Endoscopy Nurse Participation in Adenoma Detection Rate During Colonoscopy

Soon Chun Hyang University

Status and phase: Completed; Phase 4

Conditions: Adenomatous Polyp; Colonoscopy; Polyp

Treatments: Procedure: standard of care colonoscopy

Study type: Interventional

Funder types: Other

Identifiers

NCT01124266

2010-15

Details and patient eligibility

About

Colorectal cancer (CRC) is the second most common cancer and the fourth leading cause of cancer death in Korea. Colonoscopy with polypectomy decreases the incidence and mortality from colorectal cancer. However, significant lesions can be missed during colonoscopy. Recent retrospective studies have shown that fellow involvement as a second observer may increase adenoma detection rate in colonoscopy.

The aim of this prospective, multicenter, randomized study is to evaluate the impact when endoscopy nurse participate in adenoma detection during screening colonoscopy. The primary outcome measure is the adenoma detection rate (ADR).

Enrollment: 844 patients

Sex: All

Ages: 50+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• age over 50
• screening colonoscopy

Exclusion criteria

• History of colorectal surgery
• History of hereditary colorectal cancers or polyposis syndrome
• Gastrointestinal bleeding
• Inflammatory bowel diseases
• Inability to provide informed consent
• Pregnancy

Trial design

Primary purpose: Diagnostic

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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844 participants in 2 patient groups

endoscopist only

Experimental group

Treatment:

Procedure: standard of care colonoscopy

Procedure: standard of care colonoscopy

nurse participation

Experimental group

Treatment:

Procedure: standard of care colonoscopy

Procedure: standard of care colonoscopy