Randomized Study of Train the Colonoscopy Leaders Course Versus Audit and Feedback on Colonoscopy Quality Indicators

Not Applicable

Completed

• Conditions: Colorectal Cancer
• Interventions: Procedure: Train the leaders course; Behavioral: Audit and feedback

• Registration Number: NCT01667198
• Lead Sponsor: Maria Sklodowska-Curie National Research Institute of Oncology

Brief Summary

Professional societies recommend that endoscopists measure their ceacal intubation rate, adenoma detection rate as indicators of the screening colonoscopy quality. However, it is uncertain how to improve adenoma detection rate and reduce inter-endoscopists' variability in the detection of adenomas. The investigators hypothesize that a hands-on-training intervention tailored to the results of environmental assessment and audit on colonoscopy quality indicators results in higher adenoma detection rate improvement than simple audit and feedback. The investigators further hypothesize that by training the leaders of the screening centres, the effect of the intervention will be further disseminated among other endoscopists from the participating centers, and will thus result in additional increase in individual adenoma detection rate.

The primary aim is to compare the impact on adenoma detection rate of two screening colonoscopy improvement programs:

1. Tailored training intervention.

2. Audit feedback on colonoscopy quality indicators.

Detailed Description

Not available

Study Timeline

• Study Start: 2012-07
• Study First Submitted: 2012-08-14
• Study First Submitted QC: 2012-08-16
• Study First Posted: 2012-08-17
• Primary Completion: 2012-12
• Study Completion: 2012-12
• Status Verified: 2014-04
• Last Update Submitted: 2014-04-15
• Last Update Posted: 2014-04-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• screening center leading colonoscopist
• at least 30 screening colonoscopies in the 2011 edition of the screening program
• adenoma detection rate lower than 25%

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Exclusion Criteria

• lack of participation in the 2012 edition of the screening program

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Train the leaders course	Train the leaders course	-
Audit and feedback	Audit and feedback	-

Primary Outcome Measures

Name	Time	Method
Screening centre leader's adenoma detection rate	till the end of calendar year after the training intervention	Adenoma detection rate is defined as the proportion of screened subjects in whom at least one adenomatous lesion is identified.

Secondary Outcome Measures

Name	Time	Method
Screening centre leader's proximal and distal adenoma detection rate	Till the end of calendar year after the training intervention	Adenoma detection rate is defined as the proportion of screened subjects in whom at least one adenomatous lesion is identified.
Screening center's overall adenoma detection rate	Till the end of calendar year after the training intervention	Adenoma detection rate is defined as the proportion of screened subjects in whom at least one adenomatous lesion is identified.
Overall screening centre's ceacal intubation rate	Till the end of calendar year after the training intervention	Ceacal intubation is defined as the passage of the colonoscope tip to a point proximal to the ileoceacal valve and visualization of the entire ceacum.
Screening centre leader's withdrawal technique	Till the end of calendar year after the training intervention	Withdrawal technique assessed by a trained endoscopy nurse
Screening centre's non-polypoid lesion detection rate	Till the end of calendar year after the training intervention

Trial Locations

Locations (1)

The Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology; 🇵🇱 Warsaw, Poland