A Trial of an Audit and Feedback Report to Improve Colonoscopy Performance

Colorectal Polyps Clinical Trial

Official title:

A Randomized Controlled Trial of an Audit and Feedback Report to Improve Colonoscopy Performance

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02595775
• Other study ID #: 477-2014
• Status: Completed
• Phase: N/A
• Start date: September 2015
• Est. completion date: September 2018

Study information

• Verified date: May 2017
• Source: Sunnybrook Health Sciences Centre
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This project aims to measure the impact of a physician report card (also called an audit & feedback report) on colonoscopy performance. Endoscopists in Ontario will be randomly assigned to either receive the endoscopist report card or to no feedback. Using Ontario health administrative data, the quality of colonoscopy will be compared between those who received the report card and those who do not. The investigators will also measure the effect of receiving endoscopist report card on colonoscopy performance amongst endoscopists who perform poorly at baseline compared to those who do not. Further, the acceptability of two educational interventions that aim to improve the quality of colonoscopy will be evaluated by conducting one-on-one interviews with select participants. This study is critical to ensure that Canadians have access to the highest quality colonoscopy possible.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 833
• Est. completion date: September 2018
• Est. primary completion date: September 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• All practising endoscopists in Ontario who performed at least 5 colonoscopies in 2014

Exclusion Criteria:

Related Conditions & MeSH terms

• Colorectal Polyps

Intervention

Other:
• Individualized A/F report
Individualized A/F report containing 9 colonoscopy quality measures.
• A/F report plus a high intensity intervention
E.g. Master class in colonoscopy
• A/F report plus a low intensity intervention
E.g. Access to a video/presentation on good colonoscopy technique followed by a post presentation assessment.
• A/F report alone

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
Sunnybrook Health Sciences Centre	Cancer Care Ontario

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in polypectomy rate from baseline	Measure change in polypectomy rate from baseline	At month 12
Secondary	Additional outcome 1- Change in cecal intubation rate	Change in cecal intubation rate from baseline	At month 12
Secondary	Additional outcome 2 - Change in annual colonoscopy volume	Change in annual colonoscopy volume from baseline	At month 12
Secondary	Additional outcome 3 - Change in poor bowel preparation rate	Change in poor bowel preparation rate from baseline	At month 12