Dyspepsia Clinical Trial
— TRIODeOfficial title:
To Scope or Not to Scope: Trial to Reduce Inappropriate Oesophagogastroduodenoscopies for Dyspepsia; a Randomised Controlled Trial
Verified date | October 2018 |
Source | Radboud University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Indigestion or dyspepsia is highly prevalent worldwide. Often these symptoms are of benign
nature and subside without treatment, or with lifestyle interventions like dietary
modifications. Too often, gastroscopy is performed because of dyspepsia. Although this is
indicated when malignancy is suspected, in a substantial part of the cases the gastroscopy is
not indicated and will not achieve clinically relevant results. It is suspected that
gastroscopy is often used for reassurance of patients or as a 'last resort'.
Our hypothesis is that adequate education of patients can replace this need for invasive
measures. The aim of this study was therefore to reduce the volume of gastroscopies for
dyspepsia, by offering patients an e-learning containing educational material on dyspepsia.
During the trial, 119 dyspeptic patients, referred for gastroscopy by the GP, will randomly
be divided into two groups: One group will receive the e-learning instead of gastroscopy
(intervention), the other group will receive the gastroscopy (control).
After a twelve week follow-up, change in symptom severity, disease specific quality of life
and fear of disease will be compared between the two groups.
Status | Completed |
Enrollment | 119 |
Est. completion date | March 1, 2019 |
Est. primary completion date | March 1, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Reported upper gastrointestinal symptoms in the past 6 months - Referred for OGD - Guidelines for referral not met - Signed informed consent Exclusion Criteria: Patients who fulfil the criteria for OGD according to the Dutch college of General Practitioners (NHG) guidelines and NICE guidelines on 'Upper gastrointestinal tract cancers'. In addition, patients with: - A family history of gastric- or oesophageal cancer (at least one first or second grade family member with a malignancy at the age of 50 or younger) - Diseases or circumstances that will most likely impair understanding of the e-learning - Any argument provided by a patient's own GP stating the urge of OGD, notwithstanding the guidelines |
Country | Name | City | State |
---|---|---|---|
Netherlands | Jeroen Bosch Ziekenhuis | 's-Hertogenbosch | Brabant |
Netherlands | Ziekenhuis Gelderse Vallei | Ede | Gelderland |
Netherlands | Maastricht University Medical Center | Maastricht | Limburg |
Netherlands | Canisius-Wilhelmina Hospital | Nijmegen | Gelderland |
Netherlands | VieCuri Medical Center | Venlo | Limburg |
Lead Sponsor | Collaborator |
---|---|
Radboud University | Canisius-Wilhelmina Hospital, Maastricht University Medical Center, VieCuri Medical Centre, ZonMw: The Netherlands Organisation for Health Research and Development |
Netherlands,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | The difference in proportion performed OGDs between groups | The difference between the two study arms in proportion of patients that have received OGD, measured 12 weeks after the initial visit to the endoscopy clinic, out of the total number of patients referred for open-access endoscopy | 12 weeks | |
Secondary | The influence of the intervention on health-related anxiety | The difference between the change scores of the two study arms concerning health-related anxiety, measured by the total score on the validated Short Health Anxiety Inventory | 12 weeks | |
Secondary | The influence of the intervention on severity of upper GI symptoms | The difference between the change scores of the two study arms concerning severity of upper GI symptoms, measured by the mean on the subscale scores of the validated PAGI-SYM questionnaire | 12 weeks | |
Secondary | The influence of the intervention on dyspepsia-related quality of life | The difference between the change scores of the two study arms concerning dyspepsia-related quality of life, measured by the sum of the subscale scores of the validated Nepean Dyspepsia Index | 12 weeks | |
Secondary | The ability of the e-learning to improve knowledge | Using a knowledge test integrated in the e-learning and administered before and after the e-learning, the difference in correctly answered questions will be measured | 15 minutes |
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