Endoscopic Quality Improvement Program

Not Applicable

Completed

• Conditions: Adenomatous Polyps; Colorectal Polyps
• Interventions: Other: Training session

• Registration Number: NCT01415817
• Lead Sponsor: Mayo Clinic

Brief Summary

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.

Detailed Description

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.

Study Timeline

• Study Start: 2010-08
• Primary Completion: 2010-12
• Study Completion: 2011-04
• Study First Submitted: 2011-08-08
• Study First Submitted QC: 2011-08-11
• Study First Posted: 2011-08-12
• Status Verified: 2023-05
• Last Update Submitted: 2023-05-30
• Last Update Posted: 2023-05-31

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 15

Inclusion Criteria

• Colonoscopies performed at Mayo clinic ambulatory surgical center

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Exclusion Criteria

• 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.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Randomization and Training Arm	Training session	-

Primary Outcome Measures

Name	Time	Method
Measurement of overall adenoma detection rate	1 year	Primary outcome measures will include overall and per patient adenoma detection rate for polypoid and non polypoid neoplastic lesions.

Secondary Outcome Measures

Name	Time	Method
Measurement of colonoscopy time	1 Year	Total colonoscopy time and endoscopist acceptance. Variables such as patient demographics and prep quality will be adjusted for.
Endoscopist Acceptance	1 Year	Ensdoscopist acceptance rate will be measured. Variables such as patient demographics and prep quality will be adjusted for.
Measurement of total polypectomy rate	1 Year	Secondary outcomes will include total polypectomy rate (hyperplastic vs. adenoma),

Trial Locations

Locations (1)

Mayo Clinic Florida; 🇺🇸 Jacksonville, Florida, United States