The Effect of an Intensive Endoscopic Quality Improvement Program (EQUIP) on Improved Detection and Classification of Non-polypoid (Flat and Depressed) and Polypoid Colorectal Adenomas. ("EQUIP" Study)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- Mayo Clinic
- 入组人数
- 15
- 试验地点
- 2
- 主要终点
- Measurement of overall adenoma detection rate
研究概览
简要总结
Effective colorectal cancer (CRC) screening relies on early identification and removal of both polypoid and non-polypoid lesions with neoplastic potential. The investigators hypothesize that an intensive training program designed to enhance both recognition and classification of lesions with neoplastic potential, will result in an increase in non-polypoid adenoma detection in addition to and independent of an increase in overall adenoma detection rates.
详细描述
Our Endoscopic Quality Improvement Program (EQUIP) was a prospective educational intervention with our staff endoscopist as our study population. The investigators measured adenoma detection rates for a baseline period then randomly assigned half of the endoscopists to undergo EQUIP training. The investigators then examined baseline and post-training study adenoma detection rates (ADR's) for all endoscopist (trained and un-trained) to evaluate the impact of training.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Colonoscopies performed at Mayo clinic ambulatory surgical center
排除标准
- •Procedures for the indication of acute GI hemorrhage
- •Active colitis
- •Hereditary polyposis syndrome
- •Inflammatory bowel disease
- •Incomplete procedures
- •Procedures with surgically altered anatomy (i.e. prior colectomy)
- •Poor bowel preparation (Boston Bowel preparation score <5) were also excluded.
结局指标
主要结局
Measurement of overall adenoma detection rate
时间窗: 1 year
Primary outcome measures will include overall and per patient adenoma detection rate for polypoid and non polypoid neoplastic lesions.
次要结局
- Measurement of colonoscopy time(1 Year)
- Endoscopist Acceptance(1 Year)
- Measurement of total polypectomy rate(1 Year)