Clinical trials: Costs
Low-Value Care, Costs and Cost Analysis
Optimization of Low-Value Medical Testing Practices in Hospitalized Patients in Argentina
Overuse of laboratory testing in hospitalized patients is a common form of low-value care and may contribute to patient discomfort, unnecessary downstream testing, inefficient use of healthcare resources, and increased costs.
- Conditions
- Low-Value Care, Costs and Cost Analysis, Implementation Science, Public Health
- Trial name
- OPTIMIZAR (NCT07629219)
- Testing
- OPTIMIZAR Multicomponent Diagnostic Stewardship Bundle
- Where
- 8 sites in Argentina
- Volunteers
- 600 people
- Sponsor
- Hospital Italiano de Buenos Aires
Malaria
A Trial of Improved Financial Access to Healthcare in Ghana
Effective control strategies for malaria depend both on preventing disease and on treating those who become infected to prevent significant morbidity and mortality.
- Trial name
- NCT00146692
- Testing
- Free medical treatment
- Where
- Ghana
- Volunteers
- 2,000 people
- Sponsor
- London School of Hygiene and Tropical Medicine
Knee Osteoarthritis, Knee Arthroplasty
Quadriceps Sparing Versus Standard Total Knee Arthroplasty
This study is a randomized clinical trial comparing standard medial para-patellar total knee arthroplasty with a quadriceps sparing mid-vastus approach.
- Trial name
- NCT03081663
- Testing
- Quads-Sparing Approach, Medial Para-Patellar Approach
- Where
- Canada
- Volunteers
- 83 people
- Sponsor
- London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
Muscle Weakness
The Effect of Exercise on Muscle, Function and Cost in VA Nursing Home Residents
Veterans are admitted to Veterans Health Administration (VA) Nursing Homes (NH) because impairment in their ability to perform activities of daily living (ADL) overwhelms their support system (family/friends) in the community.
- Trial name
- NCT00105807
- Testing
- participation in low intensity exercise, participation in art and music activities
- Where
- United States
- Volunteers
- 120 people
- Sponsor
- US Department of Veterans Affairs
Heart Failure, Asthma
Economic Evaluation of Heart Failure Management in Colombian Clinics
Cost effectiveness analysis of local management of patients diagnosed with heart failure disease compared with an ideal guideline-based management.
- Trial name
- EconoHeart (NCT01084564)
- Volunteers
- 300 people
- Sponsor
- AstraZeneca
Breast Neoplasms, Musculoskeletal Pain
Hypnosis to Reduce Aromatase Inhibitor Pain and Improve Adherence
The purpose of this study is to determine whether hypnosis is efficacious in reducing musculoskeletal pain in breast cancer survivors taking aromatase inhibitors, and by doing so, whether hypnosis can help survivors to be more…
- Trial name
- NCT02657993
- Testing
- Hypnosis, Attention Control
- Where
- United States
- Volunteers
- 191 people
- Sponsor
- Icahn School of Medicine at Mount Sinai
Neuroendocrine Tumors
Study to Evaluate the Use of Resources and the Costs Associated With Carcinoid Syndrome (CS) in Patients With NETs in Spain
The objective of this study is to describe the use of resources and the costs associated with controlled or uncontrolled CS in patients with NETs in Spain.
- Trial name
- RECOSY (NCT03220087)
- Testing
- Data collection
- Where
- 28 sites in Spain
- Volunteers
- 142 people
- Sponsor
- Ipsen
Stenoses, Spinal
Cost-effectiveness of Small Size Interarcuair Decompression Versus Extended Decompression in Patients With Intermittent Neurogenic Claudication
Rationale: Minimally invasive techniques have gained popularity to decompress lumbar spinal stenosis in the elderly. However, high quality evidence based on randomised controlled trials are not available.
- Trial name
- Size (NCT03480893)
- Testing
- small size interarcuair decompression, Laminectomy
- Where
- Netherlands
- Volunteers
- 174 people
- Sponsor
- Erasmus Medical Center
Competencies of Midwives, Cost-benefit Analysis of Modular Training
Effect of Skill Birth Attendant Training to Improve the Competency of Service Providers
This clinical trial's primary goal is to compare birth attendants' competencies. It aims to answer the questions: Does the new modular training package enhance the competencies of skilled birth attendants? Does the competencies…
- Trial name
- NCT05866016
- Testing
- Skill birth attendant training
- Where
- 2 sites in Nepal
- Volunteers
- 200 people, healthy volunteers welcome
- Sponsor
- Ministry of Health Gandaki Province, Nepal
Chronic Obstructive Pulmonary Disease, Depression
Effectiveness and Cost-effectiveness of Digital Psychological Intervention (EmoEase) in Chinese COPD Patients
Background Mental health issues are common and often overlooked in COPD patients. Digital psychological interventions might help, but their effectiveness in Chinese COPD patients hasn't been studied.
