ClinicalTrials.gg
Not yet recruitingNCT05776381Updated Apr 30, 2026

The Impact of a Patient Decision Aid on Treatment Choices for Patients With an Unexpected Malignant Colorectal Polyp

A Phase 2 interventional study of Shared Decision Making using a Patient Decision Aid. in Shared Decision Making, Colonic Polyp and Decision Aids, sponsored by Vejle Hospital. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-30.

Sponsored by Vejle Hospital · Phase 2, Interventional, and Supportive care

Phase
Phase 2
Study type
Interventional
Enrollment
110
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

Management of unexpected malignant colorectal polyps removed endoscopically can be challenging due to the risk of residual tumor and lymphatic spread. International studies have shown that in patients choosing surgical management instead of watchful waiting, 54-82% of bowel resections are without evidence of residual tumor or lymphatic spread. As surgical management entails risks of complications and watchful waiting management entails risks of residual disease or recurrence, a clinical dilemma arises when choosing a management strategy.

Shared decision making (SDM) is a concept that can be used in preference sensitive decision making to facilitate patient involvement, empowerment, and active participation in the decision making process.

This is a clinical multicenter, non-randomized, interventional phase II study involving Danish surgical departments planned to commence in the first quarter of 2024. The aim of the study is to examine whether shared decision making and using a patient decision aid (PtDA) in consultations affects patients' choice of management compared with historical data. The secondary aim is to investigate Patient Reported Experience Measures (PREMs) and Patient Reported Outcome Measures (PROMs) using questionnaire feedback directly from the patients.

02

Conditions studied

  • Shared Decision Making
  • Colonic Polyp
  • Decision Aids
  • Rectal Polyp
  • Colorectal Polyp
  • Colorectal Cancer

Keywords

  • non-randomized trial
  • malignant colorectal polyp
  • Patient Decision aid
  • Shared Decision Making
03

In context

Colonic Polyps

377 studies on the registry are indexed under Colonic Polyps; 57 are open to participants now.

This study's planned enrollment of 110 is below the median of 274 across 250 interventional studies indexed under Colonic Polyps.

Browse Colonic Polyps studies →

Lead sponsor

Vejle Hospital is the lead sponsor of 95 studies on the registry; 13 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

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

  • Histopathologically verified malignant colorectal polyp removed endoscopically and CT-scan (and MRI if the malignant polyp was situated in the rectum) shows N0, M0 disease.

Exclusion criteria

Exclusion Criteria:

  • Inability to provide
  • Inoperable due to comorbidity
  • Known residual tumor left in situ after local resection, >N0 or >M0
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

Phase
Phase 2
Primary purpose
Supportive care
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
110 participants (estimated)

Study arms

  • Experimental
    Shared Decision Making (SDM)

    Patients with an unexpected malignant colorectal polyp where a decision needs to be made concerning the management of care.

    Other: Shared Decision Making using a Patient Decision Aid.

  • No intervention
    Historical data arm

    Historical data on the management of patients with an unexpected malignant colorectal polyp from February 2018 to the end of 2022 retrieved through the Danish Colorectal Cancer Group Database, the National Pathology database and the National Patient Register.

Interventions

  • OtherShared Decision Making using a Patient Decision Aid.

    The intervention comprises the surgeon actively using the tailored PtDA and SDM with the patient when deciding on the management of an unexpected malignant colorectal polyp.

06

What researchers measure

Primary outcomes

  1. Number of patients undergoing completion surgery of an unexpected malignant polyp compared to historical data.

    Time frame: 30 days

Secondary outcomes

  1. Rate of patients with an unexpected malignant polyp undergoing completion surgery without residual tumor or lymph node metastases compared to historical data.

    Time frame: 45 days

  2. Number of patients with postoperative morbidity 30 days after surgery

    Time frame: 30 days postoperatively

  3. Number of patients with postoperative mortality 30 days after surgery

    Time frame: 30 days postoperatively

  4. Number of patients with postoperative morbidity 90 days after surgery

    Time frame: 90 days postoperatively

  5. Number of patients with postoperative mortality 90 days after surgery

    Time frame: 90 days postoperatively

  6. Number of patients with recurrence 3 years after cancer diagnosis

    Time frame: 3 years

  7. Overall survival 3 years after cancer diagnosis

    Time frame: 3 years

  8. Quality of life as measured by the the European Organization for Research and Treatment of Cancer Quality of Life questionnaire.

    Score range 1-100. The higher the score, the better the quality of life.

    Time frame: 24 hours after clinical encounter

  9. Quality of life as measured by the European Organization for Research and Treatment of Cancer Quality of Life questionnaire.

    Score range 1-100. The higher the score, the better the quality of life.

    Time frame: 3 months after clinical encounter

  10. Quality of life as measured by the European Organization for Research and Treatment of Cancer Quality of Life questionnaire.

    Score range 1-100. The higher the score, the better the quality of life.

    Time frame: 6 months after clinical encounter

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Wurtz HJ, Rahr HB, Lindebjerg J, Edwards A, Steffensen KD. Impact of an in-consult patient decision aid on treatment choices and outcomes of management for patients with an endoscopically resected malignant colorectal polyp: a study protocol for a non-randomised clinical phase II study. BMJ Open. 2023 Nov 14;13(11):e073900. doi: 10.1136/bmjopen-2023-073900. PubMed 37963688 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 30, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05776381
Lead sponsor
Vejle Hospital
Responsible party
Sponsor
First posted
Mar 20, 2023
Start date
Feb 1, 2028 (estimated)
Primary completion
Jan 1, 2030 (estimated)
Completion
Feb 1, 2033 (estimated)
Last update
Apr 30, 2026

Study contacts

Helene Würtz, MD
Contact
helene.juul.wurtz3@rsyd.dk
+4579405623
Helene Würtz, MD
principal investigator · Vejle Hospital, Center for Shared Decision Making and Surgical Department
Karina D Steffensen, Prof PhD MD
study chair · Center For Shared Decision Making, Vejle Hospital
Hans B Rahr, Prof Dr MD
study chair · Surgical Department, Vejle Hospital

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 not yet recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion