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Completed

NCT Number: NCT01415817

Endoscopic Quality Improvement Program

Effective colorectal cancer (CRC) screening relies on early identification and removal of both polypoid and non-polypoid lesions with neoplastic potential. The investigators hypothesize that an intensive training program designed to enhance both recognition and classification of lesions with neoplastic potential, will result in an increase in non-polypoid adenoma detection in addition to and independent of an increase in overall adenoma detection rates.

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Key information

Conditions

Adenomatous Polyps Adenoma Colorectal Polyps Neoplasms Neoplasms by Histologic Type Neoplasms, Glandular and Epithelial

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Mayo Clinic Florida

Jacksonville, Florida, 32224, United States

About this study

Our Endoscopic Quality Improvement Program (EQUIP) was a prospective educational intervention with our staff endoscopist as our study population. The investigators measured adenoma detection rates for a baseline period then randomly assigned half of the endoscopists to undergo EQUIP training. The investigators then examined baseline and post-training study adenoma detection rates (ADR's) for all endoscopist (trained and un-trained) to evaluate the impact of training.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Colonoscopies performed at Mayo clinic ambulatory surgical center

Exclusion criteria

  • Procedures for the indication of acute GI hemorrhage
  • Active colitis
  • Hereditary polyposis syndrome
  • Inflammatory bowel disease
  • Incomplete procedures
  • Procedures with surgically altered anatomy (i.e. prior colectomy)
  • Poor bowel preparation (Boston Bowel preparation score <5) were also excluded.

Treatment and study plan

Training session

Other

Series of two training sessions after the first phase of study followed by monthly feedback.

Primary outcomes

  1. Measurement of overall adenoma detection rate

    Time frame: 1 year

    Primary outcome measures will include overall and per patient adenoma detection rate for polypoid and non polypoid neoplastic lesions.

Secondary outcomes

  1. Measurement of total polypectomy rate

    Time frame: 1 Year

    Secondary outcomes will include total polypectomy rate (hyperplastic vs. adenoma),

  2. Measurement of colonoscopy time

    Time frame: 1 Year

    Total colonoscopy time and endoscopist acceptance. Variables such as patient demographics and prep quality will be adjusted for.

  3. Endoscopist Acceptance

    Time frame: 1 Year

    Ensdoscopist acceptance rate will be measured. Variables such as patient demographics and prep quality will be adjusted for.

Sponsors and collaborators

Lead sponsor

Mayo Clinic

Other

Registry information

Official study title

The Effect of an Intensive Endoscopic Quality Improvement Program (EQUIP) on Improved Detection and Classification of Non-polypoid (Flat and Depressed) and Polypoid Colorectal Adenomas. ("EQUIP" Study)

Acronym: EQUIP

Important dates

Study start
2010
Primary completion
2010
Study completion
2011
First posted
Aug 12, 2011
Registry last updated
May 31, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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