Referral and Consultationone-stopNCT00692497
Electronic Referral and Booking of Outpatient Day Case Surgery Compared With Traditional Referral Routines.
A study testing one stop (Electronic standardised referrals and appointment bookings) in people with Referral and Consultation and Telemedicine, run by University Hospital of North Norway at 1 site in Norway.
Trial summary
We want in this study to investigate the cost-effectiveness and waiting time of direct electronic referral and booking of outpatient surgery compared to the traditional patient pathway where the patient is seen at the outpatient clinic prior to surgery. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Referral and Consultation, Telemedicine, Surgery, Outpatient
- What is being tested?
- one stop (Electronic standardised referrals and appointment bookings)
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 120 participants
- Where
- 1 siteNorway
- Study dates
- Oct 2010to Dec 2012
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Patients were eligible if they were diagnosed by their GP for an inguinal hernia, sinus pilonidalis or gallstone disease which require surgical treatment.
Who cannot join
- Patients with medical conditions making them unfit for outpatient surgery admitted to the surgical department prior to surgery are not eligible
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Costs-effectiveness and Waiting Time for Direct Electronic Referral and Booking of Outpatient Day Case Surgery Compared With Traditional Referral Routines. A Randomised Controlled Trial
We want in this study to investigate the cost-effectiveness and waiting time of direct electronic referral and booking of outpatient surgery compared to the traditional patient pathway where the patient is seen at the outpatient clinic prior to surgery.
Read the detailed description
Waiting time from referral to day case outpatient surgery is unacceptable long. In Norway it is as much as 48 weeks for common conditions like gallstones, inguinal hernia and sinus pilonidalis. Electronic standardised referrals sent by the Norwegian Healthcare Network, and booking of surgery by the general practitioner might be a way to reduce the waiting time and increase the cost effectiveness of outpatient surgery.
The trial is designated as a randomized controlled trial were selected patients (inguinal hernia, gall stone disease and sinus pilonoidalis) referred to the university hospital, were either randomized to direct electronic referral and booking for outpatient surgery (one stop), or using the traditional patient pathway where all patients are seen at the outpatient clinic several weeks before surgery.
- Conditions
- Referral and Consultation, Telemedicine, Surgery, Outpatient, Surgery, Day, Medical Records Systems, Computerized, Health Services Research
- Being tested
- one stop (Electronic standardised referrals and appointment bookings)
- Keywords
- One-Stop, Public Health Research, Delivery of Health Care/*standards, Evaluation Studies, Referral, Surgery, Outpatient, Surgery, Day, Telemedicine
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
one stop (Electronic standardised referrals and appointment bookings)Behavioural
The one stop strategy is a set of interventions directed at GPs referring to the University Hospital. The interventions include: Guidelines for referral, standardised electronic referrals, booking for outpatient surgery and a patient information form.
| Study group | Role | What they receive |
|---|---|---|
| 1 | Active comparator | The one stop strategy is a set of interventions directed at GPs referring to the University Hospital. The interventions include: Guidelines for referral, standardised electronic referrals, booking for outpatient surgery and a patient information form. Receives: Behavioral: one stop (Electronic standardised referrals and appointment bookings) |
| 2 | No intervention | Patients in the control group are randomised to use the regular patient pathway prior to day case outpatient surgery. All these patients are referred to the surgical outpatient clinic. At the outpatient clinic patients are examined by a surgeon and indications for surgery is decided by the surgeon. If indicated, patients are then referred to outpatient surgery and the surgical procedure is performed several weeks after the examination. |
What is being measured
The primary outcome is the main question the study is designed to answer.
waiting time
Measured: one year
Secondary outcomes (1)
cost effectiveness
Measured: one year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Jun 2008 (estimated)
- Study startOct 2010
- Primary completionJun 2012
- Study completionDec 2012
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Referral and ConsultationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 120 participants (actual)
Sponsor and investigators
- Lead sponsor
- University Hospital of North Norway
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Rolv-Ole Lindsetmo, MD, PhD, Principal investigator, University of TromsoRoar Johnsen, MD, PhD, Prof., Study chair, University of North NorwayKnut M Augestad, MD, Study director, Norwegian Centre for Telemedicine and Department of Gastrointestinal Surgery, University Hospital of North Norway, Norway
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00692497
- Sponsor's protocol ID
- P REK NORD 122/2006
- Acronym
- one-stop
- Status last verified
- Jan 2016
- First submitted
- 4 Jun 2008
- Last updated
- 27 Jan 2016
- Results posted
- No
- Data monitoring committee
- No
Publications
Augestad KM, Revhaug A, Vonen B, Johnsen R, Lindsetmo RO. The one-stop trial: does electronic referral and booking by the general practitioner (GPs) to outpatient day case surgery reduce waiting time and costs? A randomized controlled trial protocol. BMC Surg. 2008 Aug 11;8:14. doi: 10.1186/1471-2482-8-14.
