Evaluation of the effect of the diagnostic and therapeutic advices given by an Asthma/chronic obstructive pulmonary disease (COPD) service on the referring general practitioners and their patients
| ISRCTN | ISRCTN45174826 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN45174826 |
| Secondary identifying numbers | Internal budget number 30.95.01.04.b |
- Submission date
- 20/12/2005
- Registration date
- 20/12/2005
- Last edited
- 10/10/2008
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Respiratory
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year
Plain English summary of protocol
Not provided at time of registration
Contact information
Dr Marion Drietelaar
Scientific
Scientific
Onderzoeksinstituut Caphri
Universiteit van Maastricht
Postbus 616
Maastricht
6200 MD
Netherlands
| Phone | +31 (0)43 388 2272 |
|---|---|
| Marion.Drietelaar@HAG.unimaas.nl |
Study information
| Study design | Multicentre, randomised, active controlled, parallel group trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Hospital |
| Study type | Treatment |
| Scientific title | |
| Study objectives | Not provided at time of registration |
| Ethics approval(s) | Not provided at time of registration |
| Health condition(s) or problem(s) studied | Asthma, chronic obstructive pulmonary disease (COPD) |
| Intervention | The intervention in the trial was the diagnostic and therapeutic advice offered to the general practitioners by the Asthma/COPD-service in Eindhoven. These advices are a new but already introduced facility for general practitioners and their patients. This facility is in the process of implementation. General practitioners in the research project who, after randomisation, are eligible to first use the facility are considered to be the intervention group (N=17). General practitioners who dont get the full support of the Asthma/COPD-service yet (N=17) are considered to be the control group. Each general practice participates in the research project for two years. In this period the patients of the intervention group receive two yearly follow-up consultations at the Asthma/COPD service, on request of their general practitioner. Medical history and spirometry is performed. A lung specialist assesses by protocol the written results of these measurements and sends a structured report to the general practitioner. This report includes a diagnosis or an advice for further diagnostic examinations, and advices for treatment. In the control group the general practitioners can have spirometry performed for their patients in the way they are used to. However, they dont get the full report of the Asthma/COPD-service, only the description of the lung function. |
| Intervention type | Other |
| Primary outcome measure | 1. Do general practitioners assess better diagnoses, according tot the NHG-standards, in Asthma/COPD-patients: do more patients have a correct diagnosis, do less patients have a wrong or incomplete diagnosis or no diagnosis at all? 2. Do general practitioners give their patients a better treatment, according to the NHG-standards: do more patients get the right medication, do less patients get wrong or unnecessary medication. Do patients receive more information about their disease and about self management? 3. Do patients have a better compliance, do they better follow the advices about stop smoking, exercise, do they have fewer complaints and a better quality of life? |
| Secondary outcome measures | 1. Validity and reliability of the assessment and the reports of the Asthma/COPD-service 2. Epidemiological data about the prevalence of Asthma/COPD in general practices, the (incorrect) use of medication of in general practice 3. Costs of a support as given by the Asthma/COPD-service, related to the diagnostic and therapeutic gain in patient care |
| Overall study start date | 01/01/2003 |
| Completion date | 31/12/2005 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Other |
| Sex | Both |
| Target number of participants | 1000 |
| Key inclusion criteria | All general practices in and around the city of Eindhoven could be included as long as they used the facilities of the Diagnostic Centre, which the Asthma/COPD-service is a part of. Although they should not have any experience with the support of the Asthma/COPD-service. They were also excluded in case they had employed a "praktijkondersteuner" (specialised nurse or assistant) for the Asthma/COPD disease management. In the intervention as well as in the control practices, all patients 12 years and older that have airway complaints could participate as long as they were not treated by a lung specialist. |
| Key exclusion criteria | See inclusion criteria. |
| Date of first enrolment | 01/01/2003 |
| Date of final enrolment | 31/12/2005 |
Locations
Countries of recruitment
- Netherlands
Study participating centre
Onderzoeksinstituut Caphri
Maastricht
6200 MD
Netherlands
6200 MD
Netherlands
Sponsor information
Care and Public Health Research Institute (CAPHRI) (The Netherlands)
Research organisation
Research organisation
University Maastricht
P.O. Box 616
Maastricht
6200 MD
Netherlands
| Phone | +31 (0)43 388 2446 |
|---|---|
| e.habets@caphri.unimaas.nl | |
| Website | http://www.caphri.nl/ |
"ROR" |
https://ror.org/02jz4aj89 |
Funders
Funder type
Research organisation
Partners in Care Solutions (PICASSO) (The Netherlands)
No information available
Results and Publications
| Intention to publish date | |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Not provided at time of registration |
| Publication and dissemination plan | Not provided at time of registration |
| IPD sharing plan |
