[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"health-services-accessibility\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:health-services-accessibility":28},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,7,0,[8,79,128,153,177,203,232],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":17,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":24,"briefSummary":26,"conditions":27,"keywords":43,"overallStatus":66,"whyStopped":4,"lastUpdateSubmitDate":67,"lastUpdatePostDateStruct":68,"startDateStruct":71,"completionDateStruct":73,"leadSponsor":75,"locationsCount":78},"100643981","health-ahead-comparative-effectiveness-study-100643981",false,"NCT07669168","Health Ahead Comparative Effectiveness Study","Health Ahead: Sequential Comparative-Effectiveness Studies Toward Automated, Universally Deployable Preventive Health Screening","HACE","Inclusion Criteria:\n\n* Age 18 years or older\n* Willing and able to provide written informed consent, or enrollment with consent of a legally authorized representative\n* Willing to participate in longitudinal follow-up.\n\nExclusion Criteria:\n\n\\- Age under 18 years.",true,"ALL","18 Years",{"count":21,"type":22},1000000,"ESTIMATED","INTERVENTIONAL",[25],"NA","The Health Ahead Comparative Effectiveness Study is a pragmatic, parallel-arm interventional platform that systematically compares successive changes to preventive health screening - each isolated as a single variable against current practice - on the path toward a fully automated screening system deployable in any environment, including the most isolated and resource-limited communities. Each comparison is evaluated with a common set of engagement, behavior-change, experience, cost, and longitudinal outcome measures, allowing results to accumulate on a consistent yardstick across the life of the platform.\n\nThe first comparison evaluates static versus interactive personalized health report delivery. Subsequent pre-planned comparisons, added by protocol amendment, evaluate mobile community versus fixed laboratory screening; and a hybrid medical-droid plus human-delivery model versus human-only screening. All participants are simultaneously enrolled in the 100-Year Human Aging Study and the Human Observatory Study, contributing individual longitudinal and population-level causal inference data through those protocols.",[28,29,30,31,32,33,34,35,36,37,38,39,40,41,42],"Health Services Accessibility","Rural Health","Medically Underserved Area","Preventive Health Services","Patient Participation","Health Behavior","Aging","Cardiovascular Diseases","Metabolic Syndrome","Cognitive Dysfunction","Frailty","Activities of Daily Living","Health Related Quality of Life","Health Equity","Telemedecine",[44,45,46,47,48,41,29,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65],"Sequential Platform Trial","Interactive Health Report","Health Activation","Mobile Health Screening","Comparative Effectiveness","Medically Underserved","Preventive Medicine","Patient Engagement","Cardiopulmonary Exercise Testing","Body Composition","DEXA","Health Ahead Bus","Mobile Clinic","Automated Screening","Medical Droids","Biological Age","Healthspan","Longevity","Life Expectancy","Chronic Disease","Cost-Effectiveness","Health Services Research","RECRUITING","2026-06-20",{"date":69,"type":70},"2026-06-25","ACTUAL",{"date":72,"type":22},"2026-06-09",{"date":74,"type":22},"2099-12-31",{"name":76,"class":77},"William Brandenburg, MD","INDUSTRY",1,{"id":80,"slug":81,"hasResults":11,"nctId":82,"briefTitle":83,"officialTitle":84,"acronym":85,"eligibilityCriteria":86,"healthyVolunteers":11,"sex":18,"minAge":87,"maxAge":88,"enrollmentInfo":89,"targetDuration":4,"studyType":23,"phases":91,"briefSummary":93,"conditions":94,"keywords":104,"overallStatus":117,"whyStopped":4,"lastUpdateSubmitDate":118,"lastUpdatePostDateStruct":119,"startDateStruct":121,"completionDateStruct":123,"leadSponsor":125,"locationsCount":4},"100634665","early-phase-1-chloramphenicol-tetracycline-zinc-oxide-and-eugenol-paste-ctz-paste-for-emergency-dental-treatment-in-public-health-settings-a-randomized-trial-100634665","NCT07542639","Chloramphenicol, Tetracycline, Zinc