Use of a Share Decision Making Tool in the Care of Acute Cystitis Without Risk of Complication in Primary Care (ARIBO)
Utilisation d'un Outil de décision médicale partagée Dans la Prise en Charge Des Cystites Aigues Sans Risque de Complication en médecine générale : Comparaison de la Consommation d'Antibiotique Entre Deux Groupes randomisés en Cluster.
調査の概要
詳細な説明
Each year, more than 2.000.000 patients visit their general practitioners for a acute cystitis. The scientific literature shows that acute cystitis without risk of complication cause complications, such as pyelonephritis, in a very rare cases. However, French guidelines systematically request an antibiotic therapy as soon as the diagnostic is confirmed with the only goal to lowering symptomatology.
Recent studies show that some informed women would like not to take antibiotics and pain-killers could be as effective as antibiotics. Canadian studies assessing share decision making tools in patients with acute respiratory infection have shown that matching antibiotic treatment with the patient values lower such prescription without any impact on clinical outcomes .
Investigators aim to assess a similar strategy in patients with acute cystitis. This study will compare a group following French guidelines versus one using a share decision making tool to determine if, after being informed of the benefice and risk of this treatment, patient still want an antibiotic. Targeting instead of systematic prescription will reduce antibiotic consumption.
After diagnostic of acute cystitis to a woman between 18 and 65 years, investigators check if they filing all study criteria and ask for authorization to add them to the study. Then they'll act following their group instruction, and get information (antibiotic prescription or not, score to the Activity Impairment Assessment (AIA) scale, Score to satisfaction scale). Then patients will be followed by phone contact on day 5, day 14 and day 90 after inclusion to get information on antibiotic use, AIA and satisfaction scores and clinical outcomes, such urinary infection. Data on antibiotics delivery by pharmacy will be obtained through National assurance database.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
-
-
-
Bordeaux、フランス
- CHU de Bordeaux
-
-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- woman
- between 18 and 65 years
- symptom of acute cystitis without risk of complication
- affiliated to the French public welfare system
- with signed consent
Exclusion Criteria:
- anomaly of the urinary canal
- pregnancy
- more than 3 cystitis during the last year
- cancer, immunosuppression
- hemopathy, fever
- back-pain
- severe renal failure
- refuse to give consent and previously participate to the study
- under guardianship
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：Share making tool decision
Patient recruited from general practitioner in this group will use a share making tool decision to adapt antibiotherapy
|
The experimental group will use the share decision making tool during consultation to adapt antibiotherapy
|
|
アクティブコンパレータ：Standard recommandation
Patients recruited from general practitioner will receive the standard medical care
|
control group will act as usual in their practice.
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
時間枠 |
|---|---|
|
Use of antibiotic for acute cystitis without risk of complication
時間枠：Day 14 after inclusion (day 0)
|
Day 14 after inclusion (day 0)
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Score at the "Activity Impairment Assessment" scale
時間枠：Day 0, Day 5 and Day14
|
Scale from 0 (never) to 4 (always) on several items about usuals activities limitations.
|
Day 0, Day 5 and Day14
|
|
Score at the satisfaction scale
時間枠：Day 0, Day 5, Day14 and Day 90
|
Scale from 0 (not satisfied) to 10 (very satisfied) on satisfation about medical care.
|
Day 0, Day 5, Day14 and Day 90
|
|
Recurrence of the infection
時間枠：Between Day 15 and Day 90
|
Infection reccurence will be assessed with the number of dispensation of antibiotics between day 15 and day 90.
|
Between Day 15 and Day 90
|
協力者と研究者
出版物と役立つリンク
一般刊行物
- Guillaume Dumont, Jean-Philippe Joseph, Thomas Ferte, Pierre Poulizac, Marion Kret, Guillaume Conort, Yves-Marie Vincent ; Cystitis: Clinical Findings and Diagnostic Uncertainty in General Practice Results From a Cluster-Randomised Controlled Trial ; International Journal of Clinical Pratice ; March 2026 ; Research Gate : DOI:10.1155/ijcp/6710022
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
キーワード
追加の関連 MeSH 用語
その他の研究ID番号
- CHUBX 2017/48
- 2019-A02354-53 (その他の識別子：ANSM)
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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