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Protocol Based Selective Imaging Versus Routine Computed Tomography or Ultrasound in Suspected Appendicitis

NCT06083064 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 900

Last updated 2025-03-12

No results posted yet for this study

Summary

The goal of this clinical trial is to compare protocol based selective imaging to routine imaging in adult patients with suspected appendicitis. The main question\[s\] it aims to answer are:

* Does protocol based selective imaging using clinical scoring affect clinical outcome?
* Does protocol based selective observation combined with score based selective imaging affect clinical outcome?

Participants will be randomized into three groups:

* Selective imaging based on Adult Appendicitis Score
* Selective observation based on Appendicitis Severity Score combined with selective imaging based on Adult Appendicitis Score
* Routine imaging using ultrasound and/or computed tomography

Researchers will compare selective imaging groups separately with routine imaging to see if number of negative appendectomies or number of complicated appendicitis is not significantly increased.

Conditions

  • Appendicitis

Interventions

DIAGNOSTIC_TEST

Abdominal imaging

Abdominal ultrasound and/or abdominal CT

OTHER

Score based selective abdominal imaging

Abdominal imaging is done selectively based on Adult Appendicitis Score

OTHER

Score based selective observation combined with selective abdominal imaging

Observation based on Appendicitis Severity Score combined Adult Appendicitis Score based selective abdominal imaging

Sponsors & Collaborators

  • Helsinki University Central Hospital

    lead OTHER

Principal Investigators

  • Panu Mentula, MD · Helsinki University Central Hospital

Study Design

Allocation
RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Model
PARALLEL

Eligibility

Min Age
18 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2023-11-15
Primary Completion
2026-12-31
Completion
2028-12-31

Countries

  • Finland

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT06083064 on ClinicalTrials.gov