Diagnostic Performance of General Practitioners in Compression UltraSound (GPCUS)

September 19, 2024 updated by: University Hospital, Caen

Diagnostic Performance of General Practitioners in Compression Ultrasound for the Diagnosis of Proximal Deep Vein Thrombosis of the Lower Limbs

The objective of this study is to evaluate the diagnostic efficiency of general practitioners for the diagnosis of proximal deep vein thrombosis of the lower limbs compared with whole-leg ultrasound with Doppler performed by the vascular physician.

Study Overview

Status

Terminated

Conditions

Intervention / Treatment

Detailed Description

After being informed about the study and the potential risks, all patients who have given their written consent and who meet the eligibility criteria will benefit from a 3-point compression ultrasound performed by the general practitioner before being referred for a whole-leg ultrasound with Doppler at the vascular physician.

Study Type

Interventional

Enrollment (Actual)

15

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

      • Avranches, France, 50300
        • Avranches
      • Bain-de-Bretagne, France, 35470
        • Bain de Bretagne
      • Colombelles, France, 14460
        • Colombelles
      • Condé sur vire, France, 50890
        • Condé sur vire
      • Honfleur, France, 14600
        • Honfleur
      • Ifs, France, 14123
        • Ifs
      • Le Chesnay, France, 78150
        • Le Chesnay
      • Le Pont de Montvert, France, 48220
        • Le pont de montvert
      • Lons-le-Saunier, France, 39000
        • Lons-le-Saunier
      • Molay, France, 14330
        • Le Molay Littry
      • Ouistreham, France, 14150
        • Ouistreham
      • Paris, France, 75017
        • Paris rue de Rome
      • Percy, France, 50410
        • Percy
      • Ploerdut, France, 56160
        • Ploerdut
      • Potigny, France, 14420
        • Potigny
      • Sannerville, France, 14940
        • Sannerville
      • Saïx, France, 81710
        • Saix
      • Troarn, France, 14670
        • Troarn
    • Normandie
      • Bayeux, Normandie, France, 14400
        • Bayeux

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 110 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Age greater than or equal to 18 years
  • Management by a general practitioner trained in 3-point venous ultrasound
  • Suspicion of deep vein thrombosis by the general practitioner with prescription of a whole-leg Doppler ultrasound by a vascular physician. It is noted that the patient can be included from the moment the general practitioner had planned to refer the patient to the vascular physician for a suspicion of DVT, including in the absence of realization of DDimer on a low probability of DVT. It may also be included in case of positive DDimer tests.
  • Signed written consent
  • Patient covered by the French social security system

Exclusion Criteria:

  • Whole leg ultrasound performed more than 72 hours after the initial examination
  • History of homolateral deep vein thrombosis
  • Patient objecting to the use of his data
  • Refusal of written and signed consent

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Diagnostic
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: compression ultrasound
All patients receive a 3-point compression ultrasound followed within 72 hours by a whole-leg ultrasound with Doppler performed by a vascular physician.
Patients receive a 3-point compression ultrasound performed by the general practitioner to look for proximal deep vein thrombosis.
Other Names:
  • three-point compression
  • three-point compression ultrasound
  • three-point point-of-care ultrasound technique

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Diagnostic performance of 3 point venous compression
Time Frame: 72 hours
The diagnostic performance (Sensitivity, Specificity, Positive Predictive Value, Negative Predictive Value) of 3-point venous compression ultrasound performed by general practitioners for the diagnosis of proximal venous thrombosis of the lower limbs compared to the usual recommended examination (whole leg ultrasound by a vascular physician)
72 hours

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The evaluation of the feasibility of venous compression ultrasound in the office by the general practitioner.
Time Frame: 72 hours

For each patient, the general practitioner must say whether or not he or she was successful in performing the compression ultrasound.

The measure will be the percentage of ultrasound examinations considered successful by general practitioners.

72 hours
Duration of the ultrasound performed by the general practitioner in minutes.
Time Frame: 72 hours
Duration of the ultrasound performed by the general practitioner in minutes.
72 hours
The interpretability of ultrasound images by general practitioners
Time Frame: 72 hours

The interpretability of ultrasound images by general practitioners. For each patient, the general practitioner must note the result of his or her ultrasound (compressibility or total incompressibility of the veins on the 3 points studied). He must also correctly interpret the ultrasound result (presence of venous thrombosis in case of total incompressibility of the vein or absence of thrombosis in case of total compressibility of the vein).

The measure will be the percentage of correct interpretation of the compression test.

72 hours

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Thomas DELOMAS, Dr, Hospital Saint Lo

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

October 3, 2022

Primary Completion (Actual)

January 23, 2024

Study Completion (Actual)

January 23, 2024

Study Registration Dates

First Submitted

September 8, 2022

First Submitted That Met QC Criteria

September 19, 2022

First Posted (Actual)

September 22, 2022

Study Record Updates

Last Update Posted (Actual)

September 20, 2024

Last Update Submitted That Met QC Criteria

September 19, 2024

Last Verified

January 1, 2024

More Information

Terms related to this study

Other Study ID Numbers

  • 22-0114
  • 22.02437.000091 (Other Identifier: CPP OUEST II)
  • 2022-A01244-39 (Other Identifier: ANSM)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.