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This study consists of a clinical vignette presented to emergency physicians asking them what they would prescribe to a patient with acute abdominal pain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Non-black man | the case will present a non black man |
| |
| Black man | the case will present a non black man |
| |
| non-black woman | the case will present a non black woman |
| |
| black woman | the case will present a black woman |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| opioid prescription | Behavioral | The intervention consisted of a randomized questionnaire presenting a clinical case of a patient suffering from severe abdominal pain. The control case was "As an emergency physician in an adult emergency department, you are presented with the following patient: The patient is a 39-year-old non-smoking male/female with a history of Meniere's disease and an allergy to Bactrim. He/she presents with abdominal pain that began abruptly 2 hours ago and has persisted despite taking NEFOPAM 45 minutes ago. This is his first episode. His/her vital signs are blood pressure 140/66, heart rate 91, pulse ox 97%, temperature 36.8°C. He/she rates his/her pain as 8/10 without any analgesic position. On clinical examination he/she presents with localized epigastric tenderness. The rest of the abdomen is soft, painless and depressed. There are hydro-aeriform noises. No diarrhea or vomiting. The rest of the clinical examination showed no abnormalities.". In the intervention case, patient had history of S |
| Measure | Description | Time Frame |
|---|---|---|
| Morphine prescription | The proportion of patient for which physician would have prescribed morphine | through study completion, an average of 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Analgesic prescription between groups | To compare analgesic prescription between groups | through study completion, an average of 1 year |
| factors associated with differences in management between groups |
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Inclusion Criteria:
Exclusion Criteria:
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Population will consist in emergency medicine resident and physician, speaking French or English, in European countries.
The population will be recruited with the use of professional networks and social medias
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Nîmes | Nîmes | Occitanie | 30900 | France | ||
| Manchester University NHS FT |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41448706 | Result | Coisy F, Simon A, Occelli C, Dupriez F, Ageron FX, N'Diaye L, Feral-Pierssens AL, Yates G, Bobbia X. Does a history of sickle cell disease affect the prescription of morphine? An international, randomised study based on clinical vignettes conducted among emergency physicians. BMJ Open. 2025 Dec 24;15(12):e108836. doi: 10.1136/bmjopen-2025-108836. |
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| ID | Term |
|---|---|
| D063505 | Racism |
| D000377 | Agnosia |
| D000755 | Anemia, Sickle Cell |
| ID | Term |
|---|---|
| D011287 | Prejudice |
| D012919 | Social Behavior |
| D001519 | Behavior |
| D063508 | Social Discrimination |
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|
identify factors associated with differences in management (urgency level, morphine prescription and computed tomography scan ordering)
| through study completion, an average of 1 year |
| Differences according to patient and practitioner gender | analyze the difference in morphine treatment prescribed according to patient and practitioner gender | through study completion, an average of 1 year |
| Manchester |
| Manchester |
| M139WL |
| United Kingdom |
| D010468 |
| Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000745 | Anemia, Hemolytic, Congenital |
| D000743 | Anemia, Hemolytic |
| D000740 | Anemia |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D006453 | Hemoglobinopathies |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |