Dyspepsia gastric complaints
Conditions
Interventions
Patients will be offered e-learning instead of endoscopy. The e-learning will
contain educational material and questionnaires. Questionnaire data will be
extracted from the e-learning.
Sponsors
Radboud Universitair Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patients are eligible for inclusion when they meet the following criteria at randomisation: - Age *18 years - Reported upper gastrointestinal symptoms in the past 6 months - Referred for OGD - Guidelines for referral not met - Signed informed consent
Exclusion criteria
Exclusion criteria: Patient who fulfil the criteria for OGD acoording to the Dutch college of General Practitioners (NHG) guidelines ('Maagklachten') and NICE guidelines on *Upper gastrointestinal tract cancers*.;- Family history of gastric- or oesophageal cancer (at least one first or second grade family member with a malignancy at the age of 50 or younger) - Diseases or circumstances that will most likely impair understanding of the e-learning - Any argument provided by a patient*s own GP stating the urge of OGD, notwithstanding the guidelines
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main study endpoint is the difference between the two study arms in proportion of patients receiving direct OGD after the initial visit to the endoscopy clinic, out of the total number of patients referred for open-access endoscopy. OGDs performed at any time in the study after initial successful intervention , will still be considered successful intervention (intention-to-treat). | — |
Secondary
| Measure | Time frame |
|---|---|
| The difference between the change scores of the two study arms on the following three parameters: Health-related anxiety, severity of upper GI symptoms and quality of life. These will be assessed using a questionnaire at the initial visit to the endoscopy clinic and after 8 weeks The proportion of patients that received the e-learning and nevertheless received OGD in the 8 weeks after the initial visit, out of the total number of patients receiving the e-learning Educational value of the e-learning. This will be tested through a knowledge test integrated in the e-learning and administered before and after the e-learning | — |
Countries
Netherlands
Outcome results
None listed