Right Iliac Fossa Treatment-Turkey Audit

NCT ID: NCT04614649

Last Updated: 2024-02-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

3358 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-09-10

Study Completion Date

2021-03-01

Brief Summary

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Background:

Acute appendicitis stands out as a frequently encountered surgical emergency. Despite decades of experience and research, the diagnosis remains a formidable challenge, particularly in young females experiencing acute abdominal pain, where the assessment requires consideration of a broader spectrum of potential causes. An overarching concern lies in the risk of over-treatment, leading to an escalation in unnecessary surgeries, known as the negative appendectomy rate (NAR). This elevated NAR is associated with postoperative complications, prolonged hospital stays, and avoidable healthcare expenditures. Despite international guidelines recommending the routine use of risk prediction models for patients with acute abdominal pain, reported NAR values have reached as high as 28.2% in females and 12.1% in males.

Aim:

The primary study aim is to identify optimal risk prediction models for acute RIF pain in Turkey.

The secondary aims are to audit the normal appendicectomy rate, assess whether these scores have similar efficacy in immigrants, and demonstrate nationwide clinical trends to discuss possible improvements.

Detailed Description

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Conditions

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Abdominal Pain Appendicitis Appendicitis Acute

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* All consecutive patients referred to general surgeons with right iliac fossa pain or suspected appendicitis.
* All patients who undergo an appendicectomy during the study period.

Exclusion Criteria

* Previous appendicectomy, right hemicolectomy, or total colectomy.
* Previous abdominal surgery in the last 90 days.
* Pregnancy.
* Patients confirmed with COVID-19.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Gazi University

OTHER

Sponsor Role lead

Responsible Party

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Ali Yalcinkaya

Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sezai Leventoglu, Professor

Role: STUDY_CHAIR

Gazi University

Locations

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Gazi University

Ankara, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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RIFT-TR

Identifier Type: -

Identifier Source: org_study_id

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