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Trial Title: Impact of Real-time Notification of Colonoscopic Optical Diagnosis on Patients' Anxiety and Depression After Polypectomy

NCT ID: NCT05517343

Condition: Colorectal Neoplasms
Colonic Polyp
Anxiety
Depression
Colonoscopy

Conditions: Official terms:
Colorectal Neoplasms
Colonic Polyps
Depression
Depressive Disorder
Anxiety Disorders

Conditions: Keywords:
colonoscopy
polypectomy
image enhanced endoscopy
endoscopic optical diagnosis

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: This is a single center, open-label, prospective and parallel randomized controlled trial. This study planning to recruit outpatients from the age of 40 to 79 who are scheduled to undergo sedated colonoscopy and received polypectomy during the procedure. Participants will be randomized into "ordinary care group (explained at next scheduled clinic)" and "real-time notification group (explained immediately after colonoscopy)" in 1:1 ratio. Randomization will be based on a computer-generalized randomization list and stratified by gender and baseline anxiety degree of the participants. The level of anxiety, depression of the two groups will be measured by using the Taiwan version questionnaire of Hospital Anxiety and Depression Scale right before the next scheduled clinic for histological results and compared the difference between the two groups.

Primary purpose: Treatment

Masking: None (Open Label)

Masking description: The participants, care providers, investigators and outcome assessors are not blinded to the assigned study arm.

Intervention:

Intervention type: Other
Intervention name: Real-time endoscopic optical diagnosis
Description: The participants assigned to real-time notification group will received the endoscopic diagnosis of the resected colorectal polyps and recommended surveillance colonoscopy schedule right after the sedated colonoscopy.
Arm group label: Real-time notification (RTN)

Summary: The accuracy of endoscopic optical diagnosis for colorectal polyps has been approaching histological diagnosis after implementation of image enhancement endoscopic technologies. The real-time notification of possible nature of resected polyp after colonoscopy is expected to reduce the anxiety and depression level of the patients before the availability of histological diagnosis and improve their quality of life. We designed and conducted a randomized control trial to confirm this hypothesis.

Detailed description: This is a single center, open-label, prospective and parallel randomized controlled trial. This study planning to recruit outpatients from the age of 40 to 79 who are scheduled to undergo sedated colonoscopy. Once eligible subjects were diagnosed of colorectal polyps during colonoscopy and received polypectomy, they will be randomized into "ordinary care group (explained at next scheduled clinic)" and "real-time notification group (explained immediately after colonoscopy)". The level of anxiety, depression of the two groups will be measured by using the Taiwan version questionnaire of Hospital Anxiety and Depression Scale (HADS) right before the next scheduled clinic for histological results and compared the difference between the two groups.This study is expected to determine the impact of real-time notification of colonoscopic optical diagnosis on patients' anxiety and depression after polypectomy, and provide evidence to improve post-polypectomy care.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Age of ≥ 40 years and < 80 years - Outpatients who prepare receiving sedated colonoscopy - Subjects who have signed informed consent form of this study - Informed consensus has been obtained that endoscopic resection should be performed if a colorectal polyp is found - Eastern Cooperative Oncology Group (ECOG) performance status scale among 0 to 2 Exclusion Criteria: - Subjects with any of the following prior history or current conditions: - (a) Contraindications to colonoscopy - (b) Major mental illnesses, e.g. major depressive disorder, schizophrenia, generalized anxiety disorder ... - (c) Inflammatory bowel disease - (d) Hereditary or non-hereditary polyposis syndrome, hereditary non-polyposis colorectal cancer - (e) Uncured colorectal cancer - (f) Active gastrointestinal bleeding - (g) Pregnancy - Subjects who do not received polypectomy during colonoscopy.

Gender: All

Minimum age: 40 Years

Maximum age: 79 Years

Healthy volunteers: No

Locations:

Facility:
Name: Fu Jen Catholic University Hospital

Address:
City: New Taipei City
Zip: 24352
Country: Taiwan

Status: Recruiting

Contact:
Last name: Chen-Ya Kuo, MD

Phone: 886975701515
Email: b9402039@gmail.com

Start date: August 20, 2022

Completion date: August 31, 2025

Lead sponsor:
Agency: Fu Jen Catholic University
Agency class: Other

Source: Fu Jen Catholic University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05517343

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