Colorectal cancer and polyps Cancer Colorectal cancer and polyps
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Positive faecal occult blood test 2. Scheduled to undergo first (index) colonoscopy as part of the National BCS program 3. Undergoing colonoscopy at any one of: 3.1. University College Hospital (London) 3.2. University Hospital Llandough (Cardiff) 3.3. Bradford Hospital (Bradford) 4. Aged 18 years or older
Exclusion criteria
Exclusion criteria: 1. Contraindications to colonoscopy 2. Follow-up (surveillance) patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The following were measured as categorical variables with two outcomes (yes/no) and reported as a percentage. These were assessed using a review of histopathology reports, endoscopy images and endoscopy reports at the baseline (after the colonoscopy): 1. Total polyp detection rate (PDR) 2. Adenoma detection rate (ADR) | — |
Secondary
| Measure | Time frame |
|---|---|
| The following were assessed through a review of endoscopy images, endoscopy reports and patient notes (unless otherwise stated) at the baseline (after the colonoscopy): 1. Caecal intubation time, measured in minutes 2. Caecal intubation rate, measured as a categorical variable with two outcomes (yes/no) and reported as a percentage 3. Total procedure time, measured in minutes 4. Withdrawal time, measured in minutes 5. Patient comfort scores, measured with a Global Rating Scale with a score of 1 indicating "no discomfort" and a score of 5 indicating "severe discomfort" 6. Sedation used, measured through recording medication used and the dose given (percentages of each medication and mean dose with standard deviation were calculated) 7. Polyp retrieval rate, measured as a categorical variable with two outcomes (yes/no) and reported as a percentage 8. Immediate/late complications, measured as a percentage for each complication 9. Endoscopists’ comments on procedural difficulty, recorded with free text by the endoscopist | — |
Countries
United Kingdom