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CompletedNCT04705740Updated Jan 12, 2021

Influence of the Endoscopists and Endoscopic Retrograde CholangioPanceratography

An observational study in Biliary Disease and Pancreatic Diseases, sponsored by Fundacion Miguel Servet. Completed at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-01-12.

Sponsored by Fundacion Miguel Servet · Observational

Study type
Observational
Model
Other
Time perspective
Retrospective
Enrollment
2,561
Ages
18 Years and older
Sex
All
01

Study summary

Retrospective analysis on a prospective database that analyzes the influence of the number of endoscopists on the Endoscopic Retrograde CholangioPanceratography result.

Read the detailed description

The number of Endoscopic Retrograde CholangioPanceratographys (ERCP) performed annually by an endoscopist has been shown to influence the outcomes of the procedure, especially on the papillary cannulation rate and the adverse effects rate. The number of ERCPs performed annually by each endoscopist is directly related to the number of endoscopists who perform this procedure, since the total number of ERCPs performed annually at each center is usually constant.

The hypothesis of this study is that the number of endoscopists who perform ERCP in a hospital influences the results of the procedure, so that the fewer the number of endoscopists the better the results.

To evaluate this hypothesis, the investigators have designed a retrospective study analyzing data from a prospectively filled database, which includes all ERCPs performed in our center from September 2013 to June 2020. For organizative reasons unrelated to the endoscopy unit, in the center it has beed progressively reduced the number of endoscopists who perform ERCP, starting from 5 endoscopists at the beginning of the study to 3 endoscopists at the end of the study inclusion period. In fact, three different periods of similar duration can be distinguished: September 2013 to August 2015 (5 endoscopists), September 2015 to December 2017 (4 endoscopists) and January 2018 to June 2020 (3 endoscopists).

The outcomes obtained with ERCP in these three periods will be analyzed and compared, assessing the cannulation rate and the adverse effects rate as the main comparison parameters.

02

Conditions studied

  • Biliary Disease
  • Pancreatic Diseases

Keywords

  • ERCP
  • endoscopy
  • gastrointestinal
  • choledocholithiasis
  • Endoscopic Retrograde CholangioPanceratography
03

In context

Gallbladder Diseases

92 studies on the registry are indexed under Gallbladder Diseases; 19 are open to participants now.

This study's enrollment of 2,561 is above the median of 220 across 29 observational studies indexed under Gallbladder Diseases.

Browse Gallbladder Diseases studies →

Lead sponsor

Fundacion Miguel Servet is the lead sponsor of 48 studies on the registry; 21 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients over 18 years of age, undergoing ERCP by the staff allocated in the endoscopy unit.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • patients undergoing ERCP with written given
  • Staff allocated in the endoscopy unit

Exclusion criteria

Exclusion Criteria:

  • Rejection to participate in the study
  • ERCP procedures performed by fellows in training
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Other
Time perspective
Retrospective
Enrollment
2,561 participants (actual)
Patient registry
No

Groups and cohorts

  • September 2013 to August 2015

    5 endoscopists

    Other: ERCP

  • September 2015 to December 2017

    4 endoscopists

    Other: ERCP

  • January 2018 to June 2020

    3 endoscopists

    Other: ERCP

Interventions

  • OtherERCP

    ERCPs performed annually by an endoscopist

06

What researchers measure

Primary outcomes

  1. Papillary cannulation

    Rate of papillary cannulation.Success in achieving transpapillary access to the bile duct.It has to be confirmed fluoroscopically

    Time frame: During the procedure

  2. Adverse effects

    Rate of adverse effect assessed by the ASGE classification

    Time frame: Up to 1 month after intervention

Secondary outcomes

  1. Individual adverse effects

    Rate of individual adverse effect during the intervention

    Time frame: Up to 1 month after intervention

  2. Complexity level of ERCP

    Complexity level of ERCP according to ASGE classification of complexity of the endoscopic procedures

    Time frame: During the ERCP procedure

  3. Therapeutics performed with ERCP

    Techniques used during ERCP

    Time frame: During the ERCP procedure

07

Study locations

1 site
  • Complejo Hospitalario de Navarra
    Pamplona, Navarra 31008, Spain
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 12, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04705740
Lead sponsor
Fundacion Miguel Servet
Collaborators
Complejo Hospitalario de Navarra
Responsible party
Sponsor
First posted
Jan 12, 2021
Start date
Sep 1, 2020
Primary completion
Sep 30, 2020
Completion
Oct 31, 2020
Last update
Jan 12, 2021

Study contacts

Juan J Vila, PhD
principal investigator · Complejo Hospitalario de Navarra

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2021. You cannot join it, but the record below documents what was studied.

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