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Completed

NCT Number: NCT01458093

Large Overuse of Post-polypectomy Surveillance Colonoscopy

In colorectal cancer screening era a huge burden of medical resources has been applied to surveillance. Although the adherence to post-polipectomy recommendations is a advocated as a mainstay for quality assurance colonoscopy programs, prospective data on appropriateness of surveillance are lacking.

The aim of present study was to evaluate the percentage of subjects in which timing of surveillance colonoscopy in practice agrees with that recommended by guidelines and to identify factors associated to the appropriateness of surveillance.

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Key information

Conditions

Colonic Polyps Colonoscopy Intestinal Polyps Pathological Conditions, Anatomical Pathological Conditions, Signs and Symptoms Polyps Surveillance

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Valduce Hospital

Como, 22100, Italy

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • consecutive colonoscopy outpatients
  • adults (18-80 yrs)

Exclusion criteria

  • Subjects with missing data on polyp findings at previous colonoscopy (number, endoscopic or histological features)
  • Subjects with unsatisfactory quality standards of previous examination (no cecal intubation, inadequate bowel preparation, incomplete polyp resection)
  • patients with a medical history of inflammatory bowel disease, inherited or other polyposis syndrome and colorectal cancer.

Treatment and study plan

colonoscopy

Other

evaluation of surveillance timing adequacy as compared to the guidelines

Primary outcomes

  1. Adherence to post-polypectomy surveillance guidelines

    Time frame: up to one year

    Time interval between index and surveillance colonoscopies for patients undergoing post-polypectomy surveillance was calculated and compared to that suggested by the guidelines according to endoscopic findings at previous examination. For each patiens, surveillance time interval was regarded as correct if coherent with the recommended interval +/- 6 months, thus allowing to calculate the proportion of correct prescriptions

Secondary outcomes

  1. Factors associated to surveillance appropriateness

    Time frame: up to one year

    The presence of factors associated to appropriate surveillance prescriptions was investigated by multivariate analysis (odds ratio and 95% confidence interval for each factor)

Sponsors and collaborators

Lead sponsor

Valduce Hospital

Other

Registry information

Official study title

Large Overuse of Post-polypectomy Surveillance Colonoscopy: a Prospective Nation-wide Study

Important dates

Study start
2010
Primary completion
2011
Study completion
2011
First posted
Oct 24, 2011
Registry last updated
Oct 24, 2011

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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