NCT03482232

Consequences of Doing What Should Not be Done in Primary Care

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 750,000 (actual)
• Sponsor: Universidad Miguel Hernandez de Elche · Academic / Other
• Sex: All
• Age: —
• Healthy volunteers: Not accepted

Summary

Retrospective observational study in a random selection of 5% of digital records active between 2014 and 2017 to quantify the frequency of Do not do primary care recommendations, calculating the over-cost related to them and study reviewing a random selection of cases previously identified to determine whether patient suffered adverse events and their over-cost.

Detailed description

Basement: Overuse subjected patients to unnecessary risk without promoting a sufficient clinical benefit and over-cost. The Less is More Medicine movement has led to the identification of Do not do in different specialties, also in primary care. Objective: To analyze the impact of errors (overuse rates based in Do not do recommendations) in clinical practice. Method: Retrospective observational study in a random selection of 5% of digital records active between 2014 and 2017 to quantify the frequency of Do not do primary care recommendations, calculating the over-cost related to them. Retrospective study reviewing a random selection of cases previously identified to determine whether patient suffered adverse events and their over-cost. Setting. Primary care in Andalucía, Aragón, Castilla La Mancha, Comunidad Valenciana, Madrid, Murcia, Navarra y País Vasco, eight autonomous communities in Spain.

Conditions

• Overdose
• Adverse Event

Interventions

Type	Name	Description
DRUG	Benzodiazepines	Benzodiazepines for insomnia, agitation or delirium in people older than 65
DRUG	Non-steroidal anti-inflammatory drugs	Non-steroidal anti-inflammatory drugs in patients with cardiovascular disease, chronic kidney disease, hypertension, heart failure or liver cirrhosis
DRUG	paracetamol	paracetamol 1g for more than 3 days
DRUG	Antimicrobial agent	antibiotic in acute bronchitis when the patient does not suffer from COPD, heart failure, diabetes or kidney disease or is undergoing active chemotherapy
DRUG	Lipid-lowering drug	Lipid-lowering drugs in patients older than 75 years without previous cardiovascular events
DIAGNOSTIC_TEST	Prostate cancer	Screening for prostate cancer in asymptomatic patients
RADIATION	Lumbago	image tests in non-specific lumbago
DRUG	Antimicrobial agent	antibiotics for pharyngitis (infants)
DRUG	Mucolytic	mucolytics, antitussives or antibiotics for upper respiratory infections (infants)
DRUG	Ibuprofen and paracetamol	treatment with ibuprofen and paracetamol (infants)

Timeline

• Start date: 2018-10-14
• Primary completion: 2019-12-05
• Completion: 2020-02-10
• First posted: 2018-03-29
• Last updated: 2020-04-03

Locations

2 sites across 1 country: Spain