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| Name | Class |
|---|---|
| Kangbuk Samsung Hospital | OTHER |
| Hanyang University Guri Hospital | OTHER |
| Dankook University | OTHER |
| Incheon St.Mary's Hospital |
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Colorectal cancer (CRC) is the second most common cancer and the fourth leading cause of cancer death in Korea. Colonoscopy with polypectomy decreases the incidence and mortality from colorectal cancer. However, significant lesions can be missed during colonoscopy. Recent retrospective studies have shown that fellow involvement as a second observer may increase adenoma detection rate in colonoscopy.
The aim of this prospective, multicenter, randomized study is to evaluate the impact when endoscopy nurse participate in adenoma detection during screening colonoscopy. The primary outcome measure is the adenoma detection rate (ADR).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| endoscopist only | Experimental |
| |
| nurse participation | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| standard of care colonoscopy | Procedure | Single inspection by endoscopist during colonoscopy |
|
| Measure | Description | Time Frame |
|---|---|---|
| adenoma detection rate | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| subjects with at least one polyp | 1 year | |
| Subjects with at least one adenoma | 1 year | |
| total number of polyp |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Chang Kyun Lee, MD, PhD | Soon Chun Hyang University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dankook University Hospital | Cheonan | South Korea | ||||
| Soon Chun Hyang University Cheonan Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 18759826 | Background | Rogart JN, Siddiqui UD, Jamidar PA, Aslanian HR. Fellow involvement may increase adenoma detection rates during colonoscopy. Am J Gastroenterol. 2008 Nov;103(11):2841-6. doi: 10.1111/j.1572-0241.2008.02085.x. Epub 2008 Aug 27. | |
| 20117245 | Background | Peters SL, Hasan AG, Jacobson NB, Austin GL. Level of fellowship training increases adenoma detection rates. Clin Gastroenterol Hepatol. 2010 May;8(5):439-42. doi: 10.1016/j.cgh.2010.01.013. Epub 2010 Feb 1. |
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| ID | Term |
|---|---|
| D011127 | Polyps |
| D018256 | Adenomatous Polyps |
| D000236 | Adenoma |
| D004194 | Disease |
| ID | Term |
|---|---|
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
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| OTHER |
| Kyung Hee University Hospital at Gangdong | OTHER |
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| standard of care colonoscopy | Procedure | Dual inspection by both endoscopist and nurse during colonoscopy |
|
| 1 year |
| total number of adenoma | 1 year |
| Subjects with at least one advanced adenoma or cancer | 1 year |
| total number of advanced adenoma or cancer | 1 year |
| polyp and adenoma detection rate according to the endoscopists or nurse experience | 1 year |
| Cheonan |
| South Korea |
| Hanyang university Guri Hospital | Guri-si | South Korea |
| The Catholic University Incheon St. Mary's Hospital | Incheon | South Korea |
| Kangbuk Samsung Hospital | Seoul | South Korea |
| Kyung Hee University Gangdong Hospital | Seoul | South Korea |
| 21889137 | Derived | Lee CK, Park DI, Lee SH, Hwangbo Y, Eun CS, Han DS, Cha JM, Lee BI, Shin JE. Participation by experienced endoscopy nurses increases the detection rate of colon polyps during a screening colonoscopy: a multicenter, prospective, randomized study. Gastrointest Endosc. 2011 Nov;74(5):1094-102. doi: 10.1016/j.gie.2011.06.033. Epub 2011 Sep 1. |
| D009369 | Neoplasms |
| D010335 | Pathologic Processes |