AzTrials
AzTrials

COVID-19COVID-19 EndoNCT04342637

COVID-19 Endoscopy Survey

An observational study of COVID-19, run by Al-Azhar University at 4 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A questionnaire containing some critical questions about practice inside GI endoscopy units in different countries will be distributed via emails. Responses will be collected in an online platform and data will be analyzed to reveal the effect of SARS-CoV-2 pandemic on different aspects of GI endoscopy practice in the… Read more about this study

Who is it for?
Ages 30 to 70 years
Conditions the study is for
COVID-19
What is being tested?
Practice details
How many people
163 participants
Where
4 sitesin 3 countries
Study dates
10 Apr 2020to 1 May 2020
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 30 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: - physicians working and practicing in gastrointestinal endoscopy units worldwide

Who may be able to join

  • physicians working in endoscopy units worldwide

Who cannot join

  • physicians not working in endoscopy units worldwide

Trial locations and contacts

4 sites in 3 countries.

4 sites in 3 countries

Egypt2 sites
  • Al-Azhar Univerisity

    Cairo, 11651

  • Faculty of Medicine, Zagazig University

    Zagazig, Sharqia Province, 44519

Other trials in Egypt

United States1 site
  • Kings County Hospital Center, Brooklyn, NY, USA

    Albertson, New York, 11507

Other trials in United States

Iran1 site
  • Ahvaz Imam hospital

    Ahvāz, 6155873559

Other trials in Iran

About this study

Official title: Gastrointestinal Endoscopy in the Era of COVID-19: a Multinational Survey

A questionnaire containing some critical questions about practice inside GI endoscopy units in different countries will be distributed via emails. Responses will be collected in an online platform and data will be analyzed to reveal the effect of SARS-CoV-2 pandemic on different aspects of GI endoscopy practice in the studied countries.

Read the detailed description

Participants has to answer the following questions:

  1. Participating center data:
  • Participant name (surname, first name): (optional)
  • Participant email: (optional)
  • Country: ……..
  • Working days (before COVID-19): ……..
  • Types of procedure performed /day (before COVID-19): …….
  • Number of endoscopists /day (before COVID-19): …….
  • Number of nursing staff /day (before COVID-19): …….
  • Number of administrative staff /day (before COVID-19): …….
  • Number of patients undergoing endoscopy/ day (before COVID-19): …….
  • Availability of negative pressure rooms (before COVID-19): …….
  • Number of endoscopy referrals/ day (before COVID-19): ……..
  1. Response to COVID-19:
  • Working days (after COVID-19): ……..
  • Types of procedure performed /day (after COVID-19): ……..
  • Number of endoscopists /day (after COVID-19): ……..
  • Number of nursing staff /day (after COVID-19): ……..
  • Number of administrative staff /day (after COVID-19): ……..
  • Do you consider teams (MD, RN, tech, anesthesia) that remain together for the entire day so as to compartmentalize and minimize personnel exposure?
  • Number of patients undergoing endoscopy/ day (after COVID-19): ……..
  • Number of endoscopy referrals/ day (after COVID-19): ……..
  • Availability of negative pressure rooms or use portable industrial-grade high-efficiency particulate air (HEPA) filters as a reasonable alternative: ……..
  • Which recommendations do you follow? WEO, AGA, BSG, APSDE, other
  • Applying triage for patients: e.g. FTOCC (APSDE); dose this include any tests
  • Do you use any of this for triage of patients: i) a telephone consultation with the referring provider or (ii) a telehealth visit with the patient or (iii) a multidisciplinary team approach or (virtual) disease/tumor board to facilitate decision-making for complicated patients.
  • Prioritization:

Which classification do you use for endoscopic procedures?

