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Not yet recruitingNCT07713953Updated Jul 20, 2026

Pre-procedural Risk Score-Based Endoscopist Assignment for Pain Reduction in Unsedated Colonoscopy

An interventional study of Risk Score-Based Endoscopist Assignment in Colonoscopy Pain, sponsored by Ningbo No. 1 Hospital. Not yet recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-20.

Sponsored by Ningbo No. 1 Hospital · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
106
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
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Study summary

This multicenter randomized controlled trial evaluates whether a pre-procedural risk score-based endoscopist assignment strategy reduces intraprocedural pain in high-risk patients undergoing unsedated colonoscopy. High-risk patients (risk score >5) are randomized 1:1 to either the intervention group (examination performed by expert endoscopists with ≥5,000 colonoscopy experiences) or the control group (examination performed by endoscopists assigned per routine hospital scheduling). The primary outcome is the proportion of patients reporting moderate-to-severe pain during colonoscopy, assessed by a blinded research assistant using a 4-point VRS. A total of 106 high-risk patients will be enrolled from two centers in China.

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Conditions studied

  • Colonoscopy Pain

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03

In context

Pain

10,054 studies on the registry are indexed under Pain; 1,649 are open to participants now.

This study's planned enrollment of 106 is above the median of 66 across 8,493 interventional studies indexed under Pain.

Browse Pain studies →

Lead sponsor

Ningbo No. 1 Hospital is the lead sponsor of 59 studies on the registry; 12 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Age 18-75 years.
  • Outpatient or inpatient undergoing colonoscopy for medical screening, polyp surveillance, or polypectomy.
  • Pre-procedural risk score >5 (based on the following scoring system: \<19 [5 points], female sex [1 point], history of abdominal or pelvic surgery [2 points], constipation [3 points]).

Exclusion criteria

Exclusion Criteria:

  • Patients who have received sedation or analgesia prior to colonoscopy.
  • Patients unwilling to cooperate or unable to provide .
  • Incomplete intestinal obstruction.
  • Inflammatory bowel disease, multiple polyposis syndromes, or severe chronic cardiac or pulmonary disease.
  • Patients receiving anticoagulant therapy.
Terms in these criteria, in plain language(2)

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

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Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
106 participants (estimated)

Study arms

  • Experimental
    Risk Score-based Endoscopist Assignment

    High-risk patients (pre-procedural risk score \>5) undergoing unsedated colonoscopy are assigned to expert endoscopists who have completed ≥5,000 colonoscopy procedures.

    Other: Risk Score-Based Endoscopist Assignment

  • No intervention
    Routine Hospital Scheduling Assignment

    High-risk patients (pre-procedural risk score \>5) undergoing unsedated colonoscopy are assigned to endoscopists according to routine hospital scheduling, which may include both expert and non-expert endoscopists.

Interventions

  • OtherRisk Score-Based Endoscopist Assignment

    High-risk patients (pre-procedural risk score \>5) undergoing unsedated colonoscopy are assigned to expert endoscopists who have completed at least 5,000 colonoscopy procedures.

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What researchers measure

Primary outcomes

  1. Proportion of Participants with Moderate-to-Severe Pain During Colonoscopy

    Pain intensity is assessed using a VRS-4 ( none, mild, moderate, severe) immediately after the colonoscopy by a research assistant who is blinded to group allocation. Moderate or severe pain is defined as the primary outcome event.

    Time frame: Immediately after the colonoscopy procedure

Secondary outcomes

  1. Adenoma Detection Rate (ADR)

    Proportion of participants with at least one histologically confirmed adenoma detected during colonoscopy. All resected polyps are sent for pathological examination.

    Time frame: At the time of colonoscopy (pathology results available within 1 week after procedure)

  2. Willingness to Undergo Repeat Unsedated Colonoscopy

    Proportion of participants who respond "yes" when asked whether they would be willing to undergo a repeat unsedated colonoscopy in the future.

    Time frame: Immediately after the colonoscopy procedure

  3. Patient Satisfaction

    Patient satisfaction is assessed by a research assistant using a standardized questionnaire, graded as satisfied, fair, or dissatisfied.

    Time frame: Immediately after the colonoscopy procedure

  4. Cecal Intubation Time

    Time from endoscope insertion to successful cecal intubation, measured in minutes.

    Time frame: During the colonoscopy procedure

  5. Withdrawal Time

    Time taken for endoscope withdrawal from the cecum to the rectum, measured in minutes.

    Time frame: During the colonoscopy procedure

  6. Abdominal Compression Use Rate

    Proportion of participants requiring abdominal compression during the colonoscopy procedure.

    Time frame: During the colonoscopy procedure

  7. Position Change Use Rate

    Proportion of participants requiring position change during the colonoscopy procedure.

    Time frame: During the colonoscopy procedure

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Study locations

1 site
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07713953
Lead sponsor
Ningbo No. 1 Hospital
Responsible party
Sponsor
First posted
Jul 20, 2026
Start date
Jul 20, 2026 (estimated)
Primary completion
Jul 21, 2027 (estimated)
Completion
Aug 21, 2027 (estimated)
Last update
Jul 20, 2026

Study contacts

Lei Xu
Contact
xulei22@163.com
+86 13486659126

Oversight

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 Jul 2026. You cannot join it, but the record below documents what was studied.

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