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Sökning: WFRF:(Jurgute R. R.) > (2018) > Antivirals for infl...

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FältnamnIndikatorerMetadata
00005278naa a2200829 4500
001oai:gup.ub.gu.se/272052
003SwePub
008240910s2018 | |||||||||||000 ||eng|
024a https://gup.ub.gu.se/publication/2720522 URI
024a https://doi.org/10.1136/bmjopen-2017-0210322 DOI
040 a (SwePub)gu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Bongard, E.4 aut
2451 0a Antivirals for influenza-Like Illness? A randomised Controlled trial of Clinical and Cost effectiveness in primary CarE (ALIC(4) E): the ALIC(4) E protocol
264 c 2018-07-12
264 1b BMJ,c 2018
520 a Introduction Effective management of seasonal and pandemic influenza is a high priority internationally. Guidelines in many countries recommend antiviral treatment for older people and individuals with comorbidity at increased risk of complications. However, antivirals are not often prescribed in primary care in Europe, partly because its clinical and cost effectiveness has been insufficiently demonstrated by non-industry funded and pragmatic studies. Methods and analysis Antivirals for influenza-Like Illness? An rCt of Clinical and Cost effectiveness in primary CarE is a European multinational, multicentre, open-labelled, non-industry funded, pragmatic, adaptive-platform, randomised controlled trial. Initial trial arms will be best usual primary care and best usual primary care plus treatment with oseltamivir for 5days. We aim to recruit at least 2500 participants 1year presenting with influenza-like illness (ILI), with symptom duration 72hours in primary care over three consecutive periods of confirmed high influenza incidence. Participant outcomes will be followed up to 28 days by diary and telephone. The primary objective is to determine whether adding antiviral treatment to best usual primary care is effective in reducing time to return to usual daily activity with fever, headache and muscle ache reduced to minor severity or less. Secondary objectives include estimating cost-effectiveness, benefits in subgroups according to age (<12, 12-64 and >64 years), severity of symptoms at presentation (low, medium and high), comorbidity (yes/no), duration of symptoms (48hours/>48-72hours), complications (hospital admission and pneumonia), use of additional prescribed medication including antibiotics, use of over-the-counter medicines and self-management of ILI symptoms. Ethics and dissemination Research ethics committee (REC) approval was granted by the NRES Committee South Central (Oxford B) and Clinical Trial Authority (CTA) approval by The Medicines and Healthcare products Regulatory Agency. All participating countries gained national REC and CTA approval as required. Dissemination of results will be through peer-reviewed scientific journals and conference presentations.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Infektionsmedicin0 (SwePub)302092 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Infectious Medicine0 (SwePub)302092 hsv//eng
653 a influenza
653 a oseltamivir
653 a primary healthcare
653 a cost-benefit analysis
653 a adaptive clinical trial
653 a prescribing strategies
653 a oseltamivir
653 a recommendations
653 a surveillance
653 a europe
653 a General & Internal Medicine
653 a EPARE Consortium
653 a Platform for European Preparedness Against (Re-) emerging Epidemics
700a van der Velden, A. W.4 aut
700a Cook, J.4 aut
700a Saville, B.4 aut
700a Beutels, P.4 aut
700a Aabenhus, R.4 aut
700a Brugman, C.4 aut
700a Chlabicz, S.4 aut
700a Coenen, S.4 aut
700a Colliers, A.4 aut
700a Davies, M.4 aut
700a De Paor, M.4 aut
700a De Sutter, A.4 aut
700a Francis, N. A.4 aut
700a Glinz, D.4 aut
700a Godycki-cwirko, M.4 aut
700a Goossens, H.4 aut
700a Holmes, J.4 aut
700a Ieven, M.4 aut
700a de Jong, M.4 aut
700a Lindbaek, M.4 aut
700a Little, P.4 aut
700a Martinon-Torres, F.4 aut
700a Moragas, A.4 aut
700a Pauer, J.4 aut
700a Pfeiferova, M.4 aut
700a Radzeviciene-Jurgute, R.4 aut
700a Sundvall, Pär-Danielu Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine4 aut0 (Swepub:gu)xsupar
700a Torres, A.4 aut
700a Touboul, P.4 aut
700a Varthalis, D.4 aut
700a Verheij, T.4 aut
700a Butler, C. C.4 aut
710a Göteborgs universitetb Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa4 org
773t Bmj Opend : BMJg 8:7q 8:7x 2044-6055
856u https://bmjopen.bmj.com/content/bmjopen/8/7/e021032.full.pdf
8564 8u https://gup.ub.gu.se/publication/272052
8564 8u https://doi.org/10.1136/bmjopen-2017-021032

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