Decision Making Clinical Trial
— DiaanaRCT#2Official title:
Differential Diagnosis Assessment in Ambulatory Care With an Automated Medical History-Taking Device: A Confirmatory Pseudo-Randomized Study
Verified date | November 2020 |
Source | University Hospital, Geneva |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Single-center, unblinded, 1:1 parallel pseudo-randomized efficacy trial. In the intervention group only, resident physicians will be assisted by the automated medical history-taking device "Diaana" during their consultations in outpatient ambulatory unit of the Geneva University Hospital. In both groups, the differential diagnosis of the resident physician will be compared to the gold-standard differential diagnosis of the senior physician.
Status | Completed |
Enrollment | 100 |
Est. completion date | March 31, 2020 |
Est. primary completion date | March 31, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 75 Years |
Eligibility | Inclusion Criteria: - Patients presenting to the emergency outpatient unit of Geneva University Hospital - Patients suffering from symptoms localized to the superior or inferior member, the back, hand the chest wall. Exclusion Criteria: - Strictly dermatologic concerns - Toes and inversion ankle trauma (because the diagnosis of those conditions is generally obvious) - Medical condition considered as urgent - Inability to complete de digilatized Diaana form (sight problems, language, inability to use a tablet computer) |
Country | Name | City | State |
---|---|---|---|
Switzerland | Geneva University Hospital | Geneva |
Lead Sponsor | Collaborator |
---|---|
Adrien Schwitzguebel |
Switzerland,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Differential diagnosis established by the resident physician | The resident physician will select up to 5 diagnose in an exhaustive list. The senior physician will do the same in order to establish the gold-standard differential diagnosis.
The accuracy of the resident's differential diagnosis will be measured as the percentage of correct diagnose selected by the resident compared to the gold standard. |
At day 0 | |
Secondary | Consultation time | The resident's consultation (with and without the patient) will be measured by the research coordinator. Consultation time will be compared between groups. A shorter consultation time will be considered as a better outcome. | At day 0 | |
Secondary | Patient satisfaction | Into the experimental group, the patient's satisfaction will be evalued on a Lickert 1-4 scale. 1= fully dissatisfied; 2 = partially dissatisfied; 3 = partially satisfied; 4 = fully satisfied | At day 0 | |
Secondary | Differential diagnosis estabished by Diaana | The Diaana system will select diagnoses in an exhaustive list. The senior physician will select up to 5 diagnose in an exhaustive list in order to establish the gold-standard differential diagnosis.
The accuracy of the differential diagnosis established by the Diaana system will be measured as the percentage of correct diagnose selected compared to the gold standard. |
At day 0 |
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