Effect of Intervention for Colonoscopy Quality is Associated With the Personal Characteristics

NCT ID: NCT03796169

Last Updated: 2020-09-09

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

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-12

Study Completion Date

2020-02-12

Brief Summary

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This study aims to investigate whether the personal characteristics of the endoscopist is associated with effect of interventions for colonoscopy quality improvement.

This is a prospective, 9-month, multicenter, single-blind study. Baseline quality indicators including adenoma detection rate, polyp detection rate, withdrawal time and adenomas per colonoscopy of each endoscopist were measured in the health promotion centers of academic hospitals for 3 months. Follow-up measurements of quality indicators were repeated every 3 months after each interventions (personal notification of quality indicators, open notification of quality indicators, and colonoscopy quality education by a GI faculty. At the end of the study, personal characteristics of each endoscopist was evaluated using fear of negative evaluation scale, cognitive flexibility inventory, and almost perfect scale.

Detailed Description

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Suboptimal colonoscopy quality is associated with development of interval colorectal cancer and colorectal cancer-related death. It is uncertain how to improve colonoscopy quality effectively. The quality of screening colonoscopy for colorectal cancer depends on the endoscopist who performed the examination. The aim of this study was to investigate the impact of endoscopists' personal characteristics on the quality of colonoscopy and effectiveness of intervention.

Conditions

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Colonoscopy Human Characteristics

Study Design

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Allocation Method

NA

Intervention Model

SEQUENTIAL

Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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Endoscopist

Intervention for personal notification, open notification and colonoscopy quality education by a GI faculty

Group Type EXPERIMENTAL

Personal notification

Intervention Type BEHAVIORAL

Baseline quality indicators of each endoscopist were measured and those were notified individually.

Open notification

Intervention Type BEHAVIORAL

Quality indicators were measured for 3 months after 1st interventions and those were notified openly

Education

Intervention Type BEHAVIORAL

Quality indicators were measured for 3 months after 2nd interventions and educated the importance of colonoscopy quality by a GI faculty

Interventions

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Personal notification

Baseline quality indicators of each endoscopist were measured and those were notified individually.

Intervention Type BEHAVIORAL

Open notification

Quality indicators were measured for 3 months after 1st interventions and those were notified openly

Intervention Type BEHAVIORAL

Education

Quality indicators were measured for 3 months after 2nd interventions and educated the importance of colonoscopy quality by a GI faculty

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Highly experienced board-certified gastroenterologists performed colonoscopies in health screening endoscopy centers.
* Endoscopists who sign the consent
* Patients for quality indicators of endoscopists

* routinely perform outpatient screening, surveillance and diagnostic colonoscopy (first-time screening colonoscopies performed and had no previous colonoscopy within 3 years).

Exclusion Criteria

* endoscopists who refuse to sign the consent
* Patients for quality indicators of endoscopists

* Known hereditary polyposis syndrome, Inflammatory bowel disease, those with surgically altered anatomy, undergone previous colonoscopy within 3 years
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Saint Vincent's Hospital, Korea

OTHER

Sponsor Role collaborator

Uijeongbu St. Mary Hospital

OTHER

Sponsor Role collaborator

Seoul St. Mary's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Bo-In Lee

Professor, MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Bo-In Lee, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Division of Gastroenterology; Seoul St. Mary's hospital

Locations

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Division of Gastroenterology; Seoul St. Mary's hospital

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Coe SG, Crook JE, Diehl NN, Wallace MB. An endoscopic quality improvement program improves detection of colorectal adenomas. Am J Gastroenterol. 2013 Feb;108(2):219-26; quiz 227. doi: 10.1038/ajg.2012.417. Epub 2013 Jan 8.

Reference Type BACKGROUND
PMID: 23295274 (View on PubMed)

Shaukat A, Oancea C, Bond JH, Church TR, Allen JI. Variation in detection of adenomas and polyps by colonoscopy and change over time with a performance improvement program. Clin Gastroenterol Hepatol. 2009 Dec;7(12):1335-40. doi: 10.1016/j.cgh.2009.07.027. Epub 2009 Aug 7.

Reference Type BACKGROUND
PMID: 19665583 (View on PubMed)

Jover R, Zapater P, Bujanda L, Hernandez V, Cubiella J, Pellise M, Ponce M, Ono A, Lanas A, Seoane A, Marin-Gabriel JC, Chaparro M, Cacho G, Herreros-de-Tejada A, Fernandez-Diez S, Peris A, Nicolas-Perez D, Murcia O, Castells A, Quintero E; COLONPREV Study Investigators. Endoscopist characteristics that influence the quality of colonoscopy. Endoscopy. 2016 Mar;48(3):241-7. doi: 10.1055/s-0042-100185. Epub 2016 Feb 4.

Reference Type BACKGROUND
PMID: 26845473 (View on PubMed)

Choi HH, Sung SY, Lee BI, Cho H, Jung Y, Park JM, Cho YS, Lee KM, Kim SW, Choi H, Chae HS, Choi MG. The Effect of Intervention for Improving Colonoscopy Quality Is Associated with the Personality Traits of Endoscopists. Gut Liver. 2024 Mar 15;18(2):265-274. doi: 10.5009/gnl220280. Epub 2023 May 9.

Reference Type DERIVED
PMID: 37158042 (View on PubMed)

Other Identifiers

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XC15FIMI0020K

Identifier Type: -

Identifier Source: org_study_id

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