High- and Low-risk Actinic Keratosis Referrals to Secondary Care

NCT ID: NCT05976061

Last Updated: 2025-04-04

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

ACTIVE_NOT_RECRUITING

Total Enrollment

3379 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-03-01

Study Completion Date

2025-12-01

Brief Summary

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This study evaluates the implementation of the General Practitioners guidelines 'Suspicious Skin Lesions' and investigated whether their publication and implementation has led to a reduction in the proportion of referrals of low-risk patients with actinic keratosis to secondary care, after publication of the General Practitioners guidelines and implementation activities.

Detailed Description

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In the Dutch healthcare system, patients are first examined by the general practitioner who decides whether a referral to a dermatologist is indicated. Both general practitioners and dermatologists can diagnose and treat patients with actinic keratosis. Therefore, it is necessary to distinguish which patients the general practitioner should refer to a dermatologist and which patients are suitable to be treated by the general practitioner.

This retrospective data study evaluates the proportion of low risk actinic keratosis patients in 2019 en 2018.

Conditions

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Actinic Keratoses

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Low risk patients

Low risk actinic keratosis patients referred by the general practitioner and diagnosed as actinic keratosis by the dermatologist in 2018 and 2019.

No interventions assigned to this group

High risk patients

High risk actinic keratosis patients referred by the general practitioner and diagnosed as actinic keratosis by the dermatologist in 2018 and 2019.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* patients of 18 years and older
* referred to dermatologist for suspicion of actinic keratosis and diagnosed as actinic keratosis by the dermatologist
* treated at MaastrichtUMC+ or TergooiHospital

Exclusion Criteria

* different diagnosis than actinic keratosis
* referred by a different specialist than the general practitioner
* referred with multiple problems
* referred for a second opinion
* if the patients was treated as different diagnosis than actinic keratosis by general practitioner
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tergooi Hospital

OTHER

Sponsor Role collaborator

Maastricht University Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Klara Mosterd, prof.dr.

Role: PRINCIPAL_INVESTIGATOR

Maastricht UMC+

Maud Jansen, dr.

Role: PRINCIPAL_INVESTIGATOR

Maastricht UMC+

Locations

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Ellen Oyen

Maastricht, , Netherlands

Site Status

Countries

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Netherlands

Related Links

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https://richtlijnen.nhg.org/standaarden/verdachte-huidafwijkingen

the Dutch College of General Practitioners guidelines 'Suspicious Skin lesions'. \[updated 2020\].

Other Identifiers

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2020-2432

Identifier Type: -

Identifier Source: org_study_id

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