Recycling Potential in Endoscopy - a Multicentre Prospective Observational Study

NCT ID: NCT05921136

Last Updated: 2023-08-01

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

UNKNOWN

Total Enrollment

2000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-06-12

Study Completion Date

2023-10-30

Brief Summary

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The present trial is an observational prospective trial. The aim of the present study is to analyse the recycling potential in endoscopy units in hospitals and outpatient facilities. For this purpose, waste is collected for four weeks each at four locations (two inpatient and two outpatient facilities). Questions such as quantity and quality of garbage will be addressed and compared between the different facilities.

Detailed Description

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Current considerations by various professional societies are developing theoretical concepts with the goal of greenhouse-neutral endoscopy operation. However, the scientific data situation here is expandable. One study calculated an extrapolation for the US based on the mean value of weight and volume of a total of 278 endoscopies in five days at two hospitals. However, a differentiated consideration of various parameters such as examination type and the location of the endoscopy (outpatient vs. inpatient) was missing here.

In different endoscopic departments waste will be weighed. Those are two hospitals (university and non-university) and two outpatient endoscopy units, each for four weeks. The waste will be divided into residual waste, paper and plastic in order to record the possible recycling potential. In addition, it will be investigated how great the savings potential is by avoiding disposable products (gowns, endoscopes).

The present study addresses the following end points:

* Parts of waste per examination in g (residual waste, plastic, paper).
* Savings potential through reusable items (e.g. gowns)
* Comparison of disposable vs. reusable endoscopes
* Descriptive description of the amount of waste at the different locations
* Statistical comparison of the amount of waste in the different locations
* Statistical comparison of the amount of waste per examination
* Statistical comparison of the amount of waste between out-patient and in-patient

Conditions

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Sustainable Development

Study Design

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Observational Model Type

ECOLOGIC_OR_COMMUNITY

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Endoscopic examination (gastroscopy, colonoscopy, combined gastro and colonoscopy, ERCP, EUS, bronchoscopy)
* Type of examination (interventional vs diagnostic)
* Known multi-resistant germs (yes vs no)

Exclusion Criteria

none
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Johann Wolfgang Goethe University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Georg Dultz

Goethe University Hospital Frankfurt

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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MDZ Magendarmzentrum, Gastroenterologisch, internistische Gemeinschaftspraxis

Darmstadt, Hesse, Germany

Site Status NOT_YET_RECRUITING

Klinikum der J. W. Goethe-Universität

Frankfurt am Main, Hesse, Germany

Site Status NOT_YET_RECRUITING

IPG Hanau, Praxis für Gastroenterologie

Hanau, Hesse, Germany

Site Status RECRUITING

Klinikum Hanau, Klinik für Gastroenterologie, Diabetologie und Infektiologie

Hanau, Hesse, Germany

Site Status COMPLETED

Countries

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Germany

Facility Contacts

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Norbert Haider, MD

Role: primary

Florian Alexnader Michael, MD

Role: primary

004963015333

Andrea Oliver Tal, MD

Role: primary

06181 932240

References

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Rodriguez de Santiago E, Dinis-Ribeiro M, Pohl H, Agrawal D, Arvanitakis M, Baddeley R, Bak E, Bhandari P, Bretthauer M, Burga P, Donnelly L, Eickhoff A, Hayee B, Kaminski MF, Karlovic K, Lorenzo-Zuniga V, Pellise M, Pioche M, Siau K, Siersema PD, Stableforth W, Tham TC, Triantafyllou K, Tringali A, Veitch A, Voiosu AM, Webster GJ, Vienne A, Beilenhoff U, Bisschops R, Hassan C, Gralnek IM, Messmann H. Reducing the environmental footprint of gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) Position Statement. Endoscopy. 2022 Aug;54(8):797-826. doi: 10.1055/a-1859-3726. Epub 2022 Jul 8.

Reference Type BACKGROUND
PMID: 35803275 (View on PubMed)

Namburar S, von Renteln D, Damianos J, Bradish L, Barrett J, Aguilera-Fish A, Cushman-Roisin B, Pohl H. Estimating the environmental impact of disposable endoscopic equipment and endoscopes. Gut. 2022 Jul;71(7):1326-1331. doi: 10.1136/gutjnl-2021-324729. Epub 2021 Dec 1.

Reference Type BACKGROUND
PMID: 34853058 (View on PubMed)

Welsch L, Friedrich-Rust M, Tal A, Haider N, Kim S, Schneider M, Schmitt L, Wittersheim L, Schmitt S, Heide A, Heilani M, Zeuzem S, Eickhoff A, Michael FA. Cutting waste in endoscopy: a multicentre observational study in the German healthcare system. Gut. 2025 Jun 15:gutjnl-2024-333401. doi: 10.1136/gutjnl-2024-333401. Online ahead of print.

Reference Type DERIVED
PMID: 40473397 (View on PubMed)

Other Identifiers

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Flomi

Identifier Type: -

Identifier Source: org_study_id

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