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| Name | Class |
|---|---|
| Germans Trias i Pujol Hospital | OTHER |
| Consorci Sanitari de Terrassa | OTHER |
| Hospital Clinic of Barcelona | OTHER |
| Hospital Universitario La Fe |
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The environmental impact of healthcare practice in the context of climate change is in the spotlight. Digestive endoscopy units are the third hospital unit that generates the most waste and environmental impact. For this reason, scientific societies advice studying and adopting more sustainable clinical practices, reconsidering current protocols for reprocessing and disinfection of single-use material. One of the devices, widely used and which generates a large amount of waste, is the polyp trap. It allows an easy recovery of the polyps removed during endoscopy. This device is discarded after a single use in some centers, and reused after washing and disinfection in others. Manufacturers recommend the single-use of the device, even there is no scientific evidence to support this action. In the investigators endoscopy unit, 3800 polyp traps are used yearly. The investigators hypothesis is that reusing the polyp catcher has similar safety to disposal after a single use, with better environmental and economic results. Objectives: To evaluate the safety of the reused and discarded after a single-use polyp trap. The investigators will assess 1) the post-colonoscopy infection rate and 2) the reliability of the anatomopathological study, 3) CO2 emissions and 4) costs of each practice. Methodology: A non-inferiority study will be carried out by observing the usual clinical practice of different centers and collecting data that suggest infection, cross-sampling and general complications. The results will be easily applicable in endoscopy units and will serve as a basis for future studies with other more controversial devices.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Reuse Group | patients from centres that routinely reuse polyp traps. |
| |
| Single Use Group | patients from centres that dispose polyp traps after a single use. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Reuse or dispose a polyp trap | Other | Participant hospitals will be separated into two groups, according to their standard clinical practice: A) reuse or B) dispose polyp traps after a colonoscopy with polypectomy. Centres will participate with their current method of using polyp traps. Work dynamics will not change as patients will be recruited from centers that routinely reuse or dispose polyp traps. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with symptoms suggesting infection | Did the patient present any of the following symptoms or diagnosis after the endoscopy?
| Follow up at day 15 |
| Number of infectious events related to endoscopy | Was the event related to the endoscopy procedure? Yes / Probably / Doubtfully / No | Follow up at day 15 |
| Number of infectious events related to polyp trap | Was the event related to the polyptrap? Yes / Probably / Doubtfully / No | Follow up at day 15 |
| Measure | Description | Time Frame |
|---|---|---|
| Number of inconsistent anatomopathological results | Was the anatomopathological finding consistent with the findings in the endoscopy? | Follow up at day 15 |
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Inclusion Criteria:
All patients who undergo an elective colonoscopy will be recruited for the study.
Exclusion Criteria:
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All patients who have undergone a colonoscopy in which a polyp trap was used.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Oliva Ros Fargas, nurse | Contact | +34 608 879 422 | oros@santpau.cat |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Mar 9, 2024 | Feb 14, 2025 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D003428 | Cross Infection |
| ID | Term |
|---|---|
| D007239 | Infections |
| D007049 | Iatrogenic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
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| OTHER |
| Hospital Sant Bernabé de Berga | UNKNOWN |
| Hospital Dos de Maig | UNKNOWN |
| Hospital Universitari Joan XXIII de Tarragona. | OTHER |
| Centro Medico Teknon | OTHER |
| ClĂnica Mi Tres Torres Barcelona | UNKNOWN |
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| D013568 |
| Pathological Conditions, Signs and Symptoms |