- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01124266
Endoscopy Nurse Participation in Adenoma Detection Rate During Colonoscopy
Can Involvement of Endoscopy Nurse Participation Increase Adenoma Detection Rate During Screening Colonoscopy?:A Prospective Multicenter Randomized Trial
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).
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Cheonan, Korea, Republic of
- Dankook University Hospital
-
Cheonan, Korea, Republic of
- Soon Chun Hyang University Cheonan Hospital
-
Guri, Korea, Republic of
- Hanyang University Guri Hospital
-
Incheon, Korea, Republic of
- The Catholic University Incheon St. Mary's Hospital
-
Seoul, Korea, Republic of
- Kangbuk Samsung Hospital
-
Seoul, Korea, Republic of
- Kyung Hee University Gangdong Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: endoscopist only
|
Single inspection by endoscopist during colonoscopy
Dual inspection by both endoscopist and nurse during colonoscopy
|
|
Experimental: nurse participation
|
Single inspection by endoscopist during colonoscopy
Dual inspection by both endoscopist and nurse during colonoscopy
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
adenoma detection rate
Time Frame: 1 year
|
1 year
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
subjects with at least one polyp
Time Frame: 1 year
|
1 year
|
|
Subjects with at least one adenoma
Time Frame: 1 year
|
1 year
|
|
total number of polyp
Time Frame: 1 year
|
1 year
|
|
total number of adenoma
Time Frame: 1 year
|
1 year
|
|
Subjects with at least one advanced adenoma or cancer
Time Frame: 1 year
|
1 year
|
|
total number of advanced adenoma or cancer
Time Frame: 1 year
|
1 year
|
|
polyp and adenoma detection rate according to the endoscopists or nurse experience
Time Frame: 1 year
|
1 year
|
Collaborators and Investigators
Publications and helpful links
General Publications
- Rogart JN, Siddiqui UD, Jamidar PA, Aslanian HR. Fellow involvement may increase adenoma detection rates during colonoscopy. Am J Gastroenterol. 2008 Nov;103(11):2841-6. doi: 10.1111/j.1572-0241.2008.02085.x. Epub 2008 Aug 27.
- Peters SL, Hasan AG, Jacobson NB, Austin GL. Level of fellowship training increases adenoma detection rates. Clin Gastroenterol Hepatol. 2010 May;8(5):439-42. doi: 10.1016/j.cgh.2010.01.013. Epub 2010 Feb 1.
- Lee CK, Park DI, Lee SH, Hwangbo Y, Eun CS, Han DS, Cha JM, Lee BI, Shin JE. Participation by experienced endoscopy nurses increases the detection rate of colon polyps during a screening colonoscopy: a multicenter, prospective, randomized study. Gastrointest Endosc. 2011 Nov;74(5):1094-102. doi: 10.1016/j.gie.2011.06.033. Epub 2011 Sep 1.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2010-15 (Other Identifier: AP HM)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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