Adenomatous Polyps, Colorectal Polyps
Conditions
Keywords
Quality Improvement, Adenoma Detection Rate, Polyp detection rate, Colonoscopy, Training, Colorectal cancer screening
Brief summary
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.
Detailed description
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.
Interventions
OTHERTraining session
Series of two training sessions after the first phase of study followed by monthly feedback.
Sponsors
Mayo Clinic
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measurement of overall adenoma detection rate | 1 year | Primary outcome measures will include overall and per patient adenoma detection rate for polypoid and non polypoid neoplastic lesions. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Measurement of total polypectomy rate | 1 Year | Secondary outcomes will include total polypectomy rate (hyperplastic vs. adenoma), |
| Measurement of colonoscopy time | 1 Year | Total colonoscopy time and endoscopist acceptance. Variables such as patient demographics and prep quality will be adjusted for. |
| Endoscopist Acceptance | 1 Year | Ensdoscopist acceptance rate will be measured. Variables such as patient demographics and prep quality will be adjusted for. |
Countries
United States
Outcome results
None listed