A Trial of an Audit and Feedback Report to Improve Colonoscopy Performance

Not Applicable

Completed

• Conditions: Colorectal Polyps
• Interventions: Other: A/F report plus a high intensity intervention; Other: Individualized A/F report; Other: A/F report plus a low intensity intervention; Other: A/F report alone

• Registration Number: NCT02595775
• Lead Sponsor: Sunnybrook Health Sciences Centre

Brief Summary

This project aims to measure the impact of a physician report card (also called an audit \& feedback report) on colonoscopy performance. Endoscopists in Ontario will be randomly assigned to either receive the endoscopist report card or to no feedback. Using Ontario health administrative data, the quality of colonoscopy will be compared between those who received the report card and those who do not. The investigators will also measure the effect of receiving endoscopist report card on colonoscopy performance amongst endoscopists who perform poorly at baseline compared to those who do not. Further, the acceptability of two educational interventions that aim to improve the quality of colonoscopy will be evaluated by conducting one-on-one interviews with select participants. This study is critical to ensure that Canadians have access to the highest quality colonoscopy possible.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design

Study Timeline

• Study First Submitted: 2015-07-10
• Study Start: 2015-09
• Study First Submitted QC: 2015-11-02
• Study First Posted: 2015-11-03
• Status Verified: 2017-05
• Primary Completion: 2018-09
• Study Completion: 2018-09
• Last Update Submitted: 2018-09-05
• Last Update Posted: 2018-09-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 833

Inclusion Criteria

• All practising endoscopists in Ontario who performed at least 5 colonoscopies in 2014

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Exclusion Criteria

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Round 2: Poor performers	A/F report plus a high intensity intervention	In Round 2, selected 60 poorer performers will be randomly assigned to receive one of the following interventions at month 12: 1. A/F report plus a high intensity intervention 2. A/F report plus a low intensity intervention 3. A/F report alone
Round 2: Month 12	Individualized A/F report	All endoscopists in Ontario will receive an individualized audit \& feedback report at month 12. Individualized A/F report
Round 2: Poor performers	A/F report alone	In Round 2, selected 60 poorer performers will be randomly assigned to receive one of the following interventions at month 12: 1. A/F report plus a high intensity intervention 2. A/F report plus a low intensity intervention 3. A/F report alone
Round 1: Intervention arm	Individualized A/F report	Half of the endoscopists in Ontario will receive an individualized audit \& feedback report. Individualized A/F report.
Round 2: Poor performers	A/F report plus a low intensity intervention	In Round 2, selected 60 poorer performers will be randomly assigned to receive one of the following interventions at month 12: 1. A/F report plus a high intensity intervention 2. A/F report plus a low intensity intervention 3. A/F report alone

Primary Outcome Measures

Name	Time	Method
Change in polypectomy rate from baseline	At month 12	Measure change in polypectomy rate from baseline

Secondary Outcome Measures

Name	Time	Method
Additional outcome 1- Change in cecal intubation rate	At month 12	Change in cecal intubation rate from baseline
Additional outcome 2 - Change in annual colonoscopy volume	At month 12	Change in annual colonoscopy volume from baseline
Additional outcome 3 - Change in poor bowel preparation rate	At month 12	Change in poor bowel preparation rate from baseline