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| ID | Type | Description | Link |
|---|---|---|---|
| 2013-A01703-42 | Other Identifier | RCB number |
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The main objective of this study is to assess the feasibility of standardized screening for comorbidities among patients with one or more of three chronic diseases (diabetes, COPD, atherosclerosis) by a mobile unit at times and localities under-served by health actors.
The investigators secondary objectives include assessing patient and GP satisfaction in relation to the mobile screening team.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| The study population | There is only one group in this study. Please see the inclusion/exclusion criteria. Intervention: Patient recruitment Intervention: Mobile team exam |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Patient recruitment | Other | Participating general practitioners (GPs) will inform and recruit participants from among regular patient consults. Using the provided web tools, GPs will organize a visit with the mobile team that fits the needs of the patient. |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of eligible patients who actually received the mobile team exam | Day of mobile team exam (day 0) |
| Measure | Description | Time Frame |
|---|---|---|
| Observance: percentage of patients included that actually received the balance sheet | Day of mobile team exam (day 0) | |
| Time in days between making the appointment by the general practitioner and the mobile team exam | Day of mobile team exam (day 0) |
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Inclusion Criteria:
Exclusion Criteria:
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The study population consists of patients at least 50 years of age with a chronic disease (COPD, Type II diabetes, atherosclerosis) recruited by one of the GP investigators.
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| Name | Affiliation | Role |
|---|---|---|
| David Costa, MD | Centre Hospitalier Universitaire de Nīmes | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cabinet Médical - 47 rue de la République | Bessèges | 30160 | France | |||
| Centre de Santé Médical |
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| Mobile team exam | Procedure | Each patient enrolled will receive a standardized assessment in one locality, made in about two hours, and comprising: questionnaire responses, a complete physical exam, a 12-lead ECG, spirometry before and after administration of β2-agonists, an arterial Doppler ultrasound (carotid and abdominal), ankle-brachial index (systolic pressure at the toe). At the end of two hours, each patient will evaluate their satisfaction using a survey of acceptability and leave with a full report to the attention of their general practitioner (copy sent to Physician if needed) detailing the results of the different examinations. |
|
| Average per patient time necessary to carry out the mobile team exam | Day of mobile team exam (day 0) |
| Average time required for the patient to fill out questionnaires | Day of mobile team exam (day 0) |
| Percentage of complete mobile team exams, that is to say in which all the data and all the variables have been collected and interpreted | Day of mobile team exam (day 0) |
| Percentage of GPs who participated in the study | Day of mobile team exam (day 0) |
| Percentage of mobile team exams in which one or more comorbidities was discovered | Day of mobile team exam (day 0) |
| GP and patient acceptability of the mobile team exam | Visual analog scales (ranging from 0 to 10) for access, delays, organization and satisfaction. | Day of mobile team exam (day 0) |
| Bessèges |
| 30160 |
| France |
| Centre médical des Olivettes | Ganges | 34190 | France |
| Cabinet Médical - 5 rue Abbé Masson | La Grand-Combe | 30110 | France |
| Cabinet Médical - 154 Place de la Poste | Lasalle | 30460 | France |
| Cabinet Médical - Les Glycines | Lasalle | 30460 | France |
| Cabinet Médical - Pont de Grammal | Molières-sur-Cèze | 30410 | France |
| Cabinet Médical - 9 rue Racine | Nîmes | 30000 | France |
| Cabinet Médical - 15 rue du Lac | Quissac | 30260 | France |
| Cabinet Médical - 36 place de l'Esplanade | Saint-Ambroix | 30500 | France |
| Centre Médical La Cantonnade | Saint-Florent-sur-Auzonnet | 30960 | France |
| Cabinét Médical - 9 rue Villeneuve | Saint-Jean-du-Gard | 30270 | France |
| Cabinet Médical - 7 bis avenue Rhin Danube | Sauve | 30610 | France |
| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| D003924 | Diabetes Mellitus, Type 2 |
| D050197 | Atherosclerosis |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D003920 | Diabetes Mellitus |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
| D001161 | Arteriosclerosis |
| D001157 | Arterial Occlusive Diseases |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D018579 | Patient Selection |
| ID | Term |
|---|---|
| D012107 | Research Design |
| D008722 | Methods |
| D008919 | Investigative Techniques |
| D010346 | Patient Care Management |
| D006298 | Health Services Administration |
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