- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02889913
When Asking the Indication of a Skin Biopsy From a Patient With a Leg Ulcer in Primary Care? (BIOPULCER)
When Asking the Indication of a Skin Biopsy From a Patient With a Leg Ulcer in Primary Care? Retrospective Study of 100 Consecutive Biopsies
Leg ulcers are frequent. There are no epidemiological studies available in France, but international studies estimate the prevalence between 0.045 and 0.63% of the total population, prevalence increases with age, reaching 5% of patients over 80 years. Extrapolating these prevalences in the French population between 28 000 and 395 000 people are affected in France a leg ulcer.
It is a costly disease. In 2001, a French study conducted among 800 physicians, including 85.7% of general practitioners, involving more than 1000 patients with venous ulcers, it was estimated that the total cost of treatment per patient average was 888 32 euros. This is truly a public health problem.
Leg ulcers are in 80% of cases of vascular causes (venous, arterial or arteriovenous mixed). However, there are rare causes of ulcers: skin carcinoma, infectious ulcers and vasculitis. These ulcers rare causes require specific treatments that can often heal. To diagnose, to perform a skin biopsy. Thus, the general practitioner must know when to put the indication for biopsy of a leg ulcer.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Goal :
Analyzing the last 100 consecutive skin biopsies performed in patients carriers of chronic leg ulcers, followed in the vascular medicine department of the Hospital Saint Joseph Paris, to determine:
- The reasons which motivated the doctor make the indication of biopsy:
- Disease duration of ulcer
- Unusual clinical features
- Other signs associated with ulcer
- Absence of a satisfactory explanation vascular
- The pathological results Purpose: To clear a typical profile ulcers biopsy
Methodology :
- Retrospective, single-center,
- Acquisition of data: via the pathology laboratory of the hospital will be collected the last 100 consecutive biopsies performed with leg ulcers in vascular medicine department of the hospital Saint Joseph Paris, between 1 January 2013 and the October 1, 2013. Then be analyzed all paper and electronic records of these patients.
Grid and Analysis:
- Patient histories,
- vascular profile of patients,
- clinical and chronological criteria of the ulcer,
- Other signs associated with ulcer
- Results of histological biopsies.
- The data will be made anonymous on the grid for collection by a numbering system 1 100.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
-
-
Ile-de-France
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Paris, Ile-de-France, France, 75014
- Groupe Hospitalier Paris Saint Joseph
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- The last 100 consecutive skin biopsies performed in patients carriers of chronic leg ulcers, hospitalized in the vascular medicine department of the Hospital Saint Joseph Paris
Exclusion Criteria:
- No exclusion criteria
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Assessment of disease duration of ulcer
Time Frame: Day 1 of ulceration to the day 30
|
by calculating the number of days from ulceration to the healing
|
Day 1 of ulceration to the day 30
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Biopsie cutanée
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