Clinical trial NCT02328001: Cost-Minimization Analysis After a Targeted Intervention for EGD and Colonoscopy
Official title: Cost-Minimization Analysis and Its Impact on Resource Utilization After a Targeted Intervention for EGD and Colonoscopy
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Primary Focus of the Study is Cost-minimization Analysis
Lead sponsor: University of Oklahoma
Sponsor class: OTHER
First posted: 2014-12-31
Enrollment: 969
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: SINGLE_GROUP
Primary purpose: OTHER

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.

Eligibility criteria: 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

Primary outcomes:
measure: Total cost of accessory use and pathology specimen costs
timeFrame: Up to 5 months
Secondary outcomes:
Other outcomes:
Locations:
city: Oklahoma city
country: United States
facility: Oklahoma University Physicians Building, OUPB, Endoscopy Unit
state: Oklahoma
Study officials:
affiliation: University of Oklahoma
name: William Tierney, MD
role: PRINCIPAL_INVESTIGATOR
References:
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citation: Horiuchi A, Nakayama Y, Kajiyama M, Tanaka N, Sano K, Graham DY. Removal of small colorectal polyps in anticoagulated patients: a prospective randomized comparison of cold snare and conventional polypectomy. Gastrointest Endosc. 2014 Mar;79(3):417-23. doi: 10.1016/j.gie.2013.08.040. Epub 2013 Oct 11.
citation: Leighton JA, Shen B, Baron TH, Adler DG, Davila R, Egan JV, Faigel DO, Gan SI, Hirota WK, Lichtenstein D, Qureshi WA, Rajan E, Zuckerman MJ, VanGuilder T, Fanelli RD; Standards of Practice Committee, American Society for Gastrointestinal Endoscopy. ASGE guideline: endoscopy in the diagnosis and treatment of inflammatory bowel disease. Gastrointest Endosc. 2006 Apr;63(4):558-65. doi: 10.1016/j.gie.2006.02.005. No abstract available.