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

Not Applicable
Completed
Conditions
Colorectal Polyps
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

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
833
Inclusion Criteria
  • All practising endoscopists in Ontario who performed at least 5 colonoscopies in 2014
Exclusion Criteria

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Change in polypectomy rate from baselineAt month 12

Measure change in polypectomy rate from baseline

Secondary Outcome Measures
NameTimeMethod
Additional outcome 1- Change in cecal intubation rateAt month 12

Change in cecal intubation rate from baseline

Additional outcome 2 - Change in annual colonoscopy volumeAt month 12

Change in annual colonoscopy volume from baseline

Additional outcome 3 - Change in poor bowel preparation rateAt month 12

Change in poor bowel preparation rate from baseline

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