Effect of Intervention for Improving Colonoscopy Quality is Associated With the Personal Characteristics of the Endoscopist
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 15
- 试验地点
- 1
- 主要终点
- Measurement of adenoma detection rate after personal notification
研究概览
简要总结
This study aims to investigate whether the personal characteristics of the endoscopist is associated with effect of interventions for colonoscopy quality improvement.
This is a prospective, 9-month, multicenter, single-blind study. Baseline quality indicators including adenoma detection rate, polyp detection rate, withdrawal time and adenomas per colonoscopy of each endoscopist were measured in the health promotion centers of academic hospitals for 3 months. Follow-up measurements of quality indicators were repeated every 3 months after each interventions (personal notification of quality indicators, open notification of quality indicators, and colonoscopy quality education by a GI faculty. At the end of the study, personal characteristics of each endoscopist was evaluated using fear of negative evaluation scale, cognitive flexibility inventory, and almost perfect scale.
详细描述
Suboptimal colonoscopy quality is associated with development of interval colorectal cancer and colorectal cancer-related death. It is uncertain how to improve colonoscopy quality effectively. The quality of screening colonoscopy for colorectal cancer depends on the endoscopist who performed the examination. The aim of this study was to investigate the impact of endoscopists' personal characteristics on the quality of colonoscopy and effectiveness of intervention.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Sequential
- 主要目的
- Screening
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Highly experienced board-certified gastroenterologists performed colonoscopies in health screening endoscopy centers.
- •Endoscopists who sign the consent
- •Patients for quality indicators of endoscopists
- •routinely perform outpatient screening, surveillance and diagnostic colonoscopy (first-time screening colonoscopies performed and had no previous colonoscopy within 3 years).
排除标准
- •endoscopists who refuse to sign the consent
- •Patients for quality indicators of endoscopists
- •Known hereditary polyposis syndrome, Inflammatory bowel disease, those with surgically altered anatomy, undergone previous colonoscopy within 3 years
研究组 & 干预措施
Endoscopist
Intervention for personal notification, open notification and colonoscopy quality education by a GI faculty
干预措施: Personal notification (Behavioral)
Endoscopist
Intervention for personal notification, open notification and colonoscopy quality education by a GI faculty
干预措施: Open notification (Behavioral)
Endoscopist
Intervention for personal notification, open notification and colonoscopy quality education by a GI faculty
干预措施: Education (Behavioral)
结局指标
主要结局
Measurement of adenoma detection rate after personal notification
时间窗: 3 months after personal notification
Primary outcome measures include adenoma detection rate after personal notification
Measurement of overall adenoma detection rate
时间窗: 9 months
Primary outcome measures include overall adenoma detection rate.
Measurement of adenoma detection rate after education
时间窗: 3 months after education
Primary outcome measures include adenoma detection rate after education
Measurement of adenoma detection rate after open notification
时间窗: 3 months after open notification
Primary outcome measures include adenoma detection rate after open notification
次要结局
- Measurement of adenomas per colonoscopy after personal notification(3 months after personal notification)
- Measurement of adenomas per colonoscopy after open notification(3 months after open notification)
- Measurement of polyp detection rate after open notification(3 months after open notification)
- Measurement of polyp detection rate after education(3 months after education)
- Measurement of withdrawal time after education(3 months after education)
- Measurement of withdrawal time after personal notification(3 months after personal notification)
- Measurement of overall withdrawal time(9 months)
- Measurement of withdrawal time after open notification(3 months after open notification)
- Measurement of overall polyp detection rate(9 months)
- Measurement of overall adenomas per colonoscopy(9 months)
- Measurement of polyp detection rate after personal notification(3 months after personal notification)
- Measurement of adenomas per colonoscopy after education(3 months after education)
研究者
Bo-In Lee
Professor, MD, PhD
Seoul St. Mary's Hospital