A Prospective Randomized Study on Health-related Quality of Life of Patients With Incidental Small (<2cm) Asymptomatic Thyroid Nodules and Cost-effectiveness Analysis in Managing Small Incidental Thyroid Nodules
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 314
- 试验地点
- 1
- 主要终点
- The measurement of HRQoL by SF-6D Health Survey
研究概览
简要总结
Ideally randomized controlled trials should be carried out to compare the cost-effectiveness between FNAC and watchful waiting but such studies are very difficult to conduct in practice because they require following up very large number of subjects for a long period of time.
The aims are to determine the health-related quality of life (HRQOL) and HRQOL preference (utility) of patients undergoing watchful observation (no FNAC) and routine FNAC, and to determine the cost-effectiveness of two strategies in managing small incidental thyroid nodules for the Chinese population in Hong Kong.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
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
- •Aged 18 or above
- •Have life expectancy of at least 6 months
- •Have an incidental nodule which measures between 1.0 to 2.0cm in the largest dimension on ultrasound guidance (USG) and has benign ultrasonographic features such as spongiform or honeycomb appearance, purely-cystic, egg shell type calcification, iso-echoic or hyper-echoic in relation to the rest of the thyroid tissue and peripheral vascularity on Doppler USG. For subjects with more than one nodule on USG, provided that the other nodules are not >2.0cm or have suspicious features (see below), they will still be eligible.
- •Normal thyroid function (both serum thyroid-stimulating hormone (TSH) and free T4 levels within normal range)
- •Given consent to take part in the study
排除标准
- •Have suspicious ultrasonographic features such as microcalcifications, marked hypoechogenicity, irregular margins and / or taller than wide and intranodular vascularity on transverse view on Doppler USG that warrant a FNAC
- •Nodule size > 2.0cm
- •Insisting or refusing FNAC or surgical intervention despite medical reassurance
- •Inability to understand or communicate in Cantonese or Chinese
- •Significant cognitive impairment judged by the doctor to be unable to answer the questionnaire
- •Too ill to carry out interview
- •Refusal to give consent
研究组 & 干预措施
No FNAC
patients will be randomized to watchful observation strategy (no FNAC)
FNAC
patients will then be randomized routine FNAC strategy
干预措施: Fine Needle Aspiration Cytology (Other)
结局指标
主要结局
The measurement of HRQoL by SF-6D Health Survey
时间窗: Two years
Health-related Quality of Life (HRQoL) preference value measured by The Chinese (HK) SF-6D Health Survey will be calculated by the Hong Kong population specific algorithm. It ranges from 0 (dead) to 1 (perfect health)
次要结局
- The effectiveness of managing small incidental thyroid nodules and treatment effect on the HRQOL of patients with thyroid carcinoma(Two years)
研究者
Dr. Lang Hung Hin, Brian
Associate Professor
The University of Hong Kong