Laparoscopic Versus Open Appendectomy? Let the Patient Decide
Status: | Completed |
---|---|
Conditions: | Other Indications, Gastrointestinal |
Therapuetic Areas: | Gastroenterology, Other |
Healthy: | No |
Age Range: | Any - 17 |
Updated: | 5/5/2014 |
Start Date: | July 2012 |
End Date: | July 2014 |
This protocol examines choice where it pertains to choosing between two standard methods for
appendectomy, laparoscopic or open procedures, and the affect that "cost" of the
appendectomy has upon choice.
Children admitted with a diagnosis of uncomplicated appendicitis will be consented to
participate in a study in which the patient can choose between laparoscopic or open
appendectomy procedures. Those that agree to review a consent form will be randomly placed
into one of two groups. The two groups consist of one in which the consent form includes
"cost information for each operative procedure" in the comparison between the procedures,
and the other group receives a consent form that does not include "cost information for each
operative procedure". Both groups also view a short, group specific, computerized
presentation that describes each procedure.
The hypothesis is that those patients given a choice between two similar surgical
procedures and are provided with "cost information" will more often choose the less
expensive surgical procedure than those that do not have information related to the cost of
the surgical procedures.
appendectomy, laparoscopic or open procedures, and the affect that "cost" of the
appendectomy has upon choice.
Children admitted with a diagnosis of uncomplicated appendicitis will be consented to
participate in a study in which the patient can choose between laparoscopic or open
appendectomy procedures. Those that agree to review a consent form will be randomly placed
into one of two groups. The two groups consist of one in which the consent form includes
"cost information for each operative procedure" in the comparison between the procedures,
and the other group receives a consent form that does not include "cost information for each
operative procedure". Both groups also view a short, group specific, computerized
presentation that describes each procedure.
The hypothesis is that those patients given a choice between two similar surgical
procedures and are provided with "cost information" will more often choose the less
expensive surgical procedure than those that do not have information related to the cost of
the surgical procedures.
Inclusion Criteria:
- acute appendicitis
Exclusion Criteria:
- age 18 or older
- imaging positive for perforation; ultrasound or CT scan
- pain for greater than 2 days
- children with a body mass index > 95% for age and sex
- surgeon decision for non-equivalent procedure based on patient presentation
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