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)
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Adenomatous Polyps
- Sponsor
- Mayo Clinic
- Enrollment
- 15
- Locations
- 1
- Primary Endpoint
- Measurement of overall adenoma detection rate
- Status
- Completed
- Last Updated
- 2 years ago
Overview
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Colonoscopies performed at Mayo clinic ambulatory surgical center
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.
Outcomes
Primary Outcomes
Measurement of overall adenoma detection rate
Time Frame: 1 year
Primary outcome measures will include overall and per patient adenoma detection rate for polypoid and non polypoid neoplastic lesions.
Secondary Outcomes
- Measurement of colonoscopy time(1 Year)
- Endoscopist Acceptance(1 Year)
- Measurement of total polypectomy rate(1 Year)