Oxide and Eugenol Paste (CTZ Paste) for Emergency Dental Treatment in Public Health Settings: A Randomized Trial","Clinical and Radiographic Efficacy of Chloramphenicol, Tetracycline, Zinc Oxide and Eugenol Paste (CTZ Paste) in the Context of Emergency Dental Treatments in Brazilian Public Health: Randomized Clinical Trial","CTZ- emergency","Inclusion Criteria:\n\n* Pediatric patients presenting with:\n* Irreversible pulpitis in primary molars;\n* Pulp necrosis, with or without abscess, in primary molars.\n* Primary molars with sufficient remaining tooth structure to allow endodontic treatment.\n* Primary teeth in which the permanent successor tooth germ presents developmental stages compatible with Nolla stages 1 to 7, defined as:\n\nStage 1: Presence of bony crypt with no evidence of calcification; Stage 2: Initial calcification, with appearance of radiopaque points in the crown region; Stage 3: Approximately one-third of crown formation; Stage 4: Approximately two-thirds of crown formation; Stage 5: Crown almost complete, without full calcification; Stage 6: Crown completely formed, without initiation of root formation; Stage 7: Initial root formation.\n\n* Clinical and radiographic conditions indicating feasibility of tooth maintenance through endodontic treatment, including:\n* Permanent successor in developmental stages prior to Nolla Stage 8;\n* Preservation of the bony crypt.\n\nExclusion Criteria:\n\n* Pediatric patients presenting with:\n* Reversible pulpitis;\n* Indication for endodontic treatment in permanent teeth.\n* History of allergy or hypersensitivity to any components of the obturation materials (e.g., CTZ paste or zinc oxide-eugenol).\n* Clinical conditions that prevent adequate management in an outpatient setting.\n* Primary teeth in which the permanent successor:\n* Is in advanced developmental stages (Nolla Stage 8 or higher), and\u002For\n* Presents disruption of the bony crypt, contraindicating endodontic treatment.\n* Teeth presenting internal root resorption that compromises the feasibility of endodontic treatment.","2 Years","11 Years",{"count":90,"type":22},110,[92],"EARLY_PHASE1","The treatment of pulpal diseases in primary teeth represents a significant challenge in public health, particularly in emergency dental care settings, where factors such as limited clinical time, low child cooperation, and structural constraints directly impact treatment effectiveness. In these contexts, conventional pulpectomy using zinc oxide-eugenol (ZOE), although effective, may present operational limitations that restrict its large-scale applicability in public health systems.\n\nIn this scenario, non-instrumental endodontic treatment (NIET), based on the concept of Lesion Sterilization and Tissue Repair (LSTR), has emerged as a simplified alternative. Among the available options, CTZ paste shows potential for single-visit application, reducing clinical time and technical complexity.\n\nThis study aims to evaluate the clinical and radiographic non-inferiority of CTZ paste compared to conventional pulpectomy with ZOE in primary molars with pulp necrosis, with or without abscess or fistula, treated in emergency dental care settings.\n\nThis is a randomized, pragmatic, controlled, non-inferiority clinical trial conducted at a single center, with clinical and radiographic follow-up at 3, 6, and 12 months. Participants will be allocated into two groups: (1) NIET with CTZ paste and (2) conventional pulpectomy with ZOE.