Adenomatous Polyp, Colonoscopy, Polyp
Conditions
Keywords
polyp, adenoma, screening, colonoscopy, diagnosis
Brief summary
Colorectal cancer (CRC) is the second most common cancer and the fourth leading cause of cancer death in Korea. Colonoscopy with polypectomy decreases the incidence and mortality from colorectal cancer. However, significant lesions can be missed during colonoscopy. Recent retrospective studies have shown that fellow involvement as a second observer may increase adenoma detection rate in colonoscopy. The aim of this prospective, multicenter, randomized study is to evaluate the impact when endoscopy nurse participate in adenoma detection during screening colonoscopy. The primary outcome measure is the adenoma detection rate (ADR).
Interventions
Single inspection by endoscopist during colonoscopy
Sponsors
Study design
Eligibility
Inclusion criteria
* age over 50 * screening colonoscopy
Exclusion criteria
* History of colorectal surgery * History of hereditary colorectal cancers or polyposis syndrome * Gastrointestinal bleeding * Inflammatory bowel diseases * Inability to provide informed consent * Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| adenoma detection rate | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Subjects with at least one adenoma | 1 year |
| total number of polyp | 1 year |
| total number of adenoma | 1 year |
| subjects with at least one polyp | 1 year |
| total number of advanced adenoma or cancer | 1 year |
| polyp and adenoma detection rate according to the endoscopists or nurse experience | 1 year |
| Subjects with at least one advanced adenoma or cancer | 1 year |
Countries
South Korea