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临床试验/NCT04879355
NCT04879355Unknown不适用

The Use of Spinal Needles for Ultrasound-guided Fine Needle Aspiration From Thyroid Nodules - a Protocol for a Multicentre Randomised Controlled Trial

Preben Homøe2 个研究点 分布在 1 个国家目标入组 350 人开始时间: 2021年11月1日最近更新:
适应症

试验速览

阶段
不适用
发起方
入组人数
350
试验地点
2
主要终点
Diagnostic rate

研究概览

简要总结

This is a multicentre, two-arm, randomised and controlled trial. Adults with thyroid nodules suspected of malignancy are to be included consecutively. A total of 350 patients are randomly assigned 1:1 to have FNA with a spinal (25G) or a conventional (25G) needle. The primary outcome is the rate of diagnostic cytological samples according to the Bethesda system. Secondary outcomes are diagnostic accuracy, patient's experienced pain and complication rates.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Diagnostic
盲法
Double (Participant, Outcomes Assessor)

盲法说明

The patients and the pathologists are blinded to the intervention, while the clinicians performing the FNAs are not.

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
Female
接受健康志愿者

入选标准

  • ≥18 years of age.
  • Patients referred for evaluation of a cold nodule on thyroid scintigraphy and with EU-TIRADS score of 3 or higher.
  • Score 3 and > 20 mm in size.
  • Score 4 and >15 mm in size.
  • Score 5 and >10 mm in size.
  • Clinical suspicion of thyroid cancer:
  • PET-positive thyroid tumor.
  • Thyroid tumor and palsy of the recurrent laryngeal nerve.
  • Rapidly growing thyroid tumor.
  • Hard and/or immobile thyroid tumor.
  • Tumor in the thyroid with suspicious lymph nodes.

排除标准

  • Previous participation in the study.
  • Language or other barriers not allowing adequate information.

结局指标

主要结局

Diagnostic rate

时间窗: 1 year

The percentage of samples evaluated as "diagnostic" by the pathologist.

次要结局

  • Complication rate(Till 1 month after last inclusion. Corresponding to about 1 year)
  • Diagnostic accuracy(About 2 years)
  • Pain assessment(About 2 years)

研究者

发起方
Preben Homøe
申办方类型
Other
责任方
Sponsor Investigator
主要研究者

Preben Homøe

Professor

Zealand University Hospital

研究点 (2)

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