The Use of Spinal Needles for Ultrasound-guided Fine Needle Aspiration From Thyroid Nodules - a Protocol for a Multicentre Randomised Controlled Trial
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
- 否
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
Preben Homøe
Professor
Zealand University Hospital
