Ambient Lighting During Colonoscopy and Its Effect on Adenoma Detection Rate and Eye Fatigue

NCT ID: NCT04441242

Last Updated: 2024-10-04

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

1109 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-01-01

Study Completion Date

2018-06-30

Brief Summary

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A retrospective and prospective study to determine if the use of ambient lighting during screening colonoscopy is well tolerated and if ambient lighting will help physicians maintain adenoma detection rates while decreasing symptoms of eye strain as the day progresses.

Detailed Description

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This study is a a single-center study at an independent community-based teaching hospital comparing adenoma detection rate in screening colonoscopies performed in low lighting with those performed with ambient lighting (75-150 lux). All cases included in the study involved adult patients undergoing screening colonoscopy with a participating gastroenterologist. Diagnostic colonoscopies, history of colon resection, colorectal cancer, and cases performed in children, pregnant women, and prisoners were excluded from analysis. Cases involving gastroenterology fellows were also excluded. Retrospective data was collected over a six month period from January 2017 to June 2017, followed by a prospective arm the during the same calendar months the subsequent year (January 2018 to June 2018).

Conditions

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Colorectal Cancer Screening Colon Adenomatous Polyp

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Retrospective: Low lighting during screening colonoscopy

Screening colonoscopies performed with low lighting conditions.

Group Type PLACEBO_COMPARATOR

Low lighting

Intervention Type OTHER

Use of low lighting (\<75 lux) in endoscopy room.

Prospective: Ambient lighting during screening colonoscopy

Screening colonoscopies performed with ambient lighting conditions.

Group Type ACTIVE_COMPARATOR

Ambient lighting

Intervention Type OTHER

Use of ambient lighting (75-150 lux) in endoscopy room.

Interventions

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Ambient lighting

Use of ambient lighting (75-150 lux) in endoscopy room.

Intervention Type OTHER

Low lighting

Use of low lighting (\<75 lux) in endoscopy room.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adults undergoing screening colonoscopy
* Procedure performed by a participating gastroenterologist

Exclusion Criteria

* Any diagnostic colonoscopies
* History of colon resection
* History of colorectal cancer
* Children
* Pregnant women
* Prisoners
* Cases involving trainees, including gastroenterology fellows
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Wake Forest University Health Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Advocate Lutheran General Hospital

Park Ridge, Illinois, United States

Site Status

Countries

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United States

References

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Hayes JR, Sheedy JE, Stelmack JA, Heaney CA. Computer use, symptoms, and quality of life. Optom Vis Sci. 2007 Aug;84(8):738-44. doi: 10.1097/OPX.0b013e31812f7546.

Reference Type RESULT
PMID: 17700327 (View on PubMed)

Almadi MA, Sewitch M, Barkun AN, Martel M, Joseph L. Adenoma detection rates decline with increasing procedural hours in an endoscopist's workload. Can J Gastroenterol Hepatol. 2015 Aug-Sep;29(6):304-8. doi: 10.1155/2015/789038. Epub 2015 May 21.

Reference Type RESULT
PMID: 25996612 (View on PubMed)

Other Identifiers

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6665

Identifier Type: -

Identifier Source: org_study_id

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