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Patients undergoing respiratory endoscopy at Singapore General Hospital

Bronchoscopy, thoracoscopy, endobronchial ultrasound

Respiratory endoscopy

Devanand Anantham, MRCP

Background: Respiratory endoscopy comprises flexible bronchoscopy and medical thoracoscopy. The diagnostic yield, technical factors and complications for all patient sub-populations is still not clearly defined. This may result in inappropriate or even dangerous application of such procedures. The aim of the study is to collect data on these aspects of respiratory endoscopy and identify important trends, as well as, areas for improvement. This data will also provide baseline comparative data for new bronchoscopic techniques such as endobronchial ultrasound and navigational bronchoscopy.

Method: Prospective data collection. Technical details regarding these procedures are currently keyed into the OTM system by the endoscopy operators for documentation and billing. The department of Respiratory and Critical Care Medicine gets monthly downloads of all the fields from the OTM system for audit purposes.(See data collection form) The research project proposes to make the data non identifiable by removing the patient's name and IC number. Additionally the yield of the procedure will be checked by a chart review of the histology and microbiology results. There are no restrictions on patient recruitment because all procedures will be performed for clinical indications only and no patient will be recruited for the sole purpose of the study. Waiver of consent has been approved by the IRB.

Background: Respiratory endoscopy comprises flexible bronchoscopy and medical thoracoscopy. The diagnostic yield, technical factors and complications for all patient sub-populations is still not clearly defined. This may result in inappropriate or even dangerous application of such procedures. The aim of the study is to collect data on these aspects of respiratory endoscopy and identify important trends, as well as, areas for improvement. This data will also provide baseline comparative data for new bronchoscopic techniques such as endobronchial ultrasound and navigational bronchoscopy.

Method: Prospective data collection. Technical details regarding these procedures are currently keyed into the OTM system by the endoscopy operators for documentation and billing. The department of Respiratory and Critical Care Medicine gets monthly downloads of all the fields from the OTM system for audit purposes.(See data collection form) The research project proposes to make the data non identifiable by removing the patient's name and IC number. Additionally the yield of the procedure will be checked by a chart review of the histology and microbiology results. There are no restrictions on patient recruitment because all procedures will be performed for clinical indications only and no patient will be recruited for the sole purpose of the study. Waiver of consent has been obtained by the IRB. The current estimated bronchoscopy load is 1000/year and data will be kept in the trial co-coordinator's computer in a locked office. The investigators hope to run the database for 3 years initially.

Respiratory Endoscopy: Diagnostic Yield, Technical Factors and Complications

Positive and negative histology and microbiology yield

Duration, sedation requirements, consumables

Complication rate, need for escalation of care

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Respiratory Endoscopy: Diagnostic Yield, Technical Factors and Complications	NCT01374542	Lung Neoplasm Lung Diseases, ... Respiratory Tra... Pleural Effusio...	Respiratory end...	10 Years - 100 Years	Singapore General Hospital
Respiratory Endoscopy: Diagnostic Yield, Technical Factors and Complications	NCT01374542	Lung Neoplasm Lung Diseases, ... Respiratory Tra... Pleural Effusio...	Respiratory end...	10 Years - 100 Years	Singapore General Hospital

Spots Global Cancer Trial Database for respiratory endoscopy