Cost-Minimization Analysis and Its Impact on Resource Utilization After a Targeted Intervention for EGD and Colonoscopy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 969
- 试验地点
- 1
- 主要终点
- Total cost of accessory use and pathology specimen costs
研究概览
简要总结
This study performs a single intervention of informing endoscopists how much the disposable accessories cost following each procedure. Following this single and simple intervention, prospective analysis of EGD and colonoscopy accessory use and pathology specimen costs will be compared to the same resource costs during a control period where endoscopists are blinded to their observation.
详细描述
This study is a prospective cost-identification and cost-minimization analysis of accessories used during the EGD and colonoscopy procedures. The endoscopists will be the participants under study and not the patients. The study will be conducted in two phases - pre and post-intervention phases. Each phase will include a minimum of 337 combined EGD and colonoscopy procedures and a total of upto a minimum 674 and a maximum of 1200 procedures for both phases. All consecutive patients undergoing EGD and colonoscopy will be included. For the first phase of the study, the endoscopist will not be made aware of the study and also will not be briefed at the end of the procedure with the number of accessories used during the procedure and the dollar value of the accessories. For the second phase of the study, endoscopist will be briefed by the endoscopy nursing staff after completion of each procedure about the total number of accessories used and the dollar value of the accessories used during the procedure. Once the study is completed, endoscopists will be debriefed about the study and outcomes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- Single (Care Provider)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults with age of 18 or greater
- •All races
- •Indication for therapeutic EGD or colonoscopy
- •Outpatient procedures done at OU Physicians Building endoscopy unit
- •Procedure is performed by one of the observed endoscopists
排除标准
- •Pediatric population
- •Diagnostic EGD and colonoscopy procedures
研究组 & 干预措施
Pre-intervention phase/phase 1
No intervention will be applied in phase 1
Post-intervention phase/phase 2
Intervention will be applied in phase 2 i.e; Debriefing endoscopists of the procedure accessory costs and pathology specimen costs
干预措施: Debriefing endoscopists of the procedure accessory costs (Behavioral)
结局指标
主要结局
Total cost of accessory use and pathology specimen costs
时间窗: Up to 5 months
The cost of accessory and pathology specimens would be assessed immediately post-procedure during phase 2
次要结局
未报告次要终点
研究者
Sindhu R Kaitha, MD
MD
University of Oklahoma