  1. urgent, semi-urgent and elective during COVID-19 outbreak
  2. Time sensitive procedure:
  • Time-sensitive procedures defined as procedures that if deferred may negatively impact patient-important outcomes. The decision to defer a procedure should be made on a case-by-case basis:
  • Time-Sensitive* (within 24 hours-8 weeks):
  1. Threat to the patient's life or Permanent dysfunction of an organ e.g. diagnosis and treatment of GI bleeding or cholangitis
  2. Risk of metastasis or progression of stage of disease e.g. e.g. work up of symptoms suggestive of cancer
  3. Risk of rapidly worsening progression of disease or severity of symptoms e.g. management decisions, such as treatment for IBD
  • Non-Time Sensitive: No short-term impact on patient-important outcomes e.g. screening or surveillance colonoscopy, follow up colonoscopy for +FIT
  • What are the most common clinical presentations? (please choose all that apply): Upper GI bleeding, lower GI bleeding, cholangitis, suspected cancer, foreign body, relive of GI obstruction, gastrostomy, other
  1. Endoscopy and use of PPE:
  • Did you receive appropriate education and training on infection control measures, including hand hygiene.
  • Did you receive adequate training on gowning and removal of PPE?
  • Do you practice Standard hand hygiene procedures before and after each case?
  • What type of personal protective equipment (PPE) do you usually use for doing an endoscopic procedure nowadays? (choose all that apply) Surgical mask N95 mask Isolation gown with water resistance Head cover Eye protection Face shield N95 protection in combination with face shield or surgical mask Other (please specify): ……..
  • Do you extend (over 8 hours) use of N95 masks?
  • Do you re-use of N95 masks?
  • Do you extend use (over 8 hours) any other equipment? : …..
  • Do you re use any other equipment? …..
  • If yes, please specify: …… If yes please specify: …..
  • Do you use of double gloves? ……
  • What PPE do you use for the following cases (choose all that apply)?
  1. Suspected cases of SARS-CoV-2 infection: Surgical mask N95 mask isolation gown with water resistance head cover eye protection face shield negative pressure room other please specify
  2. Probable cases of SARS-CoV-2 infection: Surgical mask N95 mask isolation gown with water resistance head cover eye protection face shield negative pressure room other please specify
  3. confirmed cases of SARS-CoV-2 infection: Surgical mask N95 mask isolation gown with water resistance head cover eye protection face shield negative pressure room other please specify
  4. Post endoscopy:
  • Do you motion in your report the status of the patients (suspected, probable, confirmed case of SARS-CoV-2 infection?
  • Do you use standard endoscopic decontamination or anything extra?
  • Do you give time for sterilizing endoscopy room after each suspected or confirmed case of SARS-CoV-2 infection? How long?
  • Do you call back your patients 2 weeks after procedure to ask them about symptoms/ diagnosis of SARS-CoV-2 infection?
  • Did you report any endoscopy related SARS-CoV-2 infection in your center (anytime for HCWs \& up to two weeks after procedures for patients)?
  • Are you preparing a management plan for the waiting list after the current phase of the pandemic?
Conditions
COVID-19
Being tested
Practice details
Keywords
Endoscopy, Gastrointestinal, COVID-19, SARS-CoV-2
Medical subject headings
COVID-19

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Practice detailsOther

    Physicians will report details of their endoscopy practice through answering the questions of the questionnaire

Study groups in NCT04342637
Study groupRoleWhat they receive
Practicing gastroenterologistsPracticing physicians performing gastrointestinal endoscpy
Receives: Other: Practice details

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Effect of GI societies recommendations on prevention of SARS-CoV-2 infection

    To evaluate the validity of different GI societies recommendations applied locally and how effective they are in preventing transmission in endoscopy units through reporting any new cases developing COVID-19 within two weeks of doing endoscopy (whether a patient or health-care worker)

    Measured: 4- 6 months

  2. To measure the percentage change in performed endoscopic procedure in response to COVID-19

    To measure the percentage change in performed endoscopic procedure in response to COVID-19 in different centers of the world and the alternative solutions given to overcome this problem.

