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

Sindhu R Kaitha, MD

Status: Completed

Conditions: Primary Focus of the Study is Cost-minimization Analysis

Treatments: Behavioral: Debriefing endoscopists of the procedure accessory costs

Study type: Interventional

Funder types: Other

Identifiers

NCT02328001

4667

Details and patient eligibility

About

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.

Full 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.

Enrollment: 969 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Other

Allocation: Non-Randomized

Interventional model: Single Group Assignment

Masking: Single Blind

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969 participants in 2 patient groups

Pre-intervention phase/phase 1

No Intervention group

Description:

No intervention will be applied in phase 1

Post-intervention phase/phase 2

Other group

Description:

Intervention will be applied in phase 2 i.e; Debriefing endoscopists of the procedure accessory costs and pathology specimen costs

Treatment:

Behavioral: Debriefing endoscopists of the procedure accessory costs