Ambient Lighting During Colonoscopy and Its Effect on Adenoma Detection Rate and Eye Fatigue

Not Applicable

Completed

• Conditions: Colorectal Cancer Screening; Colon Adenomatous Polyp
• Interventions: Other: Ambient lighting; Other: Low lighting

• Registration Number: NCT04441242
• Lead Sponsor: Wake Forest University Health Sciences

Brief Summary

A retrospective and prospective study to determine if the use of ambient lighting during screening colonoscopy is well tolerated and if ambient lighting will help physicians maintain adenoma detection rates while decreasing symptoms of eye strain as the day progresses.

Detailed Description

This study is a a single-center study at an independent community-based teaching hospital comparing adenoma detection rate in screening colonoscopies performed in low lighting with those performed with ambient lighting (75-150 lux). All cases included in the study involved adult patients undergoing screening colonoscopy with a participating gastroenterologist. Diagnostic colonoscopies, history of colon resection, colorectal cancer, and cases performed in children, pregnant women, and prisoners were excluded from analysis. Cases involving gastroenterology fellows were also excluded. Retrospective data was collected over a six month period from January 2017 to June 2017, followed by a prospective arm the during the same calendar months the subsequent year (January 2018 to June 2018).

Basic Information
|
Recruitment & Eligibility
|
Study & Design
|
Trial Locations

Study Timeline

• Study Start: 2017-01-01
• Primary Completion: 2018-06-30
• Study Completion: 2018-06-30
• Status Verified: 2020-06
• Study First Submitted: 2020-06-02
• Study First Submitted QC: 2020-06-18
• Study First Posted: 2020-06-22
• Last Update Submitted: 2024-10-02
• Last Update Posted: 2024-10-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1109

Inclusion Criteria

• Adults undergoing screening colonoscopy
• Procedure performed by a participating gastroenterologist

Read More

Exclusion Criteria

• Any diagnostic colonoscopies
• History of colon resection
• History of colorectal cancer
• Children
• Pregnant women
• Prisoners
• Cases involving trainees, including gastroenterology fellows

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Prospective: Ambient lighting during screening colonoscopy	Ambient lighting	Screening colonoscopies performed with ambient lighting conditions.
Retrospective: Low lighting during screening colonoscopy	Low lighting	Screening colonoscopies performed with low lighting conditions.

Primary Outcome Measures

Name	Time	Method
Change in adenoma detection rate	6 months	Adenoma detection rate, comparing change from first case of the day to the last. Ranges from 0-99%, with greater increases adenoma detection rate (ADR) being more favorable.
Eye strain score	6 months	Eye strain score, as calculated from survey responses completed by physicians. Ranges from 0 - 60, with lower scores indicating less severe symptoms (therefore, lower scores are more favorable).

Secondary Outcome Measures

Name	Time	Method
Adenoma detection rate (overall)	Participants each assessed on one day during 6 month study period	Overall adenoma detection rate. Ranges from 0% to 100%. Higher ADR is more favorable.
Satisfaction by staff	6 months	Satisfaction by staff involved in endoscopy, based on survey responses
Adenoma detection rate (first case vs last case of the day)	Participants each assessed on one day during 6 month study period	Adenoma detection rate, comparing first case of the day to the last. Ranges from from -99 to 99%, with greater numbers (increases) being more favorable.

Trial Locations

Locations (1)

Advocate Lutheran General Hospital; 🇺🇸 Park Ridge, Illinois, United States