上腹痛患者的缓解途径 (RELIEF)

实验性的：缓解途径

干预组（缓解途径）的患者将在前往外科或胃肠科门诊之前使用基于网络的教育工具。

其他：缓解途径

基于网络的个性化教育工具包含以下信息：

• 功能性消化不良、肠易激综合征和无并发症症状性胆囊结石的病因和症状信息；
• 基于 ROME III 和 ROME IV 标准的症状检查器；
• 危险信号症状定义为上消化道出血的直接或间接体征。
• 调整生活方式以改善腹部症状和生活质量。
• 上消化道内窥镜检查、结肠镜检查和腹腔镜胆囊切除术的效果信息。

基于网络的教育工具完成后，我们将在预防和生活方式诊所提供额外的访问，这是可选的，而不是强制性的。

无干预：平时护理

分配到对照组的患者将接受参与中心提供的常规护理。 在第一次到外科或胃肠科门诊就诊时，受试者将由随机的医学专家看诊，他们将评估病史、检查患者并审查调查结果。 诊断和治疗决定将基于医生的偏好和经验以及患者的首选治疗选择。

Primary endpoint

The primary outcome is the proportion of patients who will undergo diagnostic or treatment intervention within 12 months.

Time to diagnosis

time to diagnosis in days

minimum value: 3 days, maxium value: 365 days, higher scores mean worse outcome.

outpatient clinic- or emergency room visits

outpatient clinic- or emergency room visits in numbers

minimum value: 0 maximum value: 50 higher scores mean worse outcome

Pain severity

measured with Izbicky pain

izbicky pain score: 0-100 scale, minimum: 0, maximum: 100, higher scores means worse outcome

Imaging use

Numbers of Computed Tomography (CT) and Magnetic Resonance Imaging (MRI)

Minimum: 0, maximum: 50, higher numbers means worse outcome

Morbidity and complications

will be specified by type of morbidity and complication

minimum: 0 maximum: 100 Higher scores mean worse outcome

Patient-reported outcomes

Questionnaire: PAGI-SYM

Patient Assessment of Upper Gastrointestinal Symptom Severity Index

Heartburn / Regurgitation (7 items)Nausea / Vomiting (3 items)Postprandial Fullness / Early Satiety (4 items)Bloating (2 items)Upper Abdominal Pain (2 items)Lower Abdominal Pain (2 items).

Patients rank their symptoms based on a 2-week recall period. Each symptom is rated on a 6-point scale:0 = None / Absent1 = Mild2 = Moderate3 = Severe4 = Very Severe5 = Extremely Severe

A higher score indicates more severe symptoms and a greater physical burden.

If reporting a score on a scale, please include the unabbreviated scale title, the minimum and maximum values, and whether higher scores mean a better or worse outcome.

Pain severity

VAS (visual analogue score): 0-10, minimum: 0, maximum: 10, higher scores means worse outcome

Patient-reported outcomes

Questionnaire: SHAI

The Short Health Anxiety Inventory (SHAI) is an 18-item self-report questionnaire used to measure the severity of health anxiety and hypochondriasis.

Total scores range from 0 to 54. Higher numerical scores reflect greater levels of preoccupation with health, bodily vigilance, and distress regarding potential illness.

Patient-reported outcomes

Questionnaire: SDM-Q-9 9-item Shared Decision Making Questionnaire.

A 9-item self-report tool used to measure a patient's perception of shared decision-making during a medical consultation.

Each item is rated on a 6-point scale from 0 ("completely disagree") to 5 ("completely agree").

0 to 100 scale (higher scores mean greater perceived involvement (= better outcome)).

Patient-reported outcome measurements

The iMTA Medical Consumption Questionnaire (iMCQ) scoring works by multiplying the self-reported frequency of each health care service use by its corresponding standard unit cost price.

Higher score means worse outcome.