Endoscopic Quality Improvement Program (EQUIP)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01415817
Recruitment Status : Completed
First Posted : August 12, 2011
Last Update Posted : August 12, 2011
Information provided by:
Mayo Clinic

August 8, 2011
August 12, 2011
August 12, 2011
August 2010
December 2010   (Final data collection date for primary outcome measure)
Measurement of overall adenoma detection rate [ Time Frame: 1 year ]
Primary outcome measures will include overall and per patient adenoma detection rate for polypoid and non polypoid neoplastic lesions.
Same as current
No Changes Posted
  • Measurement of total polypectomy rate [ Time Frame: 1 Year ]
    Secondary outcomes will include total polypectomy rate (hyperplastic vs. adenoma),
  • Measurement of colonoscopy time [ Time Frame: 1 Year ]
    Total colonoscopy time and endoscopist acceptance. Variables such as patient demographics and prep quality will be adjusted for.
  • Endoscopist Acceptance [ Time Frame: 1 Year ]
    Ensdoscopist acceptance rate will be measured. Variables such as patient demographics and prep quality will be adjusted for.
Same as current
Not Provided
Not Provided
Endoscopic Quality Improvement Program
The Effect of an Intensive Endoscopic Quality Improvement Program (EQUIP) on Improved Detection and Classification of Non-polypoid (Flat and Depressed) and Polypoid Colorectal Adenomas. ("EQUIP" Study)
Effective colorectal cancer (CRC) screening relies on early identification and removal of both polypoid and non-polypoid lesions with neoplastic potential. The investigators hypothesize that an intensive training program designed to enhance both recognition and classification of lesions with neoplastic potential, will result in an increase in non-polypoid adenoma detection in addition to and independent of an increase in overall adenoma detection rates.
Our Endoscopic Quality Improvement Program (EQUIP) was a prospective educational intervention with our staff endoscopist as our study population. The investigators measured adenoma detection rates for a baseline period then randomly assigned half of the endoscopists to undergo EQUIP training. The investigators then examined baseline and post-training study adenoma detection rates (ADR's) for all endoscopist (trained and un-trained) to evaluate the impact of training.
Not Applicable
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
  • Adenomatous Polyps
  • Colorectal Polyps
Other: Training session
Series of two training sessions after the first phase of study followed by monthly feedback.
  • No Intervention: Baseline Data collection
  • Experimental: Randomization and Training Arm
    Intervention: Other: Training session
Not Provided

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
Same as current
April 2011
December 2010   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • Colonoscopies performed at Mayo clinic ambulatory surgical center

Exclusion Criteria:

  • Procedures for the indication of acute GI hemorrhage
  • Active colitis
  • Hereditary polyposis syndrome
  • Inflammatory bowel disease
  • Incomplete procedures
  • Procedures with surgically altered anatomy (i.e. prior colectomy)
  • Poor bowel preparation (Boston Bowel preparation score <5) were also excluded.
Sexes Eligible for Study: All
18 Years and older   (Adult, Older Adult)
Contact information is only displayed when the study is recruiting subjects
United States
Not Provided
Not Provided
Michael B. Wallace, Mayo Clinic Florida
Mayo Clinic
Not Provided
Principal Investigator: Michael B. Wallace, MD,MPH Mayo Clinic Florida
Mayo Clinic
August 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP