N/A
N=577
The Alberta Primary Care Endoscopy (APC-Endo) Study
Screening Test · Endoscopy · Colon Disease
Bottom Line
View on ClinicalTrials.gov: NCT01320826 ↗Enrolled (actual)
577
Serious AEs
0.7%
Results posted
Aug 2012
Primary outcome: Primary: Percentage of Successful Cecal Intubations (Crude) — 95.3 percentage of colonoscopies performed
Study Design & Population
- Study type
- Observational
- Phase
- N/A
- Interventions
- colonoscopy (Procedure)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of Alberta
- Primary completion
- Jun 2010
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Successful Cecal Intubations (Crude) |
95.3 | — |
| PRIMARY Percentage of Successful Cecal Intubations (Adjusted) |
96.5 | — |
| PRIMARY Adenoma Detection Ratio |
0.62 | — |
| PRIMARY Percentage of Males 50 Years and Older Undergoing First Time Colonoscopy With an Adenoma |
46.4 | — |
| PRIMARY Percentage of Females 50 Years and Older Undergoing First Time Colonoscopy With an Adenoma |
30.2 | — |
| SECONDARY Colonoscopy Complications: Bleeding, Perforation, Cardiopulmonary Complications Secondary to Conscious Sedation, and Death. |
4 | — |
| SECONDARY Colonoscopy Withdraw Time in Cases Where no Lesions Found |
7 | — |
| SECONDARY Patient Comfort During Colonoscopy |
0.8 | — |
| SECONDARY Patient Satisfaction With Endoscopy Wait Time |
7 | — |
| SECONDARY Patient Satisfaction With Hospital Experience for Colonoscopy |
7 | — |
| SECONDARY Colonoscopy Procedure Time |
23.6 | — |
| SECONDARY Percentage of Patients Referred to a Specialist. |
4.8 | — |
Summary
It is hypothesized that primary care colonoscopists are able to achieve benchmarks in colonoscopy quality including cecal intubation and adenoma detection rates and serious adverse event rates.
This prospective study is the first in depth analysis of the quality of colonoscopic procedures performed by primary care physicians at a provincial level in Canada.
In addition, the APC Endo study is the first to directly examine both the quality of colonoscopy and patient satisfaction in the same study.
Eligibility Criteria
Inclusion Criteria
- All patients having a colonoscopy done by an APC-Endo physician endoscopist during the study period will be approached at the time of their endoscopy to consent to the post procedure telephone.
Exclusion Criteria
- Patients under the age of 18 years old
- Patients who will be unable to be contacted for the post procedure telephone survey. (e.g., moving out of the country in the following month)
- Patients who are unable to understand or speak basic English
- Patients who are cognitively impaired such that they were not able to complete the initial consent for their colonoscopy
Data sourced from ClinicalTrials.gov (NCT01320826). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.