The Utility of Timed Segmental Withdrawal During Screening Colonoscopy
1 other identifier
interventional
326
1 country
1
Brief Summary
The purpose of colonoscopy (colon examination with flexible tube and a camera) is to find early precancerous growth in the colon (polyps) and remove them before they turn into cancer. The doctor performing the procedure will first advance the colonoscope to the end of the colon (cecum) and then he will examine the colon for polyps while he is withdrawing the colonoscope. The period of time that the doctor spent examining the colon called "withdrawal time". Usually doctors will spend at least 6 minutes examining the colon after he reached the cecum. The investigators are proposing that dedicating half of the withdrawal time during colonoscopy in examining the right side of the colon, will increase the detection of polyps in the right side of the colon.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2014
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2014
CompletedFirst Submitted
Initial submission to the registry
January 2, 2014
CompletedFirst Posted
Study publicly available on registry
May 7, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2016
CompletedMay 12, 2017
May 1, 2017
1.9 years
January 2, 2014
May 10, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Polyp detection rate (PDR) and Adenoma detection rate (ADR) of patients undergoing a screening colonoscopy either with segmental withdrawal protocol or with non-segmental withdrawal protocol.
Compare polyp detection rate (PDR) and ADR between patients undergoing a screening colonoscopy with segmental withdrawal protocol and with non-segmental withdrawal protocol.
30 minutes
The Polyp detection rate( PDR) and Adenoma detection rate (ADR) of patients undergoing screening colonoscopy either with 6-minutes or 8-minutes protocols of the segmental withdrawal.
Compare PDR and ADR between patients undergoing a screening colonoscopy with at least 6-minutes protocol versus at least 8-minutes protocol within each segmental and non-segmental withdrawal protocol.
30 minutes
Secondary Outcomes (2)
The polyp detection rate( PDR) and Adenoma detection rate (ADR) of patients undergoing screening colonoscopy either with 3-minutes or 4-minutes protocols of the non segmental withdrawal
30 minutes
Complication rate
1 month
Study Arms (4)
3 minutes in the right side colon
EXPERIMENTALColonoscopy, at least 3 minutes in the right side colon from the total withdrawal time
4 minutes in the right side colon
EXPERIMENTALColonoscopy, at least 4 minutes in the right side colon from the total withdrawal time
6 minutes whole withdrawal time
NO INTERVENTIONColonoscopy, at least 6 minutes whole withdrawal time regardless of time spent in any segment
8 minutes whole withdrawal time
EXPERIMENTALColonoscopy, at least 8 minutes whole withdrawal time regardless of time spent in any segment
Interventions
colonoscopy (colon examination with flexible tube and a camera) is to find early precancerous growth in the colon (polyps) and remove them before they turn into cancer
Eligibility Criteria
You may qualify if:
- adults undergoing colonoscopy for screening or surveillance purposes
You may not qualify if:
- prior history of colonic surgeries
- Crohn's colitis or ulcerative colitis
- prior history of colon cancer
- poor bowel preparation
- pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Texas Tech University Health Science Center El Paso
El Paso, Texas, 79905, United States
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Marc Zuckerman, MD
Texas Tech University Health Science Center El Paso
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- SCREENING
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
January 2, 2014
First Posted
May 7, 2014
Study Start
January 1, 2014
Primary Completion
December 1, 2015
Study Completion
July 1, 2016
Last Updated
May 12, 2017
Record last verified: 2017-05
Data Sharing
- IPD Sharing
- Will not share