Primary Focus of the Study is Cost-minimization Analysis
Conditions
Brief summary
This study performs a single intervention of informing endoscopists how much the disposable accessories cost following each procedure. Following this single and simple intervention, prospective analysis of EGD and colonoscopy accessory use and pathology specimen costs will be compared to the same resource costs during a control period where endoscopists are blinded to their observation.
Detailed description
This study is a prospective cost-identification and cost-minimization analysis of accessories used during the EGD and colonoscopy procedures. The endoscopists will be the participants under study and not the patients. The study will be conducted in two phases - pre and post-intervention phases. Each phase will include a minimum of 337 combined EGD and colonoscopy procedures and a total of upto a minimum 674 and a maximum of 1200 procedures for both phases. All consecutive patients undergoing EGD and colonoscopy will be included. For the first phase of the study, the endoscopist will not be made aware of the study and also will not be briefed at the end of the procedure with the number of accessories used during the procedure and the dollar value of the accessories. For the second phase of the study, endoscopist will be briefed by the endoscopy nursing staff after completion of each procedure about the total number of accessories used and the dollar value of the accessories used during the procedure. Once the study is completed, endoscopists will be debriefed about the study and outcomes.
Interventions
BEHAVIORALDebriefing endoscopists of the procedure accessory costs
Informing endoscopists of the number of accessories used and the dollar value of the accessories
Sponsors
Sindhu R Kaitha, MD
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
SINGLE (Caregiver)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adults with age of 18 or greater * All races * Indication for therapeutic EGD or colonoscopy * Outpatient procedures done at OU Physicians Building endoscopy unit * Procedure is performed by one of the observed endoscopists
Exclusion criteria
* Pediatric population * Diagnostic EGD and colonoscopy procedures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total cost of accessory use and pathology specimen costs | Up to 5 months | The cost of accessory and pathology specimens would be assessed immediately post-procedure during phase 2 |
Countries
United States
Outcome results
None listed