NCT02595775

Brief 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.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
833

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Sep 2015

Typical duration for not_applicable

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 10, 2015

Completed
2 months until next milestone

Study Start

First participant enrolled

September 1, 2015

Completed
2 months until next milestone

First Posted

Study publicly available on registry

November 3, 2015

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2018

Completed
Last Updated

September 7, 2018

Status Verified

May 1, 2017

Enrollment Period

3 years

First QC Date

July 10, 2015

Last Update Submit

September 5, 2018

Conditions

Colorectal Polyps

Keywords

endoscopy measuresaudit and feedbackquality improvementrandomized controlled trialColonoscopy

Outcome Measures

Primary Outcomes (1)

  • Change in polypectomy rate from baseline

    Measure change in polypectomy rate from baseline

    At month 12

Secondary Outcomes (3)

  • Additional outcome 1- Change in cecal intubation rate

    At month 12

  • Additional outcome 2 - Change in annual colonoscopy volume

    At month 12

  • Additional outcome 3 - Change in poor bowel preparation rate

    At month 12

Study Arms (4)

Round 1: Intervention arm

EXPERIMENTAL

Half of the endoscopists in Ontario will receive an individualized audit \& feedback report. Individualized A/F report.

Other: Individualized A/F report

Round 1: Control

NO INTERVENTION

Half of the endoscopists in Ontario will NOT receive an individualized audit \& feedback report.

Round 2: Month 12

OTHER

All endoscopists in Ontario will receive an individualized audit \& feedback report at month 12. Individualized A/F report

Other: Individualized A/F report

Round 2: Poor performers

OTHER

In Round 2, selected 60 poorer performers will be randomly assigned to receive one of the following interventions at month 12: 1. A/F report plus a high intensity intervention 2. A/F report plus a low intensity intervention 3. A/F report alone

Other: A/F report plus a high intensity interventionOther: A/F report plus a low intensity interventionOther: A/F report alone

Interventions

Individualized A/F reportOTHER

Individualized A/F report containing 9 colonoscopy quality measures.

Round 1: Intervention armRound 2: Month 12
A/F report plus a high intensity interventionOTHER

E.g. Master class in colonoscopy

Round 2: Poor performers
A/F report plus a low intensity interventionOTHER

E.g. Access to a video/presentation on good colonoscopy technique followed by a post presentation assessment.

Round 2: Poor performers
A/F report aloneOTHER
Round 2: Poor performers

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Tinmouth J, Sutradhar R, Li Q, Patel J, Baxter NN, Llovet D, Paszat LF, Rabeneck L. A Pragmatic Randomized Controlled Trial of an Endoscopist Audit and Feedback Report for Colonoscopy. Am J Gastroenterol. 2021 Oct 1;116(10):2042-2051. doi: 10.14309/ajg.0000000000001498.

    PMID: 34515669DERIVED

Study Officials

  • Jill Tinmouth, MD

    Sunnybrook Health Sciences Centre

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 10, 2015

First Posted

November 3, 2015

Study Start

September 1, 2015

Primary Completion

September 1, 2018

Study Completion

September 1, 2018

Last Updated

September 7, 2018

Record last verified: 2017-05