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The operator effect on the ultrasound diagnosis of ovarian tumours: a prospective randomised study
Source of recordUK Trials
ISRCTNISRCTN02631195
Date ISRCTN assigned30/09/2005
Local reference number(s)N0116148369
Public titleThe operator effect on the ultrasound diagnosis of ovarian tumours: a prospective randomised study
Scientific title
AcronymN/A
Disease/condition/study domainOvarian cancer
Study hypothesisTo see whether an ultrasound scan performed in an expert centre could reduce the number of major surgical procedures performed in the management of ovarian pathology.
Design/methodologyProspective randomised controlled trial
Research ethics reviewNot provided at time of registration
Countries of trialUnited Kingdom
Participants - inclusion criteriaWomen who attend the Rapid Access Clinic at Guy's hospital with a suspected pelvic mass.
Participants - exclusion criteriaNot provided at time of registration
Patient information material
Anticipated start date19/04/2004
Anticipated end date01/07/2006
Status of trialCompleted
Target number of participants165
InterventionsThis will be a randomised prospective study, including all women who attend the Rapid Access Clinic at Guy's hospital with a suspected pelvic mass. An information leaflet about the study will be given to all those patients referred with a suspected pelvic mass. If an ultrasound is indicated and if these patients consent to participate in the study and they meet the inclusion criteria, they will be randomised by a sealed envelope system to having their scan at Guy's & St Thomas' (routine), or at King's (expert).

The result of the scan will be reviewed by the lead consultant who will decide on the method of management of these patients based on the result of the scan report and an agreed management protocol. Findings at the operation and that of the histological investigation will be recorded. Any additional tests performed to aid the diagnosis made on ultrasound will be recorded as well. We will compare the above data between the two groups i.e. those who had routine scanning and those who had expert scanning.

In women who undergo conservative management, a follow up scan and a blood test will be carried out at regular intervals and any changes in diagnosis or plan of management will be recorded. The cost of different methods of management will be assessed and compared: cost of bed occupancy, price of operation, theatre time, short term and long term recovery cost. All the data collected will be stored on Microsoft Excel spreadsheets, on a disk and will be password protected. Only those directly involved in the study will be able to access these data.
Primary outcome measure(s)The main endpoint measure will be the number of invasive operative tests performed in each arm of the study.
Secondary outcome measure(s)Not provided at time of registration
PublicationsResults in http://www.ncbi.nlm.nih.gov/pubmed/18207461
Sources of funding1. Kings College Hospital NHS Trust R&D Consortium (UK)
2. Own Account NHS R&D support funding (UK)
Sponsor nameRecord Provided by the NHSTCT Register - 2005 Update - Department of Health (UK)
Sponsor detailsThe Department of Health, Richmond House, 79 Whitehall
London
United Kingdom
SW1A 2NL
Sponsor telephone+44 (0)20 7307 2622
Sponsor emaildhmail@doh.gsi.org.uk
Sponsor websitehttp://www.dh.gov.uk/Home/fs/en
Contact nameMr D Jurkovic
Contact detailsDepartment of Obstetrics and Gynaecology
King's College Hospital
Denmark Hill
London
United Kingdom
SE5 9RS
Contact telephone+44 (0)20 7346 3168
Contact emaildavor.jurkovic@kingsch.nhs.uk
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN02631195
Date last extracted from ISRCTN register17/04/2008
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