(es)? Did the scan alter the plan for further examination(s)? Did the scan alter the plan for further treatment?
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •General practitioners who use point-of-care ultrasound in day time general practice
排除标准
- •Conflict of interest, e.g. if the GP is part of the research group or if the GP has direct financial interest in selling US devices.
结局指标
主要结局
How general practitioners use POCUS in their daily practice
时间窗: 2024
The GPs' indications for the use of point-of-care ultrasound (POCUS) will be described through the number and type of scans performed, and through frequencies of the tentative diagnoses that warrant the use of POCUS. The frequency of each POCUS examination (numerator) will be compared to all performed scans (denominator). The GPs will register the time used for the POCUS examination. By the before and after registration of the organs intended to scan and the organ actually scanned, the extent of modification of tentative diagnosis, plan for further examination and/or treatment.
次要结局
- Characteristics of the physician that influence the effect of POCUS(2024)
- How GPs evaluate their confidence(2024)
研究者
Mette Brekke
Professor Mette Brekke
University of Oslo