- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT01315626
Bronchiectasis: Evaluation of an Educational Intervention
Identification of Patients With a Diagnosis of Bronchiectasis: Evaluation of an Educational Intervention
Studieoversikt
Status
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
A pilot study will be conducted for the purpose of evaluating an educational intervention (Description in Appendix A). As part of the educational intervention, primary care physician(s) will be trained in the use of an algorithm to guide assessment of patients seen with a respiratory chief complaint, and who have not previously been identified as having a diagnosis of BE. We propose an evaluation of three primary care practice(s) to compare the number of patients identified in three three-month periods as having a diagnosis of BE.
The evaluation periods will be as follows: Period 1) the three-month period immediately following the intervention, Period 2) the three-month period immediately preceding the intervention, Period 3) the three month period starting one year prior to the intervention.
Studietype
Kontakter og plasseringer
Studiesteder
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Tennessee
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Shelbyville, Tennessee, Forente stater, 37160
- Howard Rupard, MD Primary Care Practice
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Prøvetakingsmetode
Studiepopulasjon
Beskrivelse
Inclusion Criteria:
- Respiratory is the chief complaint
- Patient > 35 years of age
- Seen in practice for > 12 months
Exclusion Criteria:
1) Prior diagnosis with bronchiectasis
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Tidsperspektiver: Retrospektiv
Kohorter og intervensjoner
Gruppe / Kohort |
Intervensjon / Behandling |
---|---|
Immediately preceding intervention
3 months immediately before the education event.
Charts of patients with a primary respiratory complaint will be reviewed so evaluate if they 1) have experienced 3 or more suppurative respiratory infections and 2) have required 3 or more courses of antibiotic therapy for respiratory infection over the period of one year.
4) Whether or not they underwent a HRCT, and if so, and 5) Were the patients diagnosed with BE.
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3 months after educational event
3 months immediately after the education event.
An active assessment will be preformed as per the proposed diagnostic algorithm (attachment B) Patients that meet all criteria in the algorithm are considered at risk for bronchiectasis and based on these criteria, physicians will be encouraged to order HRCT, and the number/ proportion of patients identified with BE will be noted and compared to the other time periods.
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The purpose of this study is to assess the accuracy of primary care physicians in diagnosing BE and evaluate the impact of an educational intervention targeting those primary care physicians and providing instruction in the recognition and treatment of BE.
The hope is that a better understanding of the disease will result in more accurate diagnoses and ultimately in more appropriate care for these patients.
In addition to better care for patients, earlier recognition of bronchiectasis may result in a decrease in health care costs.
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Seasonal prior year
As respiratory illnesses are commonly seasonal, an assessment of rate of Bronchiectasis diagnosis during the months of Period 2 in the year prior to the educational intervention will also be assessed as described in Period 1
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The purpose of this study is to assess the accuracy of primary care physicians in diagnosing BE and evaluate the impact of an educational intervention targeting those primary care physicians and providing instruction in the recognition and treatment of BE.
The hope is that a better understanding of the disease will result in more accurate diagnoses and ultimately in more appropriate care for these patients.
In addition to better care for patients, earlier recognition of bronchiectasis may result in a decrease in health care costs.
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
---|---|---|
Number / Percent of BE patients
Tidsramme: 18 months
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The primary outcome for this study will be the number/proportion of patients that meet entrance criteria that are subsequently diagnosed with bronchiectasis.
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18 months
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
---|---|---|
HRCT patients
Tidsramme: 18 months
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Secondary outcomes are the number/proportion of those subjects that undergo HRCT, and the number/proportion of subjects that are then identified as having Bronchiectasis.
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18 months
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Samarbeidspartnere og etterforskere
Sponsor
Studierekorddatoer
Studer hoveddatoer
Studiestart
Primær fullføring (Forventet)
Studiet fullført (Forventet)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- CR-2010-04
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