A Feasibility Study of Direct Access to an Abdominal ´Yes-No´ Pathway for Primary Care Patients
NCT03878940 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 27
Last updated 2020-04-16
Summary
Background To optimise cancer outcome in Denmark, cancer diagnostic pathways should, beside cancer patient pathways (CPP) for alarm symptoms, also include a pathway for patients with vague and non-specific symptoms. Research has demonstrated that 50% of all cancers do not qualify for specific CPPs, although the majority of patients initially present symptoms in general practice.
Hypothesis Direct access to an abdominal 'yes-no' pathway is feasible in general practice. Aim The aim of this study is to assess the implementation and clinical implications of direct access to an abdominal 'yes-no' pathway for primary care patients with vague and non-specific abdominal symptoms Materials and methods The study is a feasibility study in which all general practitioners (GPs) in the municipality of Silkeborg in Central Denmark Region are offered direct access to a newly developed abdominal ´yes-no´ pathway for both men and women aged 30 years or above, who present vague and non-specific abdominal symptoms in primary care. The abdominal ´yes-no´ pathway consists of: 1) Medical and objective examination, 2) Selected blood samples and a Fecal Immunochemical test (FIT), and 3) Abdominal ultrasound (US) and transvaginal US (TVUS) (for women).
Perspectives This study will provide important knowledge on how to improve abdominal cancer diagnostics in general practice.
Conditions
- Cancer
- Primary Health Care
Interventions
- DIAGNOSTIC_TEST
-
Abdominal ´yes-no´ pathway
A set of blood samples, a FIT, and an abdominal US (and a TVUS in women)
Sponsors & Collaborators
-
University of Aarhus
lead OTHER
Principal Investigators
-
Peter Vedsted · Research Unit of General Practice, Aarhus, Denmark
-
Henry Jensen · Research Unit of General Practice, Aarhus, Denmark
-
Henning Gronbaek · Dept. of Hepatology and Gastroenterology, Aarhus University Hospital, Denmark
-
Henning Glerup · Diagnostic Center, Silkeborg Regional Hospital, Denmark
-
Nanna Holt Jessen · Research Unit of General Practice, Aarhus, Denmark
Study Design
- Allocation
- NA
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 30 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-04-01
- Primary Completion
- 2019-09-30
- Completion
- 2020-03-31
Countries
- Denmark
Study Locations
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