    Measured: 4- 6 months

Secondary outcomes (6)
  1. Effect of COVID-19 precautions on procedure time

    Effect of COVID-19 precautions on procedure time

    Measured: 4- 6 months

  2. Effect of COVID-19 precautions on time of disinfection

    Effect of COVID-19 precautions on prolongatIon of time of disinfection

    Measured: 4- 6 months

  3. Effect of COVID-19 precautions on procedure success

    Effect of COVID-19 precautions on the ability of the endoscopist to finish the procedure successfully

    Measured: 4- 6 months

  4. Effect of COVID-19 precautions on complications

    Effect of COVID-19 precautions on occurrence of complications

    Measured: 4- 6 months

  5. Effect of COVID-19 precautions on working time

    Effect of COVID-19 precautions on change of working time (prolongation or shortening)

    Measured: 4- 6 months

  6. Effect of COVID-19 precautions on staff number

    Effect of COVID-19 precautions on change of staff number

    Measured: 4- 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Apr 2020
  2. Study start10 Apr 2020
  3. Primary completion25 Apr 2020
  4. Study completion1 May 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
163 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04342637
Sponsor's protocol ID
WES-2
Acronym
COVID-19 Endo
Status last verified
May 2020
First submitted
7 Apr 2020
Last updated
20 May 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: After publication we may share data

Publications

  • Ruuskanen O, Lahti E, Jennings LC, Murdoch DR. Viral pneumonia. Lancet. 2011 Apr 9;377(9773):1264-75. doi: 10.1016/S0140-6736(10)61459-6. Epub 2011 Mar 22.

    PubMed 21435708
  • Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, Zhao X, Huang B, Shi W, Lu R, Niu P, Zhan F, Ma X, Wang D, Xu W, Wu G, Gao GF, Tan W; China Novel Coronavirus Investigating and Research Team. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020 Feb 20;382(8):727-733. doi: 10.1056/NEJMoa2001017. Epub 2020 Jan 24.

    PubMed 31978945
  • Lai CC, Shih TP, Ko WC, Tang HJ, Hsueh PR. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. Int J Antimicrob Agents. 2020 Mar;55(3):105924. doi: 10.1016/j.ijantimicag.2020.105924. Epub 2020 Feb 17.

    PubMed 32081636
  • Remuzzi A, Remuzzi G. COVID-19 and Italy: what next? Lancet. 2020 Apr 11;395(10231):1225-1228. doi: 10.1016/S0140-6736(20)30627-9. Epub 2020 Mar 13.

    PubMed 32178769
  • Sultan S, Lim JK, Altayar O, Davitkov P, Feuerstein JD, Siddique SM, Falck-Ytter Y, El-Serag HB; AGA Institute. Electronic address: ewilson@gastro.org. AGA Rapid Recommendations for Gastrointestinal Procedures During the COVID-19 Pandemic. Gastroenterology. 2020 Aug;159(2):739-758.e4. doi: 10.1053/j.gastro.2020.03.072. Epub 2020 Apr 1. No abstract available.

    PubMed 32247018
  • Chiu PWY, Ng SC, Inoue H, Reddy DN, Ling Hu E, Cho JY, Ho LK, Hewett DG, Chiu HM, Rerknimitr R, Wang HP, Ho SH, Seo DW, Goh KL, Tajiri H, Kitano S, Chan FKL. Practice of endoscopy during COVID-19 pandemic: position statements of the Asian Pacific Society for Digestive Endoscopy (APSDE-COVID statements). Gut. 2020 Jun;69(6):991-996. doi: 10.1136/gutjnl-2020-321185. Epub 2020 Apr 2.

    PubMed 32241897

Questions about this trial

What is this clinical trial studying?

An observational study of COVID-19, run by Al-Azhar University at 4 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 May 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in Egypt, United States, Iran. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Effect of GI societies recommendations on prevention of SARS-CoV-2 infection (time frame: 4- 6 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04342637, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 May 2020.

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