Colonoscopy Outcome Database

Overview

The aim of this database is to keep routinely collected endoscopic data and outcomes in a single database which will enable the gastroenterology team to perform analyses to improve services and patient outcomes.

Full Title of Study: “Endoscopy Database for Evaluation of Predictors of Colonoscopy Outcomes”

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Retrospective
  • Study Primary Completion Date: January 1, 2020

Detailed Description

Colonoscopy is an invasive procedure that is currently performed for a variety of reasons that centre on the detection and treatment of bowel disorders. It is time-consuming and an expensive process to develop a skilled workforce that has both the skills and the resources to provide a satisfactory colonoscopy service to the general population. Colonoscopy is also an invasive procedure associated with some serious complications like bleeding and perforation. Endoscopy resources are limited by theater space, number of endoscopes and skilled workforce. With the introduction of bowel cancer screening programmes, colonoscopy capacity has been stretched to the limit, such that extremely long waiting lists are an increasingly growing problem. The rationale for having the database in Portsmouth is because it is a large referral centre and already has an electronic hospital endoscopy reporting system. All useful information is already stored on this platform, but the relevant clinical information is not easy to analyse in the current format. Therefore, we plan to export relevant clinical information to a database to permit retrospective data analysis. There is no need to collect any prospective data as we can achieve the desired outcomes with the current information.The research database will facilitate definitions of clinical pathways to reduce the present burden of colonoscopy on the health care system.

Interventions

  • Diagnostic Test: colonoscopy
    • colonoscopy procedure

Arms, Groups and Cohorts

  • Adult patients undergoing colonoscopy
    • All patients’ ≥18 years of age who underwent endoscopy at Portsmouth Hospitals NHS Trust, including repeat colonoscopies performed for surveillance purposes aged ≥18 in either males or females.

Clinical Trial Outcome Measures

Primary Measures

  • Number of participants in various predicting factor’s groups including sex, age, procedure indication and urgency.
    • Time Frame: 1/1/2010 to 1/1/2016.
  • Number of participants in different outcome groups, including normal colonoscopy, presence of pathology, and presence of interventional pathology.
    • Time Frame: 1/1/2010 to 1/1/2016.

Participating in This Clinical Trial

Inclusion Criteria

  • All patients' ≥18 years of age who underwent endoscopy at Portsmouth Hospitals NHS Trust, including repeat colonoscopies performed for surveillance purposes aged ≥18 in either males or females Exclusion Criteria:

  • Patients under 18 years age.

Gender Eligibility: All

Minimum Age: 18 Years

Maximum Age: N/A

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Portsmouth Hospitals NHS Trust
  • Provider of Information About this Clinical Study
    • Sponsor
  • Overall Official(s)
    • Pradeep Bhandari, Prof, Principal Investigator, Portsmouth Hospitals NHS Trust

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