Large Overuse of Post-polypectomy Surveillance Colonoscopy

NCT01458093 | Completed

• 1 other identifier: SURV_2011
• Study Type: observational
• Target: 7,081
• Locations: 1 country
• Sites: 1

Brief Summary

In colorectal cancer screening era a huge burden of medical resources has been applied to surveillance. Although the adherence to post-polipectomy recommendations is a advocated as a mainstay for quality assurance colonoscopy programs, prospective data on appropriateness of surveillance are lacking. The aim of present study was to evaluate the percentage of subjects in which timing of surveillance colonoscopy in practice agrees with that recommended by guidelines and to identify factors associated to the appropriateness of surveillance.

Conditions

Colonic Polyps; Surveillance; Colonoscopy

Outcome Measures

Primary Outcomes (1)

• Adherence to post-polypectomy surveillance guidelines

  Time interval between index and surveillance colonoscopies for patients undergoing post-polypectomy surveillance was calculated and compared to that suggested by the guidelines according to endoscopic findings at previous examination. For each patiens, surveillance time interval was regarded as correct if coherent with the recommended interval +/- 6 months, thus allowing to calculate the proportion of correct prescriptions

  up to one year

Secondary Outcomes (1)

• Factors associated to surveillance appropriateness

  up to one year

Study Arms (1)

Colonoscopy patients

Consecutive colonoscopy outpatients referred to one of 29 endoscopy units in Italy

Other: colonoscopy

Interventions

colonoscopy OTHER

evaluation of surveillance timing adequacy as compared to the guidelines

Colonoscopy patients

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All patients referred to one out of 29 endoscopy units in Italy to undergo colonoscopy

You may qualify if:

• consecutive colonoscopy outpatients
• adults (18-80 yrs)

You may not qualify if:

• Subjects with missing data on polyp findings at previous colonoscopy (number, endoscopic or histological features)
• Subjects with unsatisfactory quality standards of previous examination (no cecal intubation, inadequate bowel preparation, incomplete polyp resection)
• patients with a medical history of inflammatory bowel disease, inherited or other polyposis syndrome and colorectal cancer.

Sponsors & Collaborators

• Valduce Hospital: lead

Study Sites (1)

Valduce Hospital

Como, 22100, Italy

Location

Related Publications (1)

• Radaelli F, Paggi S, Bortoli A, De Pretis G; Italian Association of Hospital Gastroenterologists (AIGO). Overutilization of post-polypectomy surveillance colonoscopy in clinical practice: a prospective, multicentre study. Dig Liver Dis. 2012 Sep;44(9):748-53. doi: 10.1016/j.dld.2012.04.015. Epub 2012 May 22.

  PMID: 22627070 DERIVED

MeSH Terms

Conditions

Colonic Polyps

Interventions

Colonoscopy

Condition Hierarchy (Ancestors)

Intestinal Polyps; Polyps; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Endoscopy, Gastrointestinal; Endoscopy, Digestive System; Diagnostic Techniques, Digestive System; Diagnostic Techniques and Procedures; Diagnosis; Endoscopy; Diagnostic Techniques, Surgical; Digestive System Surgical Procedures; Surgical Procedures, Operative; Minimally Invasive Surgical Procedures

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: October 18, 2011
• First Posted: October 24, 2011
• Study Start: July 1, 2010
• Primary Completion: January 1, 2011
• Study Completion: January 1, 2011
• Last Updated: October 24, 2011

Record last verified: 2011-10

Locations

IT (1)