Cost Analysis for Endoscopic Retrograde Cholangiopancreatography (ERCP)
NCT ID: NCT02127229
Last Updated: 2017-08-28
Study Results
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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WITHDRAWN
NA
INTERVENTIONAL
2014-04-30
2014-09-30
Brief Summary
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This study will be a prospective cost--analysis study. Only chart review of PHI removed records will be used. The only intervention used is that endoscopists will be made aware of the cost of accessories used in the second phase of the study following each ERCP.
The investigators are in an era of increased medical cost consciousness. Medical education and post--graduate education incorporates cost savings and appropriate diagnostic test selection based on expense as one aspects of the decision process. This era now focuses on what is best for the patient with the understanding that the cost to the patient and cost to the overall health care system matters. Not only is this apart of postgraduate training but now being implemented as part of Medicare reimbursement to provide low cost and high quality care. Incidence of pancreatic and biliary disease is increasing. ERCP is a vital tool for therapeutic intervention. The costs of these procedures, to both patients and hospitals, have caused some to question the amount of accessories used as well as the poor reimbursement provided by Medicare and insurers. Studies have indicated that hospitals actually lose money with each ERCP used and their use is being limited many times to tertiary care centers.
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Detailed Description
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During the study period, all gathered information will be deidentified but the procedure indication and whether it was successful or not will be collected. Only deidentified information will be collected. Endoscopists will not be aware of the study to avoid a Hawthorne effect. The endoscopists resource utilization is what is being studied. They will be debriefed at completion of protocol.
ERCP's requiring cholangioscopy (spyglass), stent removal alone, or just stent exchange will be excluded from the cost analysis, because of the atypical nature of the procedures and the number of accessories used during these procedures may not reflect the number of accessories used during a typical procedure. For both groups, if an endoscopic ultrasound is used for gaining biliary access it will be included in the cost analysis of this study. Both outpatient and inpatients will be included for both groups. All investigator patients will be excluded from the analysis.
Conditions
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Study Design
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NON_RANDOMIZED
SINGLE_GROUP
OTHER
SINGLE
Study Groups
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Blinded observation of ERCP
Blind observation of disposable accessories use.
No interventions assigned to this group
Endoscopist informed of cost per procedure
Endoscopists informed following each ERCP.
Endoscopist informed of cost per procedure
Following each procedure, endoscopists will get a cost report regarding the amount spent on disposable accessories.
Interventions
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Endoscopist informed of cost per procedure
Following each procedure, endoscopists will get a cost report regarding the amount spent on disposable accessories.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
18 Years
ALL
Yes
Sponsors
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University of Oklahoma
OTHER
Responsible Party
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Principal Investigators
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William Tierney, MD
Role: PRINCIPAL_INVESTIGATOR
University of Oklahoma
Locations
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University of Oklahoma Health Science Center
Oklahoma City, Oklahoma, United States
Countries
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Other Identifiers
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574462
Identifier Type: -
Identifier Source: org_study_id
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