Clinical trial · Observational
Diagnostic Usefulness of Different Types of Gastrointestinal Endoscopic Investigations.
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
The number of endoscopies performed varies greatly between different countries and does not reflect variations in disease incidents. The costs of unnecessary endoscopies are significant and with a better selection of which patients need to be examined with endoscopy, resources could be saved in healthcare, and a better triage would mean that malignancies and other more serious conditions do not have to wait. An example of unnecessary endoscopy is a colonoscopy in patients with irritable bowel syndrome or gastroscopy in patients with functional dyspepsia. The purpose of the project is, among other things: * What diagnostic benefit have gastroscopy, colonoscopy, capsule endoscopy and double balloon enteroscopy for different indications in different age groups? * What are the risks of this type of examination? * Can patients be better selected based on symptoms, psychometric data or laboratory findings to reduce the number of unnecessary examinations and prioritize those that should be scooped up first? * Can changed calling methods reduce the number of late cancellations and rebookings and missed patients?
Conditions
Conditions (2)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Colo-rectal Cancer | — | UNRESOLVED | — |
| Gastrointestinal Disease | — | UNRESOLVED | — |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| endoscopy | Procedure | — | UNRESOLVED |
Design
Arms and outcomes
Arms (4)
- label
- Patient with suspected colorectal cancer
- description
- All patients that were admitted to the department of surgery with suspected colorectal cancer between January 2016 and December 2018 (n=459).
- interventionNames
- Procedure: endoscopy
- label
- Patients admitted according to the standardized course of care for colorectal cancer
- description
- All patients that were admitted to the endoscopy department according to the standardized course of care for colorectal cancer between September 2016 and December 2018 (n=1271).
- interventionNames
- Procedure: endoscopy
- label
- Patients < 50 years that were admitted for gastroscopy
- description
- All patients younger than 50 years that were admitted to the endoscopy department for a gastroscopy between jan 2018 and April 2019 (n= 1915)
- interventionNames
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: All patients who underwent a diagnostic diagnostic procedure at the endoscopy unit at the University Hospital Örebro. Exclusion Criteria: Patients \<18 years
References
Publications (2)
- DERIVEDNguyen L, Rasanen N, Berggren F, van Nieuwenhoven MA. Assessing age-related risks of gastrointestinal pathologies: a comparative study of gastroscopy outcomes across decades. Ther Adv Gastroenterol. 2024 Oct 28;17:17562848241290446. doi: 10.1177/17562848241290446. eCollection 2024. PMID 39474441
- DERIVEDAndersson E, Nyhlin N, van Nieuwenhoven MA. The effectiveness of the colorectal cancer referral pathway - identification of colorectal cancer in a Swedish region. Scand J Gastroenterol. 2021 May;56(5):552-558. doi: 10.1080/00365521.2021.1899276. Epub 2021 Mar 22. PMID 33749502