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| Name | Class |
|---|---|
| Cancer Care Ontario | OTHER |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Round 1: Intervention arm | Experimental | Half of the endoscopists in Ontario will receive an individualized audit & feedback report. Individualized A/F report. |
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| 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 |
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| 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:
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Individualized A/F report | Other | Individualized A/F report containing 9 colonoscopy quality measures. |
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| Measure | Description | Time Frame |
|---|---|---|
| Change in polypectomy rate from baseline | Measure change in polypectomy rate from baseline | At month 12 |
| Measure | Description | Time Frame |
|---|---|---|
| Additional outcome 1- Change in cecal intubation rate | Change in cecal intubation rate from baseline | At month 12 |
| Additional outcome 2 - Change in annual colonoscopy volume | Change in annual colonoscopy volume from baseline |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jill Tinmouth, MD | Sunnybrook Health Sciences Centre | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34515669 | Derived | 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. |
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| A/F report plus a high intensity intervention | Other | E.g. Master class in colonoscopy |
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| A/F report plus a low intensity intervention | Other | E.g. Access to a video/presentation on good colonoscopy technique followed by a post presentation assessment. |
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| A/F report alone | Other |
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| At month 12 |
| Additional outcome 3 - Change in poor bowel preparation rate | Change in poor bowel preparation rate from baseline | At month 12 |