Effect of Intervention for Colonoscopy Quality is Associated With the Personal Characteristics

Seoul St. Mary's Hospital

Status

Completed

Conditions

Human Characteristics

Colonoscopy

Treatments

Behavioral: Personal notification

Behavioral: Open notification

Behavioral: Education

Study type

Interventional

Funder types

Other

Identifiers

NCT03796169

XC15FIMI0020K

Details and patient eligibility

About

This study aims to investigate whether the personal characteristics of the endoscopist is associated with effect of interventions for colonoscopy quality improvement.

This is a prospective, 9-month, multicenter, single-blind study. Baseline quality indicators including adenoma detection rate, polyp detection rate, withdrawal time and adenomas per colonoscopy of each endoscopist were measured in the health promotion centers of academic hospitals for 3 months. Follow-up measurements of quality indicators were repeated every 3 months after each interventions (personal notification of quality indicators, open notification of quality indicators, and colonoscopy quality education by a GI faculty. At the end of the study, personal characteristics of each endoscopist was evaluated using fear of negative evaluation scale, cognitive flexibility inventory, and almost perfect scale.

Full description

Suboptimal colonoscopy quality is associated with development of interval colorectal cancer and colorectal cancer-related death. It is uncertain how to improve colonoscopy quality effectively. The quality of screening colonoscopy for colorectal cancer depends on the endoscopist who performed the examination. The aim of this study was to investigate the impact of endoscopists' personal characteristics on the quality of colonoscopy and effectiveness of intervention.

Enrollment

15 patients

Sex

All

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Highly experienced board-certified gastroenterologists performed colonoscopies in health screening endoscopy centers.
Endoscopists who sign the consent
Patients for quality indicators of endoscopists
- routinely perform outpatient screening, surveillance and diagnostic colonoscopy (first-time screening colonoscopies performed and had no previous colonoscopy within 3 years).

Exclusion criteria

endoscopists who refuse to sign the consent
Patients for quality indicators of endoscopists
- Known hereditary polyposis syndrome, Inflammatory bowel disease, those with surgically altered anatomy, undergone previous colonoscopy within 3 years