PubMed 18694477
Study at a glance
From the registry record, last updated by the sponsor on 27 Jan 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Costs-effectiveness and Waiting Time for Direct Electronic Referral and Booking of Outpatient Day Case Surgery Compared With Traditional Referral Routines. A Randomised Controlled Trial
- ClinicalTrials.gov ID
- NCT00692497
- Acronym / sponsor ID
- one-stop / P REK NORD 122/2006
- Conditions
- Referral and Consultation, Telemedicine, Surgery, Outpatient, Surgery, Day, Medical Records Systems, Computerized, Health Services Research
- Keywords
- One-Stop, Public Health Research, Delivery of Health Care/*standards, Evaluation Studies, Referral, Surgery, Outpatient, Surgery, Day, Telemedicine
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 120 participants (actual)
- Lead sponsor
- University Hospital of North NorwayUniversity, hospital or other
- Study start
- Oct 2010
- Primary completion
- Jun 2012 (actual)
- Study completion
- Dec 2012 (actual)
- First posted
- 6 Jun 2008 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
We want in this study to investigate the cost-effectiveness and waiting time of direct electronic referral and booking of outpatient surgery compared to the traditional patient pathway where the patient is seen at the outpatient clinic prior to surgery.
Detailed description
Waiting time from referral to day case outpatient surgery is unacceptable long. In Norway it is as much as 48 weeks for common conditions like gallstones, inguinal hernia and sinus pilonidalis. Electronic standardised referrals sent by the Norwegian Healthcare Network, and booking of surgery by the general practitioner might be a way to reduce the waiting time and increase the cost effectiveness of outpatient surgery.
The trial is designated as a randomized controlled trial were selected patients (inguinal hernia, gall stone disease and sinus pilonoidalis) referred to the university hospital, were either randomized to direct electronic referral and booking for outpatient surgery (one stop), or using the traditional patient pathway where all patients are seen at the outpatient clinic several weeks before surgery.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 1 | Active comparator | Behavioral: one stop (Electronic standardised referrals and appointment bookings)The one stop strategy is a set of interventions directed at GPs referring to the University Hospital. The interventions include: Guidelines for referral, standardised electronic referrals, booking for outpatient surgery and a patient information form. |
| 2 | No intervention | –Patients in the control group are randomised to use the regular patient pathway prior to day case outpatient surgery. All these patients are referred to the surgical outpatient clinic. At the outpatient clinic patients are examined by a surgeon and indications for surgery is decided by the surgeon. If indicated, patients are then referred to outpatient surgery and the surgical procedure is performed several weeks after the examination. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (1 listed)
- Patients were eligible if they were diagnosed by their GP for an inguinal hernia, sinus pilonidalis or gallstone disease which require surgical treatment.
Key exclusion criteria (1 listed)
- Patients with medical conditions making them unfit for outpatient surgery admitted to the surgical department prior to surgery are not eligible
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| one stop (Electronic standardised referrals and appointment bookings)The one stop strategy is a set of interventions directed at GPs referring to the University Hospital. The interventions include: Guidelines for referral, standardised electronic referrals, booking for outpatient surgery and a patient information form. | Behavioural | 1 |
Primary outcome
waiting time
Time frame: one year
1 secondary outcome
cost effectiveness
Time frame: one year
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Jan 2016.
- Derived from this study: PubMed 18694477Augestad KM, Revhaug A, Vonen B, Johnsen R, Lindsetmo RO. The one-stop trial: does electronic referral and booking by the general practitioner (GPs) to outpatient day case surgery reduce waiting time and costs? A randomized controlled trial protocol. BMC Surg. 2008 Aug 11;8:14. doi: 10.1186/1471-2482-8-14.
- A short public description of the project (in norwegian)Link provided by the sponsor.
Related trials for Referral and Consultation
Not yet recruitingObservational study
Evaluation of the Clinical Value of NT-proBNP (or BNP) Measurement, Alone or in Combination With the EPOF Questionnaire, for the Screening of Chronic Heart Failure (CHF) in Adults Aged 40 Years and Older Referred for a Cardiology Consultation Without Suspected CHF.
NT-pro-BNP, NT-proBNP
Recruiting
SMART Therapist Training: A Hybrid Factorial-SMART Design
Stress Disorders, Post-Traumatic, Psychotherapy
Recruiting
Improving Alcohol and Substance Use Care Access, Outcome, Equity During the Reproductive Years
Alcohol-Related Disorders, Substance-Related Disorders
Not yet recruiting
Optimizing Referral Pathways for Patients With Hematuria and Moderate-Severe Proteinuria
Referral and Consultation, Glomerulonephritis
Enrolling by invitation
Outcomes of Urinary Incontinence Treatment in Primary Care: APP Co-Management and Electronic Consult
Urinary Incontinence
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Rolv-Ole Lindsetmo, MD, PhD principal investigator
University of Tromso
Roar Johnsen, MD, PhD, Prof. study chair
University of North Norway
Knut M Augestad, MD study director
Norwegian Centre for Telemedicine and Department of Gastrointestinal Surgery, University Hospital of North Norway, Norway
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing one stop (Electronic standardised referrals and appointment bookings) in people with Referral and Consultation and Telemedicine, run by University Hospital of North Norway at 1 site in Norway.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 27 Jan 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Norway. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
waiting time (time frame: one year). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00692497, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jan 2016.