Cost-Minimization Analysis After a Targeted Intervention for EGD and Colonoscopy

Study Overview
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Brief Summary
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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
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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.

Official Title
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Cost-Minimization Analysis and Its Impact on Resource Utilization After a Targeted Intervention for EGD and Colonoscopy

Conditions
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Primary Focus of the Study is Cost-minimization Analysis

Intervention / Treatment
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* Behavioral: Debriefing endoscopists of the procedure accessory costs


Participation Criteria
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Eligibility Criteria
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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

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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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Pre-intervention phase/phase 1<br>No intervention will be applied in phase 1 | |
| Other: Post-intervention phase/phase 2<br>Intervention will be applied in phase 2 i.e; Debriefing endoscopists of the procedure accessory costs and pathology specimen costs | Behavioral: Debriefing endoscopists of the procedure accessory costs<br>* Informing endoscopists of the number of accessories used and the dollar value of the accessories<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Total cost of accessory use and pathology specimen costs | The cost of accessory and pathology specimens would be assessed immediately post-procedure during phase 2 | Up to 5 months |