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Drop in Gastroscopy - Experience After 9 Months

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00977678
Recruitment Status : Completed
First Posted : September 16, 2009
Last Update Posted : December 30, 2009
Information provided by:
Norwegian Department of Health and Social Affairs

Brief Summary:

The capacity for endoscopical procedures in the Norwegian health system is low in comparison to demands from patients and family practitioners.

The studies aim is to evaluate the acceptance of a new concept: an open access gastroscopy clinic where patients can attend without a preceding appointment.

The investigators wish to evaluate:

  1. Patient´s satisfaction.
  2. General practitioner´s satisfaction.
  3. Acceptance by the staff of the clinic.

Condition or disease Intervention/treatment
Esophageal Diseases Peptic Ulcer Stomach Diseases Other: open access gastroscopy Other: Gastroscopy by appointment

Detailed Description:

The fact that access to specialized norwegian health care is characterized by a mismatch between system´s capacity and patient´s and refering physician´s demands, leads to delay of diagnostic investigations such as for example gastroscopies. Patients referred to gastroscopies have to wait 4 to 12 weeks to get an appointment. Consequence might be a delay in diagnosing of significant diseases such as ulcers or even malignancies. In addition the general practitioner is frequently forced to start a therapy by suspicion, and the patient has in numerable cases to stay off work.

In September 2008, the investigators started an open-access gastroscopy outpatient clinic, which allows the family practitioners in a defined area of the Telemark county to refer their patients to a gastroscopy without a preceding appointment. Patients from the other parts of the county and those, who need special service as i.e. interpreter, endocarditis prophylaxis etc. are referred conventionally and need an appointment.

Aim of the study is to evaluate the acceptance of both forms of outpatient clinics by both patients and general practitioners. In addition to that, the investigators will evaluate the acceptance of the open access clinic by the staff. Of special concern is the fear, that easier access might lead to a number of unnecessary procedures.

All patients from open access clinic and from the conventional clinic are asked to fill in a questionaire without any kind of personal identifying data such as name, age, date of the procedure etc., but with questions about their satisfaction with the procedure, the time from their first contact with their family practitioner to the procedure, the information prior and after the procedure. They will be asked if they did consume drugs against "ulcer-disease" or not.

In addition the referring practitioners are asked to fill in a questionnaire about their acceptance of the open access clinic, and to give the investigators some ideas about advantages and disadvantages from their point of view.

The staff is asked to give their experience especially according to the not calculable number of patients that attend to the clinic each day.

If the present study shows high acceptance of the open-access-offer by patients and health workers, the plan is to extend it to other patient groups and to perform studies to investigate the effects on the grade of diseases at the time of diagnosis and possible consequences for treatment and health economy.

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Study Type : Observational
Actual Enrollment : 213 participants
Observational Model: Case Control
Time Perspective: Prospective
Official Title: Drop in Gastroscopy - Experience After 9 Months
Study Start Date : November 2009
Actual Primary Completion Date : December 2009
Actual Study Completion Date : December 2009

Group/Cohort Intervention/treatment
Open access gastroscopy
Patients referred to open access gastroscopy
Other: open access gastroscopy
access to gastroscopy without preceding appointment

Conventional outpatient gastroscopy
Gastroscopy after preceding appointment
Other: Gastroscopy by appointment
Gastroscopy after preceding appointment in a conventional outpatient clinic

Primary Outcome Measures :
  1. Patient´s satisfaction [ Time Frame: Day of the Gastrocopy ]

Secondary Outcome Measures :
  1. General practitioner´satisfaction [ Time Frame: One month after enrollment of patients ]

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Current patients referred to our outpatient gastroscopy clinic

Inclusion Criteria:

  • all patients from 18 years of age.

Exclusion Criteria:

  • age < 18,
  • inability or unwillingness to cooperate.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00977678

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Department of Gastroenterology
Skien, Telemark, Norway, 3728
Sponsors and Collaborators
Norwegian Department of Health and Social Affairs
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Principal Investigator: Gert Huppertz-Hauss, MD Telemark Hospital, Department of internal medicin, Skien, Norway
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Responsible Party: Gert Huppertz-Hauss, Telemark Hospital, N-3710 Skien, Norway Identifier: NCT00977678    
Other Study ID Numbers: STHF-1
First Posted: September 16, 2009    Key Record Dates
Last Update Posted: December 30, 2009
Last Verified: December 2009
Keywords provided by Norwegian Department of Health and Social Affairs:
open access gastroscopy
Additional relevant MeSH terms:
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Peptic Ulcer
Esophageal Diseases
Stomach Diseases
Duodenal Diseases
Intestinal Diseases
Gastrointestinal Diseases
Digestive System Diseases