\n\nPrimary outcomes include pain resolution and absence of clinical signs of infection. Secondary outcomes include radiographic success, clinical time, child behavior (Frankl Scale), need for retreatment, and oral health-related quality of life.\n\nThe findings are expected to provide robust evidence regarding the effectiveness of CTZ paste under real-world clinical conditions, contributing to the development of more accessible and effective protocols within public health systems, with the potential to expand access to conservative treatment and reduce early tooth extractions in pediatric dentistry.",[95,96,97,98,99,100,101,102,103,28],"Pulp Disease, Dental","Pulp Necrosis","Pulp Therapy in Primary Molars","Primary Teeth","Pulpectomy","Endodontics","Dental Care for Children","Treatment Outcome","Quality of Life",[105,106,107,108,109,110,111,112,113,114,115,116],"pulpectomy","pulpotomy","CTZ paste","NIET","Non-instrumental endodontic treatment","LSTR","Lesion sterilization and tissue repair","Endodontic infection","dental abscess","Fistula","Emergency dental treatment","Public health dentistry","NOT_YET_RECRUITING","2026-05-07",{"date":120,"type":70},"2026-05-12",{"date":122,"type":22},"2026-06-08",{"date":124,"type":22},"2028-02-28",{"name":126,"class":127},"University of Sao Paulo","OTHER",{"id":129,"slug":130,"hasResults":11,"nctId":131,"briefTitle":132,"officialTitle":132,"acronym":4,"eligibilityCriteria":133,"healthyVolunteers":11,"sex":18,"minAge":4,"maxAge":4,"enrollmentInfo":134,"targetDuration":4,"studyType":136,"phases":4,"briefSummary":137,"conditions":138,"keywords":4,"overallStatus":117,"whyStopped":4,"lastUpdateSubmitDate":144,"lastUpdatePostDateStruct":145,"startDateStruct":147,"completionDateStruct":149,"leadSponsor":151,"locationsCount":78},"100608850","geographic-analysis-of-cancer-patients-residences-at-delafontaine-hospital-100608850","NCT07206914","Geographic Analysis of Cancer Patients' Residences at Delafontaine Hospital","Inclusion Criteria:\n\n\\- Adult patients treated for cancer in the oncology department of Delafontaine Hospital since January 1, 2020.\n\nExclusion Criteria:\n\n\\- Patients whose cancer treatment in the oncology department was completed before 2020.",{"count":135,"type":22},300,"OBSERVATIONAL","This study looks at where cancer patients treated at Delafontaine Hospital live and how far they have to travel for care. By mapping patients' home addresses (anonymized), the research will show how distance, transportation, and social factors affect access to cancer treatments and support services. The goal is to better understand inequalities in access to care and to improve patient support in the future.",[139,140,28,141,142,143],"Neoplasms","Oncology Service","Health Inequalities","Residence Characteristics","Transportation of Patients","2025-09-26",{"date":146,"type":70},"2025-10-03",{"date":148,"type":22},"2025-10-15",{"date":150,"type":22},"2026-04-15",{"name":152,"class":127},"Centre Hospitalier de Saint-Denis",{"id":154,"slug":155,"hasResults":11,"nctId":156,"briefTitle":157,"officialTitle":157,"acronym":4,"eligibilityCriteria":158,"healthyVolunteers":11,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":159,"targetDuration":4,"studyType":136,"phases":4,"briefSummary":161,"conditions":162,"keywords":4,"overallStatus":66,"whyStopped":4,"lastUpdateSubmitDate":168,"lastUpdatePostDateStruct":169,"startDateStruct":171,"completionDateStruct":173,"leadSponsor":175,"locationsCount":78},"100602389","eligibility-of-patients-referred-to-emergency-departments-by-their-general-practitioners-for-care-in-walk-in-clinics-a-single-center-study-in-le-de-france-100602389","NCT07122869","Eligibility of Patients Referred to Emergency Departments by Their General Practitioners for Care in Walk-in Clinics: A Single-Center Study in Île-de-France","Inclusion Criteria:\n\n* Age 18 years or older\n* Patient referred to the emergency department (ED) with a letter from a general practitioner (GP)\n* ED visit during the study hours (Monday to Friday, 9 a.m. to 8 p.m.)