No registrations found.
ID
Source
Brief title
Health condition
Acute abdominal pain, acute buikpijn
Sponsors and support
Intervention
Outcome measures
Primary outcome
1. Accuracy of diagnosis of the surgeon and surgical resident;
2. Accuracy of diagnosis before and after using decisional tools for appendicitis and diverticulitis.
Secondary outcome
1. Certainty of diagnosis before and after using decisional tools;
2. Diagnostic accuracy of the decisional tools;
3. Accuracy of diagnosis after using the standard imaging pathway;
4. Imaging resource utilisation.
Background summary
N/A
Study objective
A frequently heard argument is that residents tend to attribute a serious condition to too many patients. This results in an unnecessary burden for patients having additional work-up and invasive examinations. This argument is supported by data from a previous study performed in patients with acute abdominal pain. In this study residents examined patients with a good sensitivity for urgent diagnoses (88%). However, the amount of false positive diagnoses for urgent conditions was 27%. We hypothesize that surgeons have half the false positive rates (13.5%) of surgical residents.
Study design
The final reference diagnosis will be obtained after a three month follow-up period.
Intervention
N/A
J.J.S. Kiewiet
Amsterdam 1105 AZ
The Netherlands
+31 (0)20 5662771
j.j.kiewiet@amc.uva.nl
J.J.S. Kiewiet
Amsterdam 1105 AZ
The Netherlands
+31 (0)20 5662771
j.j.kiewiet@amc.uva.nl
Inclusion criteria
1. Abdominal pain with a duration of more then 2 hours and less then 5 days;
2. Willing and able to give written informed consent.
Exclusion criteria
1. Age < 18 years;
2. Pregnancy;
3. Abdominal pain due to blunt or penetrating trauma;
4. Hemorrhagic shock due toe gastrointestinal bleeding or ruptured aortic aneurysm.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL2565 |
| NTR-old | NTR2690 |
| Other | ABR / CCMO : 29165 / NL21965.018.09 ; |
| ISRCTN | ISRCTN wordt niet meer aangevraagd. |