The Effect of Segmental Re-examination of Colon for Adenoma Detection in Colonoscopy
1 other identifier
interventional
450
1 country
1
Brief Summary
The aim of this study was to determine whether segmental re-examination of the each segment (right colon, mid-colon, and left colon) could increase the proximal adenoma detection rate (ADR) and to evaluate the time-effectiveness of this approach.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2017
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
First Submitted
Initial submission to the registry
August 29, 2017
CompletedFirst Posted
Study publicly available on registry
August 31, 2017
CompletedStudy Start
First participant enrolled
September 1, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2019
CompletedJuly 27, 2023
July 1, 2023
1.8 years
August 29, 2017
July 24, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Adenoma detection rate
7 days
Secondary Outcomes (3)
Per-patient adenoma detection rate (ADR) at each segment of colon
7 days
per-patient polyp detection rate
7 days
Withdrawal time
1 days
Study Arms (2)
Case group
EXPERIMENTALEach segment of colon (right colon, mid-colon, and left colon) was examined twice
Control group
NO INTERVENTIONWithdrawal time in the each segment of colon (right colon, mid-colon, and left colon) was about 2 minutes.
Interventions
Eligibility Criteria
You may qualify if:
- Patients (aged ≥45 and ≤75 years) who were scheduled to un- dergo colonoscopy
You may not qualify if:
- Patients who had advanced colonic cancer, prior resection of the proximal colon, inflammatory bowel disease, or polyposis syndrome, or were unable to provide informed consent.
- If the quality of bowel preparation was unsatisfactory (Boston Bowel Preparation Scale \[BBPS\] score \<2 in any segment of the colon), or if the cecum could not be intubated during the colonoscopy, patients were excluded.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Incheon St. Mary's hospital, Catholic university of Korea
Incheon, 403-720, South Korea
Related Publications (1)
Lee DS, Ji JS, Gweon TG, Seo M, Choi H. Efficacy of colonoscopic re-examination across the entire colon: a randomized controlled trial. Surg Endosc. 2024 Nov;38(11):6711-6717. doi: 10.1007/s00464-024-11298-5. Epub 2024 Sep 26.
PMID: 39327294DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
August 29, 2017
First Posted
August 31, 2017
Study Start
September 1, 2017
Primary Completion
June 30, 2019
Study Completion
December 31, 2019
Last Updated
July 27, 2023
Record last verified: 2023-07
Data Sharing
- IPD Sharing
- Will not share