Colorectal Polyps
Conditions
Keywords
endoscopy measures, audit and feedback, quality improvement, randomized controlled trial, Colonoscopy
Brief summary
This project aims to measure the impact of a physician report card (also called an audit & feedback report) on colonoscopy performance. Endoscopists in Ontario will be randomly assigned to either receive the endoscopist report card or to no feedback. Using Ontario health administrative data, the quality of colonoscopy will be compared between those who received the report card and those who do not. The investigators will also measure the effect of receiving endoscopist report card on colonoscopy performance amongst endoscopists who perform poorly at baseline compared to those who do not. Further, the acceptability of two educational interventions that aim to improve the quality of colonoscopy will be evaluated by conducting one-on-one interviews with select participants. This study is critical to ensure that Canadians have access to the highest quality colonoscopy possible.
Interventions
OTHERIndividualized A/F report
Individualized A/F report containing 9 colonoscopy quality measures.
OTHERA/F report plus a high intensity intervention
E.g. Master class in colonoscopy
OTHERA/F report plus a low intensity intervention
E.g. Access to a video/presentation on good colonoscopy technique followed by a post presentation assessment.
OTHERA/F report alone
Sponsors
Cancer Care Ontario
Sunnybrook Health Sciences Centre
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
* All practising endoscopists in Ontario who performed at least 5 colonoscopies in 2014
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in polypectomy rate from baseline | At month 12 | Measure change in polypectomy rate from baseline |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Additional outcome 1- Change in cecal intubation rate | At month 12 | Change in cecal intubation rate from baseline |
| Additional outcome 2 - Change in annual colonoscopy volume | At month 12 | Change in annual colonoscopy volume from baseline |
| Additional outcome 3 - Change in poor bowel preparation rate | At month 12 | Change in poor bowel preparation rate from baseline |
Outcome results
None listed