Utility Analysis of an Endoscopy Follow-up System

Beth Israel Lahey Health

Status: Completed

Conditions: Colonoscopy Adherence

Treatments: Other: protocol of reminders regarding due colonoscopy

Study type: Interventional

Funder types: Other

Identifiers

NCT01172080

2010P000113

Details and patient eligibility

About

Although systems are in place to ensure results of tests are communicated to patients, there is currently no generalized accepted strategy to ensure that patients undergo recommended follow-up testing. When follow-up tests are recommended months to years into the future, there is a high likelihood that the test will either be delayed or not performed resulting in the potential for poor outcomes and litigation. For this reason, there is a clear need for systems to be developed which automatically trigger patient communication when the date of a recommended follow-up test is approaching. The investigators propose to design a protocol for ensuring that patients are reminded to schedule follow-up tests and that this communication is documented in the online medical record. This work will provide the foundation for the creation of systems that significantly improve patient care, and can be easily adapted for use in many clinical departments and institutions.

Aim 1. To use patient focus groups to help design a system for improving adherence to endoscopy follow up recommendations

Aim 2. To develop a prototype endoscopy follow up system and test the effectiveness of the system on a cohort of patients due for a surveillance colonoscopy.

Enrollment: 830 patients

Sex: All

Ages: Under 85 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• due for a repeat surveillance colonoscopy for follow up of polyps during the study time period

Exclusion criteria

• not due for a repeat surveillance colonoscopy for follow up of polyps during the study time period

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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830 participants in 2 patient groups

control

No Intervention group

Description:

Participants in this group are monitored for adherence to colonoscopy recommendations.

intervention

Experimental group

Description:

Participants to receive a protocol of reminder letters and a phone call regarding due follow up colonoscopy

Treatment:

Other: protocol of reminders regarding due colonoscopy