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CT Carcinogenic Risk in Patients With Appendicitis

12. februar 2020 opdateret af: Ji Hoon Park, Seoul National University Bundang Hospital

Carcinogenic Risk of CT in Patients With Appendicitis

The purpose of this study is to compare the incidence rate of leukemia between CT-exposed and CT-unexposed group in patients who underwent appendectomy in South Korea.

Studieoversigt

Detaljeret beskrivelse

South Korea has a single-payer healthcare system, administered by National Health Insurance Service (NHIS). As healthcare providers in South Korea need to claim reimbursement to NHIS for the vast majority of diagnostic and therapeutic procedures, the NHIS database enabled us to construct a large cohort who did or did not undergo CT for appendicitis. The purpose of this study is to compare the incidence rate of cancer between CT-exposed and CT-unexposed group in patients who underwent appendectomy in South Korea.

Undersøgelsestype

Observationel

Tilmelding (Forventet)

1000000

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • Gyeonggi-do
      • Seongnam-Si, Gyeonggi-do, Korea, Republikken, 463-707
        • Rekruttering
        • Seoul National University Bunadang Hospital
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Barn
  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

Patients who underwent appendectomy under the diagnosis of appendicitis

Beskrivelse

Inclusion Criteria:

  • Patients will be entered in the cohort on the date of appendectomy under the diagnosis of appendicitis

Exclusion Criteria:

  • (a) patients who had a cancer diagnosis before the date of appendectomy,
  • (b) those who had prior experience of CT examination more than 7 days before appendectomy,
  • (c) those who had syndromes or diseases predisposing cancers,
  • (d) those whose diagnosis was changed to appendiceal cancer and
  • (e) those whose follow-up duration was shorter than a lag period.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
CT-exposed group
Patients are divided into CT-exposed or unexposed group according to the presence of claims codes of abdominopelvic CT conducted within seven days before and after appendectomy. The seven-day threshold is arbitrarily determined considering the delay in the diagnosis of appendicitis and the postoperative examination for surgical complication.
CT-unexposed group
Patients are divided into CT-exposed or unexposed group according to the presence of claims codes of abdominopelvic CT conducted within seven days before and after appendectomy. The seven-day threshold is arbitrarily determined considering the delay in the diagnosis of appendicitis and the postoperative examination for surgical complication.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Age and sex-standardized incidence rate ratio (IRR) for malignancies of hematologic system
Tidsramme: Cancer occurrence after a lag period (2 years)
Hematologic malignancies are categorized into lymphomas, multiple myeloma, leukemias, myelodysplasia and others using ICD-10 codes.
Cancer occurrence after a lag period (2 years)

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Age and sex-standardized incidence rate ratio (IRR) for malignancies of abdominal organs
Tidsramme: Cancer occurrence after a lag period (2 years)
age and sex-standardized IRRs for malignancies of abdominal organs for CT-exposed versus unexposed patients.
Cancer occurrence after a lag period (2 years)
Age and sex-standardized incidence rate ratio (IRR) for all cancers
Tidsramme: Cancer occurrence after a lag period (2 years)
age and sex-standardized IRRs for all cancers for CT-exposed versus unexposed patients.
Cancer occurrence after a lag period (2 years)

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Sensitivity analysis
Tidsramme: Cancer occurrence after different lag periods (6 months, 1 year, 3 years and 5 years)
Various lag periods will be applied for the outcomes.
Cancer occurrence after different lag periods (6 months, 1 year, 3 years and 5 years)
Subgroup analysis by subsequent CT scans conducted more than 7 days after appendectomy
Tidsramme: CT undergone more than 7 days after appendectomy will be counted.
IRR in patients who underwent CT after appendectomy IRR in patients who did not undergo CT after appendectomy
CT undergone more than 7 days after appendectomy will be counted.
Subgroup analysis
Tidsramme: Cancer occurrence after a lag period (2 years)
by age and sex
Cancer occurrence after a lag period (2 years)

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

15. januar 2018

Primær færdiggørelse (Forventet)

15. december 2020

Studieafslutning (Forventet)

15. maj 2021

Datoer for studieregistrering

Først indsendt

13. december 2018

Først indsendt, der opfyldte QC-kriterier

13. december 2018

Først opslået (Faktiske)

14. december 2018

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

17. februar 2020

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

12. februar 2020

Sidst verificeret

1. februar 2020

Mere information

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Plan for individuelle deltagerdata (IPD)

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