\n* Consultation in the selected adult emergency service\n* Medical or traumatic reason justifying the ED visit\n* Patient stable at arrival and during ED care\n\nExclusion Criteria:\n\n* Patients under 18 years old (pediatric cases excluded)\n* No referral letter or proof of GP referral\n* ED visit outside study hours (weekends, nights)\n* Patients requiring intensive hospital care defined by:\n* Intravenous treatments (e.g., antibiotics, fluids)\n* Heavy imaging exams (CT scan, MRI) during the visit\n* Diagnoses with immediate life- or function-threatening conditions (e.g., myocardial infarction, stroke, severe infection)\n* Hospitalization decided during or after ED visit\n* Clinical instability at or during ED visit (abnormal vital signs, respiratory distress, etc.)\n* Patients referred for non-medical reasons (social issues, lack of medical follow-up)",{"count":160,"type":22},80,"This study aims to find out how many patients sent to the emergency department by their general practitioner could instead be treated in a walk-in clinic. Walk-in clinics provide quick, basic medical care without an appointment and can perform simple tests like blood work and X-rays. By identifying patients who don't need full hospital emergency care, this study hopes to improve patient flow and reduce overcrowding in emergency rooms in the Île-de-France region.",[163,164,165,166,167,28],"Emergency Service, Hospital","Primary Health Care","General Practitioners","Walk-In Clinics","Patient Admission","2025-08-08",{"date":170,"type":70},"2025-08-14",{"date":172,"type":70},"2025-07-28",{"date":174,"type":22},"2025-08-30",{"name":176,"class":127},"Centre Hospitalier de Gonesse",{"id":178,"slug":179,"hasResults":11,"nctId":180,"briefTitle":181,"officialTitle":181,"acronym":4,"eligibilityCriteria":182,"healthyVolunteers":11,"sex":183,"minAge":19,"maxAge":4,"enrollmentInfo":184,"targetDuration":4,"studyType":136,"phases":4,"briefSummary":186,"conditions":187,"keywords":4,"overallStatus":117,"whyStopped":4,"lastUpdateSubmitDate":195,"lastUpdatePostDateStruct":196,"startDateStruct":198,"completionDateStruct":200,"leadSponsor":202,"locationsCount":78},"100593790","sexual-health-of-sub-saharan-african-migrant-women-recently-diagnosed-with-hiv-in-le-de-france-missed-opportunities-for-prevention-100593790","NCT07011017","Sexual Health of Sub-Saharan African Migrant Women Recently Diagnosed With HIV in Île-de-France: Missed Opportunities for Prevention","Inclusion Criteria:\n\n* Sub-Saharan African migrant women recently diagnosed with HIV (from 2021 onward)\n* HIV diagnosis made on French territory\n* Aged 18 years or older\n\nExclusion Criteria:\n\n* Inability to inform the patient about the study due to a language barrier or other obstacle\n* HIV diagnosis made before 2021\n* HIV diagnosis made in the country of origin\n* Under 18 years of age","FEMALE",{"count":185,"type":22},45,"This study looks at the sexual health of women from Sub-Saharan Africa who recently found out they have HIV after arriving in Île-de-France. It aims to understand their risk factors and identify missed chances for HIV testing and prevention. The goal is to improve care and support for these women by learning more about their experiences and the challenges they face.",[188,189,190,191,28,192,193,194],"HIV Infections","Sexual Health","Migrants","Women's Health","Sub-Saharan Africa","Risk-Taking","Vulnerable Populations","2025-05-30",{"date":197,"type":70},"2025-06-08",{"date":199,"type":22},"2025-06-15",{"date":201,"type":22},"2025-11-15",{"name":152,"class":127},{"id":204,"slug":205,"hasResults":11,"nctId":206,"briefTitle":207,"officialTitle":207,"acronym":208,"eligibilityCriteria":209,"healthyVolunteers":17,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":210,"targetDuration":4,"studyType":136,"phases":4,"briefSummary":212,"conditions":213,"keywords":217,"overallStatus":66,"whyStopped":4,"lastUpdateSubmitDate":223,"lastUpdatePostDateStruct":224,"startDateStruct":226,"completionDateStruct":228,"leadSponsor":230,"locationsCount":78},"100569956","options-for-lowering-the-threshold-to-brussels-out-of-hours-primary-care-services-for-dutch-speaking-citizens-100569956","NCT06700980","Options