Determining the optimal approach to identifying individuals with chronic obstructive pulmonary disease

ISRCTN ISRCTN42132522
DOI https://doi.org/10.1186/ISRCTN42132522
Secondary identifying numbers N/A
Submission date
22/02/2011
Registration date
31/03/2011
Last edited
19/11/2018
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Respiratory
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mrs Lisa Dyson
Scientific

York Trials Unit
Ground Floor ARRC Building
Department of Health Sciences
University of York
Heslington
York
YO10 5DD
United Kingdom

Email lisa.dyson@york.ac.uk

Study information

Study designMulti-centre randomised trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)GP practice
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titleDetermining the optimal approach to identifying individuals with chronic obstructive pulmonary disease: a multi-centre randomised trial
Study acronymDOC study
Study objectives1. To identify the most effective case-finding pathway for chronic obstructive pulmonary disease (COPD). The specific health service impacts across different possible pathways for undertaking COPD case finding amongst current smokers in primary care settings will be assessed.
2. To assess the cost-effectiveness of COPD case-finding pathways. A cost-per-true-positive-case-found analysis will be undertaken and health care resource use will be incorporated.
3. To evaluate the efficiency of the 'case finding' pathway. Key factors to consider will be the quality of the forced expiratory volume in one second (FEV1)/forced vital capacity (FVC), mechanical peak expiratory flow rate (PEFR) measurements and wheezometer measurements (in relation to the reference standard).
4. To evaluate whether undergoing the diagnostic test(s) has an impact on smoking behaviour to inform future smoking cessation studies.
Ethics approval(s)Newcastle and North Tyneside 2 Research Ethics Committee, 29/07/2010, ref: 10/H0907/37
Health condition(s) or problem(s) studiedChronic obstructive pulmonary disease (COPD)
Intervention1. Participants will undertake lung function tests (i.e. peak flow measurement, microspirometry and post-bronchodilator spirometry), a wheeze-detecting device (i.e. wheezometer) and a case-finding questionnaire
2. Further questionnaires will be completed during the study; a screening questionnaire and a follow-up questionnaire.

All participants receive the case-finding tests, with half randomised to receive the tests straight away and the remainder will receive the tests approximately 6 months later.
Intervention typeOther
Primary outcome measureEffectiveness of diagnostic pathways - aim to identify the most effective pathway for use as the routine service model in primary care
Secondary outcome measures1. Cost-effectiveness of COPD case-finding pathway
2. Efficiency of COPD case-finding pathway
3. Impact on smoking behaviour
Overall study start date01/05/2011
Completion date01/09/2013

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants600
Key inclusion criteriaCurrent smokers aged 35 years or more who are registered with participating GP practices
Key exclusion criteria1. Pregnancy
2. Recent history (within 8 weeks) of myocardial infarction, stroke, pulmonary embolism, chest/abdominal surgery or eye surgery
3. Any mental or physical condition (e.g. chest/abdominal pain/stress incontinence) or any other condition which means the participant is unable to undergo the case-finding tools
Date of first enrolment01/05/2011
Date of final enrolment31/07/2012

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

York Trials Unit
York
YO10 5DD
United Kingdom

Sponsor information

University of York (UK)
University/education

c/o Sue Final
Innovation Centre
York
YO10 5DD
England
United Kingdom

Email sue.final@york.ac.uk
Website http://www.york.ac.uk/
ROR logo "ROR" https://ror.org/04m01e293

Funders

Funder type

Government

Department of Health (UK) - Respiratory Programme

No information available

Results and Publications

Intention to publish date31/12/2015
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planThe results are expected to be published in 2015
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/06/2018 Yes No

Editorial Notes

19/11/2018: Publication reference added.
15/11/2017: No publications found, verifying study status with principal investigator.
16/06/2015: The overall trial end date was changed from 31/07/2012 to 01/09/2013.