A Trial of an Audit and Feedback Report to Improve Colonoscopy Performance

Sunnybrook Health Sciences Centre

Status: Completed

Conditions: Colorectal Polyps

Treatments: Other: Individualized A/F report; Other: A/F report plus a low intensity intervention; Other: A/F report plus a high intensity intervention; Other: A/F report alone

Study type: Interventional

Funder types: Other

Identifiers

NCT02595775

477-2014

Details and patient eligibility

About

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.

Enrollment: 833 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• All practising endoscopists in Ontario who performed at least 5 colonoscopies in 2014

Exclusion criteria

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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833 participants in 4 patient groups

Round 1: Intervention arm

Experimental group

Description:

Half of the endoscopists in Ontario will receive an individualized audit & feedback report. Individualized A/F report.

Treatment:

Other: Individualized A/F report

Round 1: Control

No Intervention group

Description:

Half of the endoscopists in Ontario will NOT receive an individualized audit & feedback report.

Round 2: Month 12

Other group

Description:

All endoscopists in Ontario will receive an individualized audit & feedback report at month 12. Individualized A/F report

Treatment:

Other: Individualized A/F report

Round 2: Poor performers

Other group

Description:

In Round 2, selected 60 poorer performers will be randomly assigned to receive one of the following interventions at month 12: A/F report plus a high intensity intervention A/F report plus a low intensity intervention A/F report alone

Treatment:

Other: A/F report alone

Other: A/F report plus a high intensity intervention

Other: A/F report plus a low intensity intervention