for Lowering the Threshold to Brussels Out-of-hours Primary Care Services for Dutch Speaking Citizens","BruWNed","Inclusion Criteria:\n\n* Patients: adult, living in Brussels, Dutch-speaking\n* GPs: adult, working in Brussels, Dutch- and\u002For French-speaking\n* Employees of professional organization-regulatory bodies: adult, Dutch-and\u002For French-speaking\n\nExclusion Criteria:\n\n* Subject is not capable of will\n* Subject cannot express themself in Dutch or French",{"count":211,"type":22},40,"The purpose of this qualitative study is to find out which technological translation tools can be used to improve Dutch-speaking care in all Brussels out-of-hours primary care services.",[214,215,164,216,28],"Communication Barriers","Language","After-hours Care",[218,219,220,221,222],"Language barrier","translation","healthcare","technological tool","Official language minority","2024-12-23",{"date":225,"type":70},"2024-12-27",{"date":227,"type":70},"2024-12-10",{"date":229,"type":22},"2026-12",{"name":231,"class":127},"Universitair Ziekenhuis Brussel",{"id":233,"slug":234,"hasResults":11,"nctId":235,"briefTitle":236,"officialTitle":237,"acronym":238,"eligibilityCriteria":239,"healthyVolunteers":11,"sex":18,"minAge":19,"maxAge":4,"enrollmentInfo":240,"targetDuration":4,"studyType":136,"phases":4,"briefSummary":242,"conditions":243,"keywords":246,"overallStatus":66,"whyStopped":4,"lastUpdateSubmitDate":252,"lastUpdatePostDateStruct":253,"startDateStruct":255,"completionDateStruct":257,"leadSponsor":259,"locationsCount":78},"100527516","can-digitally-delivered-first-line-osteoarthritis-treatment-improve-equal-access-to-care-100527516","NCT06148779","Can Digitally Delivered First-line Osteoarthritis Treatment Improve Equal Access to Care","Can Digitally Delivered First-line Osteoarthritis Treatment Improve Equal Access to Care in Urban and Rural Areas of Sweden","Access","\\* Patients in the Joint Academy database that had participated in the Joint Academy treatment program for OA and given their informed consent to participate in research.\n\nInclusion criteria for the treatment program:\n\n* Radiographic and or clinical diagnosis of hip or knee OA from a physical therapist or physician (95% of all patients in previously published studies). Individuals without a prior diagnosis had clinical OA confirmed by an orthopaedic surgeon or physiotherapist via telephone (diagnosis according to National Institute for Health and Care Excellence (NICE) criteria and Swedish National Guidelines, and confirming the absence of any red flag symptoms), or if deemed necessary were recommended to seek face-to-face care before inclusion in the programme.\n* From October 1st 2021, all patients should have undergone a physical examination by doctor or physiotherapists before being able to enter the treatment.",{"count":241,"type":22},50000,"To improve chronically ill patients' health and quality of life, long-standing and continuous treatment is needed at an acceptable cost. The purpose of this study was to compare utilization of digital versus face-to-face delivered osteoarthritis (OA) treatment in the 21 different county councils of Sweden that are responsible for providing healthcare to the residents.",[28,244,245],"First-line Treatment","Osteoarthritis",[245,247,248,249,250,251],"Digitally delivered","Tele-health","Physiotherapy","Access to care","Exercise","2024-09-26",{"date":254,"type":70},"2024-09-27",{"date":256,"type":70},"2022-01-01",{"date":258,"type":22},"2025-07-31",{"name":260,"class":77},"Joint Academy"]