About this trial
The SPARC-C study is a prospective, multi-institutional observational study of patients referred for the management of large (≥ 20mm) non-pedunculated colorectal polyps (LNPCPs). Patients are managed consistent with current standards of care. Prospectively collected data includes: patient clinicodemographic details, lesion details, procedural details, and clinical outcomes.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients ≥ 18 years of age referred for the management of an LNPCP
Able to provide informed consent.
Disqualifiers
Unable to provide informed consent
Pregnant or lactating women.
Trial population
Patients ≥18 years of age who have been referred to St. Paul's Hospital from 2022 to 2032 for management of a large (≥20mm) non-pedunculated colorectal polyp (LNPCP).
Trial design
Cohort
Prospective
Treatments tested in this trial
Endoscopic tissue resection
Procedure/SurgeryEndoscopic resection techniques for removal of large polyps
Treatment groups
Trial outcomes
Primary outcomes
Technical Success of Endoscopic Procedure
Complete removal of all visible polypoid tissue during index procedure.
Clinical Success of Endoscopic Procedure
Technical success and the avoidance of surgery for large non-pedunculated colorectal polyps (LNPCPs) referred for endoscopic resection, assessed at first surveillance colonoscopy. LNPCPs with features consistent with invasive disease and directly referred for surgery are excluded.
Secondary outcomes
Peri-Procedural Adverse Outcomes
Frequency and management of peri-procedural adverse outcomes including clinically significant intra-procedural bleeding, significant deep mural injury, clinically significant post-resection bleeding, delayed perforation, recurrence, and referral to surgery.
Sponsors and contacts
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University of British Columbia
Lead sponsor
CentraCare
Collaborator
Hadassah Medical Organization
Collaborator
Vancouver Coastal Health Research Institute
Collaborator
Providence Healthcare
Collaborator