Position Changes During Colonoscope Withdrawal and Polyp Detection

NCT ID: NCT01395173

Last Updated: 2014-09-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

776 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-31

Study Completion Date

2013-12-31

Brief Summary

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The purpose of this study is to determine whether position changes during colonoscope withdrawal affects polyp detection rate. We hypothesize that positions change during scope withdrawal will increase polyp detection rate.

Detailed Description

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Conditions

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Colonic Polyp

Keywords

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detection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Control

Subject will undergo standard colonoscopy.

Group Type PLACEBO_COMPARATOR

Standard

Intervention Type PROCEDURE

Subjects will undergo standard colonoscopy without position changes during scope withdrawal.

Position change

Subject will under go standard colonoscopy, but also with position changes during colonoscope withdrawal.

Group Type ACTIVE_COMPARATOR

Position change

Intervention Type PROCEDURE

Patients will be randomly assigned to two groups: Control group (those who will receive standard colonoscopy without position changes) and Position change group (those who will undergo position changes during colonoscope withdrawal during colonoscopy). Subjects in position change group will be asked to shift into three different positions during colonoscope withdrawal.

Interventions

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Position change

Patients will be randomly assigned to two groups: Control group (those who will receive standard colonoscopy without position changes) and Position change group (those who will undergo position changes during colonoscope withdrawal during colonoscopy). Subjects in position change group will be asked to shift into three different positions during colonoscope withdrawal.

Intervention Type PROCEDURE

Standard

Subjects will undergo standard colonoscopy without position changes during scope withdrawal.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Outpatients undergoing colonoscopy
* Age 40 or greater

Exclusion Criteria

* Inpatient colonoscopy
* Unable to provide informed consent
* Unable to complete colonoscopy to cecum
* Previous bowel resection, inflammatory bowel disease, polyposis syndrome
* Musculoskeletal disorder or other mobility issue limiting effective patient position changes
* Inadequate bowel preparation
Minimum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of British Columbia

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jennifer Telford, MD, FRCPC

Role: PRINCIPAL_INVESTIGATOR

University of British Columbia

Locations

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St. Paul's Hospital

Vancouver, British Columbia, Canada

Site Status

Countries

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Canada

References

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Ou G, Kim E, Lakzadeh P, Tong J, Enns R, Ramji A, Whittaker S, Ko HH, Bressler B, Halparin L, Lam E, Amar J, Telford J. A randomized controlled trial assessing the effect of prescribed patient position changes during colonoscope withdrawal on adenoma detection. Gastrointest Endosc. 2014 Aug;80(2):277-83. doi: 10.1016/j.gie.2014.01.032. Epub 2014 Mar 12.

Reference Type DERIVED
PMID: 24629419 (View on PubMed)

Other Identifiers

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H11-00087

Identifier Type: -

Identifier Source: org_study_id