Improving Colonoscopy Quality for Colorectal Cancer Screening in the National VA Healthcare System
Completed
Conditions studied: Colorectal Neoplasms
In brief
High quality screening colonoscopy is critical for colorectal cancer (CRC) prevention in Veterans. There is significant variability in colonoscopy quality in VA that is directly linked to differences in CRC incidence and death. The investigators developed the VA Endoscopy Quality Improvement Program (VA-EQuIP) that the National GI program office will implement using centralized quality measurement and reporting for adenoma detection rates (ADR), bi-annual audit and feedback with provider benchmarking to local and national performance, and collaborative learning to support colonoscopy quality improvement. Using a cluster randomized controlled trial, the investigators will study the implementation of VA-EQuIP and determine the efficacy of its intervention on adenoma detection rates, which are directly linked to CRC incidence and death.
Key facts
- Study ID
- NCT04389957
- Run by
- VA Office of Research and Development
- People needed
- 445
- Starts
- 2020-06-01
- Expected to finish
- 2024-03-29
- Last updated by the study team
- 2025-05-30
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: accepted.
You may qualify if…
- Quantitative surveys will be delivered to endoscopy or GI section chiefs responsible for endoscopy services for each enrolled site.
- Qualitative interviews will be conducted with GI section chiefs and individual endoscopists at participating facilities.
- A list of criteria for selection of participants in the clinical study, provided in terms of inclusion and exclusion criteria is suitable for assisting potential participants in identifying clinical studies of interest.
- All VA facilities with existing colonoscopy procedure or pathology notes in our operational database.
You may not qualify if…
- VA facilities without existing colonoscopy procedure or pathology notes in our operational database will not be included in the study.
Where it is running
- VA San Diego Health Care System — San Diego, California, United States
- San Francisco VA Medical Center, San Francisco, CA — San Francisco, California, United States
- Richard L. Roudebush VA Medical Center — Indianapolis, Indiana, United States
- VA Ann Arbor Health Care System — Ann Arbor, Michigan, United States
- VA Salt Lake City Health Care System, Salt Lake City, UT — Salt Lake City, Utah, United States
- VA Puget Sound Health Care System — Seattle, Washington, United States
Full record on ClinicalTrials.gov
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