Clinical trial · Interventional
Colonoscopy Screening: Setting Epic Follow-up Times
Improving Follow-up Recommendations After a Colonoscopy for Colorectal Cancer Screening
- 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)
Screening for colorectal cancer can reduce its incidence and mortality but is a complex, error-prone process. The value of screening with colonoscopy is in removing pre-cancerous polyps that increase one's risk for future cancer. Abnormal results are common, and failure to receive recommended follow-up undermines the benefits of screening, violates the trust that patients place in their providers, and increases medicolegal risk. This proposal seeks to ensure that the foundation of safety systems, the recommendations for the follow-up interval reflect current guideline recommendations and are accurately updated. Specifically, the investigators will implement and evaluate in a randomized trial a new colonoscopy result letter as part of usual care that automatically updates the recommended follow-up interval in the patient's health record compared to the current result letter format.
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 |
|---|---|---|---|
| Colorectal Cancer | Malignant Colorectal Neoplasm | CURATED_BROADER | 0.80 |
| Concordance Between Colonoscopy Follow up Interval Noted in Patient Letters vs. Electronic Health Record Chart | — | UNRESOLVED | — |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Assistance with implementing Epic Smartlist | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Intervention
- interventionNames
- Other: Assistance with implementing Epic Smartlist
- type
- NO_INTERVENTION
- label
- Control
Primary outcomes (2)
- measure
- Implement a new process using a structured result letter template to set the electronic health record follow-up interval after a screening colonoscopy.
- timeFrame
- 6 months
- description
- Provider level: any use (yes/no) of the structured result template letter among all randomized providers
- measure
- Implement a new process using a structured result letter template to set the electronic health record follow-up interval after a screening colonoscopy.
Eligibility
Eligibility (as posted)
- Sex
- All
Show eligibility criteria text
Inclusion Criteria: * GI specialists will include those who perform screening and surveillance colonoscopies for colorectal cancer screening at MGH Exclusion Criteria: * Not currently performing colonoscopies
References
Publications (1)
- DERIVEDAtlas SJ, Palchaudhuri S, Harris KA, Gallagher KL, He W, Rubins D, Chang Y, Haas JS, Richter JM. A Randomized Controlled Trial to Improve the Accuracy of Follow-Up Surveillance Time Intervals in the Electronic Health Record After a Colonoscopy for Colorectal Cancer Screening. Am J Gastroenterol. 2026 Feb 1;121(2):432-440. doi: 10.14309/ajg.0000000000003497. Epub 2025 Apr 23. PMID 40267265