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Not yet recruiting NCT06838312

Reuse of Polyp Traps, a Way to Approach Sustainability

Observational Cross Infection

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Reuse or dispose a polyp trap.
Who it may be relevant to
Registry conditions: Cross Infection. Basic parameters: 18 years — 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
Center list to be confirmed — check the primary protocol.
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

Reuse of Polyp Traps, a Way to Approach Sustainability: A Multicentric Non-inferiority Study

Overview

The environmental impact of healthcare practice in the context of climate change is in the spotlight. Digestive endoscopy units are the third hospital unit that generates the most waste and environmental impact. For this reason, scientific societies advice studying and adopting more sustainable clinical practices, reconsidering current protocols for reprocessing and disinfection of single-use material. One of the devices, widely used and which generates a large amount of waste, is the polyp trap. It allows an easy recovery of the polyps removed during endoscopy. This device is discarded after a single use in some centers, and reused after washing and disinfection in others. Manufacturers recommend the single-use of the device, even there is no scientific evidence to support this action. In the investigators endoscopy unit, 3800 polyp traps are used yearly. The investigators hypothesis is that reusing the polyp catcher has similar safety to disposal after a single use, with better environmental and economic results. Objectives: To evaluate the safety of the reused and discarded after a single-use polyp trap. The investigators will assess 1) the post-colonoscopy infection rate and 2) the reliability of the anatomopathological study, 3) CO2 emissions and 4) costs of each practice. Methodology: A non-inferiority study will be carried out by observing the usual clinical practice of different centers and collecting data that suggest infection, cross-sampling and general complications. The results will be easily applicable in endoscopy units and will serve as a basis for future studies with other more controversial devices.

Interventions

  • Other Reuse or dispose a polyp trap
    Participant hospitals will be separated into two groups, according to their standard clinical practice: A) reuse or B) dispose polyp traps after a colonoscopy with polypectomy. Centres will participate with their current method of using polyp traps. Work dynamics will not change as patients will be recruited from centers that routinely reuse or dispose polyp traps.

Primary outcome measures

  • Number of patients with symptoms suggesting infection [Time frame: Follow up at day 15]
  • Number of infectious events related to endoscopy [Time frame: Follow up at day 15]
  • Number of infectious events related to polyp trap [Time frame: Follow up at day 15]
Secondary outcome measures (1)
  • Number of inconsistent anatomopathological results [Time frame: Follow up at day 15]

Eligibility criteria

Inclusion criteria

  • All patients who undergo an elective colonoscopy will be recruited for the study.
  • Written informed consent to participate in the study and willingness to be contacted by telephone for follow-up.

Exclusion criteria

  • Patients who complete the colonoscopy without a polypectomy.
  • Patients who complete the colonoscopy without the use of a polyp trap.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Observational model
Cohort

Study locations

Center list to be confirmed — check the primary protocol.

Identifiers

NCT: NCT06838312 · IIBSP-RPT-2024-69

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