Evaluation of Ultra-portable Ultrasound in General Practice (EPEMedG)
Pragmatic Evaluation of Ultra-portable Ultrasound for a List of Indications in General Practice
This is an interventional multi-centre study comparing two groups of general practitioners with or without an ultrasound scanner over a period of 6 months. The evaluation focuses on the management of patients for 8 pathologies:
- Pneumonia
- Pleural effusion
- Renal colic
- Hepatic colic or cholecystitis
- Subcutaneous abscess or cyst
- Fracture of long bones
- Intra-uterine pregnancy or extra-uterine pregnancy or miscarriage
- Phlebitis The principal hypothesis is that there are fewer complementary exams in the group of doctors using ultrasound scanners.
The secondary hypotheses are:
- There is better patient orientation (emergency care, specialist consultation, return home) in the group of doctors using the ultrasound scanners.
- The global cost of the care is lower in the group of doctors using the ultrasound.
- Using ultrasound during the consultation decreases the anxiety of the patient.
- Using ultrasound increases the duration of the consultation.
- There is no difference between the predicted and the real orientation of the patients.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Francis PELLET, MD
- Phone Number: +33 475384848
- Email: francis.pellet@stamed.fr
Study Locations
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-
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Les Vans, France, 07140
- Maison de santé pluridisciplinaire Léopold Ollier
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- patients age 18 and over
- consulting their general practitioner for one of the 8 conditions below
Exclusion Criteria:
- patients who have already received an imagery exam for the acute episode justifying the consult
- opposition to participate
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Group with ultrasound
The first group consists of nine general practitioners having received a brief training on the use of ultrasound scanners in general practice.
The general practitioner includes all adult patients who are consulting for one of the 8 medical conditions studied and perform an ultrasound scan.
Two weeks later, he/she calls each patient to collect the necessary data.
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The group uses an ultrasound device for the consultation.
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No Intervention: Group without ultrasound
The second group consists of nine general practitioners.
Each physician includes all adult patients who are consulting for one of the 8 medical conditions studied and performs a standard consultation.
Two weeks later, he/she calls each patient to collect the necessary data.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of complementary exams
Time Frame: Two weeks after inclusion
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Two weeks after the initial consultation, with or without ultrasound scanners, the general practitioners call their patients to know:
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Two weeks after inclusion
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of hospitalisations, specialist orientation or return home
Time Frame: Two weeks after inclusion
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Two weeks after the initial consultation, with or without ultrasound scanners, the general practitioners call their patients to know if within the past two weeks, they have been hospitalised, required emergency care, needed to consult a specialist, or returned back home
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Two weeks after inclusion
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Cost of care
Time Frame: Four weeks after inclusion in the study
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After knowing the patient orientation and the complementary exams they had, an estimation of the cost of care is made.
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Four weeks after inclusion in the study
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Anxiety score measured by the State-Trait Anxiety Inventory (STAI-Y) scale
Time Frame: Two weeks after inclusion in the study
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Two weeks after the initial consultation, with or without ultrasound scanners, the general practitioners call their patients to know the result of the anxiety test they took the day of the first consultation.
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Two weeks after inclusion in the study
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Consultation duration
Time Frame: Two weeks after inclusion in the study
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The day of the first consultation, the general practitioner writes the time spent
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Two weeks after inclusion in the study
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Francis PELLET, MD, Maison de sante pluridisciplinaire Leopold Ollier Les Vans
Publications and helpful links
General Publications
- Dasse-Hartaut J, Couture S. Pragmatic evaluation of handheld point-of-care ultrasound in general practice. MD thesis. Claude Bernard University Lyon 1; 2021. Thesis supervisor: Dr Francis Pellet.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Pain
- Neurologic Manifestations
- Vascular Diseases
- Cardiovascular Diseases
- Neoplasms
- Pathological Conditions, Anatomical
- Female Urogenital Diseases and Pregnancy Complications
- Pregnancy Complications
- Respiratory Tract Infections
- Infections
- Respiratory Tract Diseases
- Digestive System Diseases
- Lung Diseases
- Biliary Tract Diseases
- Peripheral Vascular Diseases
- Gallbladder Diseases
- Vasculitis
- Pleural Diseases
- Pathological Conditions, Signs and Symptoms
- Signs and Symptoms
- Abortion, Spontaneous
- Pneumonia
- Pleural Effusion
- Cholecystitis
- Renal Colic
- Cysts
- Pregnancy, Ectopic
- Phlebitis
- Diagnostic Techniques and Procedures
- Diagnosis
- Diagnostic Imaging
- Ultrasonography
Other Study ID Numbers
Other Study ID Numbers
- 69HCL18_1004
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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