- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03526484
The Utility of Urinalysis Prior to In-Office Procedures
The Utility of Urinalysis Prior to In-Office Procedures: A Randomized Clinical Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
OVERVIEW:
Current urology practice requires every patient to have a urinalysis lab done prior to any in-office procedures. If the patient's urinalysis is positive, they are then required to have a urine culture done, which takes 1-3 days to show results, and they may also be prescribed antibiotics. This practice may cause diagnostic delays, unnecessary cancellations of procedures, and the overuse of antibiotics.
The aim of this study is to assess the usefulness of urinalysis labs and urine cultures in patients prior to in-office cystoscopies, intravesical BCG treatments, and prostate biopsies. The investigators predict there is no difference in the number of cases of urinary tract infections in patients that undergo in-office procedures with or without a prior urinalysis. The investigators propose a change in protocol could allow for improved clinical efficiency, antibiotic stewardship, and be economically advantageous.
OUTLINE:
Participants will be randomly assigned to either receive standard of care before their procedure or have their procedure conducted by their provider without consulting the urinalysis results beforehand. Participants will have follow up questionnaires seven days and thirty days after their procedure. A total of 664 participants will be enrolled between the two study sites.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Wisconsin
-
Madison, Wisconsin, United States, 53792
- University of Wisconsin Hospital and Clinics
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Madison, Wisconsin, United States, 53705
- William S. Middleton Memorial Veterans Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
• Patients receiving an in office cystoscopy, intravesical BCG treatment, or prostate biopsy
Exclusion Criteria:
- Patients under 18
- Patients with symptomatic UTI infections at the time of recruitment
- Patients on antibiotics at the time of recruitment, not including prophylaxis
- Patients with a history of UTI within 1 year
- Patients with indwelling catheters
- Patients with clean intermittent catheterization
- Patients undergoing stent removals or with ureteral stents
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Standard of Care
The control group will have a urine sample taken for a urinalysis prior to their procedure, which will have a reflex urine culture done if urinalysis results are positive.
The results of the urinalysis will be reported to the doctor performing the procedure.
The provider may require participants to take antibiotics and/or delay their procedure as a result of the urinalysis.
|
The provider will review the urinalysis results prior to conducting the in-office procedure and will make clinical decisions taking into account those results.
|
Experimental: Experimental
The experimental group will have a urine sample taken for a urinalysis prior to their procedure, which will have a reflex urine culture done if urinalysis results are positive.
The results of the urinalysis will NOT be reported to the doctor performing the procedure.
Instead, the provider will conduct the procedure without looking at or acting upon the results of the urinalysis.
The urinalysis and urine culture results will be monitored by the research team, and the participant will be informed if the urine culture results are positive for an infection.
|
The provider will not review the urinalysis results prior to conducting the in-office procedure, and therefore will not make clinical decisions taking those results into account.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Proportion of Patients who Developed a Urinary Tract Infection Post Procedure
Time Frame: 1 year
|
Will compare difference in overall UTI rate between control and experimental groups.The results of the trial will be analyzed using a T-test for comparison of means, a Mann-Whitney U test for comparison of medians, Fisher's exact and chi-squared tests for comparison of categorical variables, and a logistic regression for predictors of UTI.
|
1 year
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Kyle A Richards, MD, University of Wisconsin, Madison
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2017-1124
- A539998 (Other Identifier: UW Madison)
- SMPH\VOLUNTEER STAFF\UROLOGY (Other Identifier: UW Madison)
- Protocol Version 5/28/2020 (Other Identifier: UW Madison)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
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