- Conditions
- Chronic Obstructive Pulmonary Disease, Depression, Anxiety
- Trial name
- NCT06026709
- Testing
- EmoEase
- Volunteers
- 1,200 people
- Sponsor
- Peking Union Medical College
Critical Care, Intensive Care, Nursing Workload
Turnova: The Clinical Efficacy, Manpower Reduction, and Cost-Effectiveness of Turn-Assist Alternating Pressure Air Mattresses for Pressure Injury Prevention in the ICU
Pressure injuries are common in intensive care unit (ICU) patients who cannot reposition themselves. International guidelines recommend using support surfaces to redistribute pressure and regular turning to prevent these…
- Conditions
- Critical Care, Intensive Care, Nursing Workload, Cost Analysis
- Trial name
- NCT07141134
- Testing
- TAPAM, HSFM, Manual Turning (with pillows, per protocol)
- Where
- Taiwan
- Volunteers
- 236 people
- Sponsor
- National Taiwan University Hospital
Atypical Endometrial Polyps, Atypical Endometrial Hyperplasia
Resectoscopic Treatment of Atypical Endometrial Polyps in Fertile Women
The study aims to evaluate the long-term efficacy and prognosis of hysteroscopic resection and coagulation of the base of endometrial polyps with focal atypia in fertile women.
- Trial name
- NCT00490087
- Testing
- Levonorgestrel intrauterine device (IUD)
- Where
- Italy
- Volunteers
- 21 people
- Sponsor
- IRCCS Burlo Garofolo
Colorectal Neoplasm
Enhancing Prevention Pathways Toward Tribal Colorectal Health
Recent improvements in colorectal cancer (CRC) incidence, mortality, stage at diagnosis, and survival in the general U.S. population have been attributed to routine screening with prompt removal of polyps, early detection, and…
- Trial name
- NCT02882620
- Testing
- High Intensity (Group 1), Medium Intensity (Group 2), Reference Group (Group 3)
- Where
- United States
- Volunteers
- 1,788 people, healthy volunteers welcome
- Sponsor
- University of New Mexico
Dementia
Improving Well-being and Health for People With Dementia
800,000 people in the United Kingdom (UK)have dementia, of which 250,000 are living in care homes. These individuals have complex mental health problems, disabilities and social needs, which if unmet will continue to adversely…
- Trial name
- WHELD (NCT01855152)
- Testing
- Optimised WHELD intervention, Treatment as usual
- Where
- United Kingdom
- Volunteers
- 1,000 people
- Sponsor
- professor Clive Ballard
Depression, Anxiety
Clinical and Cost Effectiveness of Brief Cognitive-Behavioral Therapy (CBT) for Pediatric Internalizing Disorders
This project assesses the clinical and cost effectiveness of brief cognitive-behavioral therapy (CBT) for depressed (ages 11-17) and anxious (ages 8-17) youths seen for services in pediatric primary care.
- Trial name
- NCT00669526
- Testing
- BCBT, SMHC referral
- Where
- United States
- Volunteers
- 60 people
- Sponsor
- Robert Wood Johnson Foundation
Heart Failure, Diabetes
Dapagliflozin at Discharge on Hospital Heart Failure Readmission
This study will evaluate the safety and efficacy of dapagliflozin treatment in preventing hospital re-admissions, emergency room (ER) visits, urgent clinic visits, and death in patients with and without type 2 diabetes (T2D)…
- Trial name
- NCT04249778
- Testing
- Dapagliflozin
- Where
- 3 sites in United States
- Volunteers
- 105 people
- Sponsor
- Emory University
Epilepsy
Real World Testing and Cost-effectiveness Analysis of Subcutaneous EEG
The study will investigate whether a novel method to accurately count epileptic seizures, using a CE-marked minimally-invasive ultra long-term subcutaneous electroencephalography (EEG) solution (UNEEG™ SubQ , including 24/7 EEG…
- Trial name
- REAL-ASE (NCT06144047)
- Testing
- EEG SubQ subcutaneous EEG device
- Where
- United Kingdom
- Volunteers
- 33 people
- Sponsor
- King's College London
Obstructive Sleep Apnea (OSA)
Sleep Thermography for Diagnosis of Obstructive Sleep Apnea (TERMOAPNEA)
To assess the diagnostic validity and cost-effectiveness of an infrared thermography system in adults with clinical suspicion of Obstructive Sleep Apnea (OSA).
- Trial name
- TERMOAPNEA (NCT04206449)
- Testing
- Therapeutic decision PSG, Therapeutic decision Infrared thermgraphy system
- Where
- Spain
- Volunteers
- 198 people
- Sponsor
- Hospital Universitario Araba
Lumbar Disk Herniation
Percutaneous Transforaminal Endoscopic Discectomy vs. Open Microdiscectomy for Lumbar Disc Herniation (PTED-study)
Rationale: Lumbosacral radicular syndrome (LSRS) is caused by a herniated lumbar nucleus pulposus (HNP) and the estimated annual incidence in The Netherlands ranges between 60,000 to 75,000 people.
- Trial name
- NCT02602093
- Testing
- Transforaminal Endoscopic Discectomy, Open Microdiscectomy
- Where
- Netherlands
- Volunteers
- 682 people
- Sponsor
- Amsterdam UMC, location VUmc
The Study is Focused on People With Limited Health Literacy, We Are Not Studying a Disease or Condition
(Cost)Effectiveness of the Intervention 'Gezond en Goed Met Elkaar'
The goal of this intervention study is to learn if the intervention can increase positive health and health literacy in people with limited health literacy.
- Trial name
- GGME (NCT06644547)
- Testing
- Gezond en goed met elkaar
- Where
- Netherlands
- Volunteers
- 100 people, healthy volunteers welcome
- Sponsor
- VU University of Amsterdam