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dc.contributor.authorCatlow, Jamie
dc.contributor.authorSharp, Linda
dc.contributor.authorKasim, Adetayo
dc.contributor.authorLu, Liya
dc.contributor.authorBrookes, Matthew
dc.contributor.authorLee, Tom
dc.contributor.authorMcCarthy, Stephen
dc.contributor.authorGray, Joanne
dc.contributor.authorSniehotta, Falko
dc.contributor.authorDeane, Jill
dc.contributor.authorRutter, Matt
dc.date.accessioned2022-04-27T11:08:46Z
dc.date.available2022-04-27T11:08:46Z
dc.date.issued2020-10-21
dc.identifier.citationCatlow, J., Sharp, L., Kasim, A., Lu, L., Brookes, M., Lee, T., McCarthy, S., Gray, J., Sniehotta, F., Deane, J. and Rutter, M. (2020) The National Endoscopy Database (NED) automated performance reports to improve quality outcomes trial (APRIQOT) randomized controlled trial design. Endoscopy International Open, 8(11), E1545–E1552en
dc.identifier.issn2364-3722en
dc.identifier.pmid33140009 (pubmed)
dc.identifier.doi10.1055/a-1261-3151en
dc.identifier.urihttp://hdl.handle.net/2436/624723
dc.description© 2020 The Authors. Published by Thieme Open. This is an open access article available under a Creative Commons licence. The published version can be accessed at the following link on the publisher’s website: https://www.thieme-connect.de/products/ejournals/html/10.1055/a-1261-3151en
dc.description.abstractBackground and study aims Colonoscopists with low polyp detection have higher post colonoscopy colorectal cancer incidence and mortality rates. The United Kingdom’s National Endoscopy Database (NED) automatically captures patient level data in real time and provides endoscopy key performance indicators (KPI) at a national, endoscopy center, and individual level. Using an electronic behavior change intervention, the primary objective of this study is to assess if automated feedback of endoscopist and endoscopy center-level optimal procedure-adjusted detection KPI (opadKPI) improves polyp detection performance. Methods This multicenter, prospective, cluster-randomized controlled trial is randomizing NHS endoscopy centres to either intervention or control. The intervention is targeted at independent colonoscopists and each center’s endoscopy lead. The intervention reports are evidence-based from endoscopist qualitative interviews and informed by psychological theories of behavior. NED automatically creates monthly reports providing an opadKPI, using mean number of polyps, and an action plan. The primary outcome is opadKPI comparing endoscopists in intervention and control centers at 9 months. Secondary outcomes include other KPI and proximal detection measures at 9 and 12 months. A nested histological validation study will correlate opadKPI to adenoma detection rate at the center level. A cost-effectiveness and budget impact analysis will be undertaken. Conclusion If the intervention is efficacious and cost-effective, we will showcase the potential of this learning health system, which can be implemented at local and national levels to improve colonoscopy quality, and demonstrate that an automated system that collects, analyses, and disseminates real-time clinical data can deliver evidence- and theory-informed feedback.en
dc.formatapplication/pdfen
dc.languageeng
dc.language.isoenen
dc.publisherThieme Openen
dc.rightsLicence for published version: Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectNational Endoscopy Databaseen
dc.subjectrandomized controlled trialen
dc.titleThe National Endoscopy Database (NED) automated performance reports to improve quality outcomes trial (APRIQOT) randomized controlled trial designen
dc.typeJournal articleen
dc.identifier.eissn2196-9736
dc.identifier.journalEndoscopy International Openen
dc.date.updated2022-04-22T07:04:25Z
dc.contributor.institutionNewcastle University Centre for Cancer - Populations Health Sciences Institute, Newcastle Upon Tyne, United Kingdom of Great Britain and Northern Ireland.
pubs.place-of-publicationGermany
dc.date.accepted2020-06-24
rioxxterms.funderMedical Research Councilen
rioxxterms.identifier.projectMR/K02325X/1en
rioxxterms.versionVoRen
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
rioxxterms.licenseref.startdate2022-04-27en
dc.source.volume08
dc.source.issue11
dc.source.beginpageE1545
dc.source.endpageE1552
dc.description.versionPublished version
refterms.dateFCD2022-04-27T11:08:35Z
refterms.versionFCDVoR
refterms.dateFOA2022-04-27T11:08:47Z


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Licence for published version: Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Except where otherwise noted, this item's license is described as Licence for published version: Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International