About this trial
This is a prospective equivalence colonoscopy study evaluating whether overall adenoma detection rate (ADR) is a reliable alternate for screening ADR. Overall indication includes screening, surveillance, and diagnostic indications.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
consecutive patients aged ≥50 years undergoing colonoscopy are eligible for enrollment.
Disqualifiers
high risk family history of colorectal cancer (CRC) e.g., familial adenomatous polyposis, hereditary non-polyposis CRC syndrome, multiple first degree relatives with CRC, or a single first degree relative with CRC at <60 years
serrated polyposis syndrome
inflammatory bowel disease
colonoscopy to remove a large neoplastic polyps
Trial population
All patients aged ≥50 years undergoing screening, surveillance, diagnostic, and FIT+ colonoscopy are eligible for enrollment in this study.
Trial design
Cohort
Prospective
Treatments tested in this trial
Comparison of ADR
Other interventionThe investigators will compare ADRs using traditional screening-restricted definition and combined screening, surveillance, and diagnostic indication (i.e., overall-non-FIT indication). The impact of addition of FIT+ indication into the overall indication (i.e., overall-FIT indication) on ADR will also be evaluated.
Treatment groups
Trial outcomes
Primary outcomes
Adenoma detection rate
The proportion of participants undergoing a complete colonoscopy who have one or more adenomas detected
Sponsors and contacts
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Evergreen General Hospital, Taiwan
Lead sponsor
E-DA Hospital
Collaborator
E-Da Dachang Hospital
Collaborator
Chang Gung Memorial Hospital
Collaborator
Sepulveda Ambulatory Care Center, Veterans Affairs Greater Los Angeles Healthcare System
Collaborator