A Prospective Trial of an Endoscopic Quality Improvement Project

Study Overview
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Brief Summary
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Randomized prospective multi-site validation study.

Detailed Description
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GI practice sites that have recently agreed to participate in the GIQuIC program will be randomized on a site-basis, to the EQUIP intervention or control. Baseline ADR and polyp/surveillance predication accuracy will be collected for approximately 3 months. Sites randomized to the EQUIP intervention will undergo face-to-face training by a study investigator, followed by active monitoring and feedback. Control sites will not receive supplemental training and will be monitored by with no feedback. After completion of the study all sites will be offered the intervention (as is standard feedback in GIQuIC ).

Official Title
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A Prospective Randomized Controlled Trial of an Endoscopic Quality Improvement Project-2 (EQUIP-2) to Improve Adenoma Detection in Screening and Surveillance Colonoscopy

Conditions
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Colon Polyps

Intervention / Treatment
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* Other: Educational Training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Endoscopy centers that are new to GIQuIC and have not yet received training All endoscopists performing screening and surveillance colonoscopy at the participating center will be invited to participate Exclusion Criteria: Cases that involve acute indications such as bleeding and active colitis will not be included in data pool Patients with a family or personal history of a polyposis syndrome or with a personal history of inflammatory bowel disease will also be excluded Procedures that are deemed incomplete will be excluded Patients with surgically altered anatomy (i.e. prior colectomy) and with poor bowel preparation (Boston bowel preparation score <5, or inadequate to exclude polyps >5mm) will be excluded

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Training of Endoscopist<br>A series of 1 hour classes with ongoing monitoring and feedback to endoscopist only. | Other: Educational Training<br>* Intervention/Training offered to endoscopists only.<br>* Other names: Intervention offered to endoscopist only.;|
| No Intervention: Deferred Training of Endoscopist<br>No intervention during the data collection period. Training will be deferred to end of study. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in adenoma detection rates. | The primary outcome will be the change in adenoma detection rates between baseline and the intervention. Validate the effect of a quality improvement training program on the proportion of patients among whom at least one adenoma is detected | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Adenoma Prediction, Adenoma Detection