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A Pilot Randomized Trial of Non-operative Versus Operative Management of Acute Appendicitis in Vulnerable Patient Populations
The overall project goal is to conduct a pilot randomized clinical trial of operative (laparoscopic appendectomy) vs nonoperative (antibiotic) management of uncomplicated acute appendicitis for vulnerable populations. Specifically, the elderly, non-English speakers, and those with economic vulnerability (low socioeconomic status and/or manual labor jobs without a non-weight lifting aspect), are three vulnerable population subsets identified. This pilot trial will provide critical preliminary data for planning and conducting a larger multi-site randomized trial.
Details
| Lead sponsor | University of Texas Southwestern Medical Center |
|---|---|
| Phase | Phase 1 |
| Status | WITHDRAWN |
| Start date | 2023-10 |
| Completion | 2023-11 |
Conditions
- Acute Appendicitis
Interventions
- Laparoscopic appendectomy
- Antibiotics (IV transitioned to oral)
Primary outcomes
- Feasibility of the intervention as measured by the proportion of enrolled participants retained in this study — 12 months post treatment
Feasibility of the intervention is measured by the proportion of enrolled participants who are randomized and retained in this study - Feasibility of the intervention as measured by the number of complications or adverse events — 12 months post treatment
Feasibility of the intervention is measured by the number of complications or adverse events encountered by participants while enrolled in this study