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Implementation of optical diagnosis for diminutive polyps amongst accredited endoscopists for the Dutch bowel cancer screening program: training and long-term quality assurance.

Conditions
Randomized control trialColonic Polyps/diagnosis*Colorectal Neoplasms/diagnosis*Colonic Polyps/pathology*Colonoscopy*/economicsHealth care costsSensitivity and SpecificityHospitals, communityEarly Detection of Cancer Eventueel:MaleFemaleAdultMiddle aged
Registration Number
NL-OMON24207
Lead Sponsor
AMCDutch Maag-Lever-Darm Stichting
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
30
Inclusion Criteria

Patients: all those with polyps who receive a coloscopy in the context of the Dutch bowel cancer screening program

Exclusion Criteria

Patients with inflammatory bowel disease. Patients who had a CRC before.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Primary aims <br /><br>1) Number of training rounds needed to reach clinically acceptable prediction of histology (accuracy > 90%) for colorectal lesions <br /><br><br>2) To assess whether qualified endoscopists are able to maintain this performance over a year, and if feedback is of additional value <br><br>
Secondary Outcome Measures
NameTimeMethod
Secondary aims:<br /><br>1) number of endoscopists reaching NPV > 90% for predicting neoplastic histology in continuation phase<br /><br>2) number of correctly advised surveillance intervals<br /><br>3) number of correctly predicted diminutive (1-5mm) lesions<br /><br>4) number of surveillance intervals predicted on endoscopic diagnosis<br /><br>5) number of correctly diagnosed small (6-9mm) lesions<br /><br>6) budget impact analysis<br>
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