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Is blinding the endoscopists to bowel preparations in randomised controlled trials a reality?
ISRCTN ISRCTN45620422
ClinicalTrials.gov identifier
Public title Is blinding the endoscopists to bowel preparations in randomised controlled trials a reality?
Scientific title
Acronym PEG, NaP
Serial number at source N/A
Study hypothesis The primary aim of this study was to explore whether endoscopists can be effectively blinded to the type of bowel preparation in the trials that compare the cleaning efficacy of oral sodium phosphate and polyethylene glycol
Lay summary Not provided at time of registration
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment United States of America
Disease/condition/study domain Colonoscopy for screening, surveillance, or diagnosis of colorectal cancer
Participants - inclusion criteria All outpatient adults (18-65 years old) undergoing colonoscopy for screening, surveillance, or diagnosis of colorectal cancer at the Western NY Veterans Affairs Medical Center in Buffalo between May 2003 and August 2004 who had a basic metabolic profile blood test within one year prior to enrollment were eligible for this study
Participants - exclusion criteria Patients were not eligible for the study if any of the following was present:
1. Evidence of renal insufficiency (creatinine >2.0 mg/dl)
2. Evidence of electrolyte abnormalities
3. Cardiovascular disease, including uncontrolled congestive heart failure (American Heart Association Functional Class III or IV), unstable angina, or myocardial infarction, percutaneous transluminal coronary angioplasty, cardiac surgery within the past 3 months
4. Inflammatory bowel disease
5. Colon disease, including chronic constipation (<2 bowel movements per week for >one year, ileus and/or acute obstruction, hypomotility syndrome, megacolon, idiopathic pseudo-obstruction, or previous colonic surgery
6. Pregnant or breastfeeding female
A meta-analysis that included randomised controlled trials comparing the two bowel preparations showed that clinical adverse effects were comparable in frequency when patients are carefully selected
Anticipated start date 31/07/2003
Anticipated end date 25/08/2004
Status of trial Completed
Patient information material
Target number of participants 114 patients
Interventions Blinding the colonoscopists to the type of bowel preparation given prior to colonoscopy - oral sodium phosphate versus polyethylene glycol
Primary outcome measure(s) The primary outcome of this study is to determine the proportion of correct estimation of the bowel preparation by all endoscopists combined
Secondary outcome measure(s) Secondary outcomes are the proportion of correct estimations by individual endoscopists. We are also interested in the distinguishing features that endoscopists reported as reasons for their judgments. Other secondary aims are the comparison of tolerability, safety, and overall quality of colon cleansing for the two bowel preparations.
Sources of funding The office of graduate medical education at the State University of New York, Buffalo (USA)
Trial website
Publications 2006 results in http://www.ncbi.nlm.nih.gov/pubmed/17113722
Contact name Dr  Holger  Schunemann
  Address Division of Clinical Research Development and Information Translation (INFORMA)
Italian National Cancer Institute/Istituto Regina Elena
  City/town Rome
  Zip/Postcode -
  Country Italy
Sponsor State University of New York at Buffalo (USA)
  Address The Office of Graduate Medical Education
117 Cary hall
3435 Main street
  City/town Buffalo
  Zip/Postcode 14214
  Country United States of America
  Sponsor website: http://www.smbs.buffalo.edu/gme/
Date applied 23/09/2005
Last edited 16/08/2011
Date ISRCTN assigned 11/10/2005
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