Quality assurance in colonoscopy for colorectal cancer diagnosis

Macken, Elisabeth; Moreels, Tom G.; Vannoote, Jaarke; Siersema, Peter D.; Cutsem, Éric Van

doi:10.1016/j.ejso.2010.09.013

Cited by 12 publications

(8 citation statements)

References 55 publications

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“…For individuals at average risk, initial colonoscopy is recommended at the age of 50 -55 years to identify colorectal neoplasia (precancerous and cancerous lesions). Subsequent endoscopic removal can reduce the incidence of colon cancer by more than 90 % [2,3]. However, patient compliance with this recommended procedure is low in the general population based on concerns about the examination itself and the need for bowel cleansing [4].…”

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confidence: 99%

MedJet - a new CO2-based disposable cleaning device allows safe and effective bowel cleansing during colonoscopy: a pilot study

et al. 2012

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confidence: 99%

MedJet - a new CO2-based disposable cleaning device allows safe and effective bowel cleansing during colonoscopy: a pilot study

et al. 2012

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“…A very important point in this sense is the colonoscopy, which is a procedure that is not only diagnostic but also therapeutic. Colonoscopy in the screening context must be performed according to high-quality standards, especially regarding detection rates and safety (13)(14)(15). Individuals with a normal colonoscopy will be temporarily excluded from the screening programme, usually for a 10-year period, which means a lack of prevention for CRC when the diagnostic colonoscopy has been suboptimal and lesions have been overlooked.…”

Section: Introductionmentioning

confidence: 99%

Colonoscopy quality assessment in a mass population screening programme based on faecal occult blood test

Binefa

García

Milà

et al. 2013

Rev. esp. enferm. dig.

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Background and aim: the success of colorectal cancer (CRC) screening programmes largely depends on the quality of the events, processes and outcomes and therefore, quality assurance of endoscopy is an essential component. The quality indicators for colonoscopy in a screening programme setting are different from those performed in symptomatic people. The objective of this study was to report the main quality indicators of colonoscopies performed after a positive faecal occult blood test (FOBT) in a CRC screening programme in Catalonia.Methods: the period of study includes three rounds of the CRC screening programme from June 2006 to July 2013. Two types of FOBT were used: a qualitative biochemical guaiac-based test (gFOBT) and a quantitative immunochemical test (FIT). Quality indicators analysed in this study were compared to recommended colonoscopy standards from the published guidelines.Results: during the study period, 1,806 colonoscopies were performed in 1,691 individuals with a positive FOBT. All indicators were within the standard except waiting time to colonoscopy. Caecal intubation rate was 95.6 % and adequate bowel cleansing 93.6 %. Adenoma detection rate was better using FIT than gFOBT, 30.7 and 3.8 per 1,000 screenees, respectively. Cancer detection rate was also greater using FIT. Nearly 62 % of cancers were diagnosed at an early stage. The overall complication rate was 10.7 ‰.Conclusion: although the majority of results reached the recommended standards, some areas have been identified for quality enhancement. Continuous monitoring of quality indicators is essential for improving the current effectiveness of CRC screening programmes.

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“…However, it is the opinion of the guideline development group that performing this volume should provide newly trained colonoscopists with sufficient experience with the basic therapeutic techniques in colonoscopy. A similar threshold has been used in other guidelines as a consensusbased recommendation (70). Qualifying statement:…”

Section: Attainment Of Competency Recommendationsmentioning

confidence: 99%

Colonoscopy Quality Assurance in Ontario: Systematic Review and Clinical Practice Guideline

Tinmouth

Baron

Burke

et al. 2014

Canadian Journal of Gastroenterology and Hepatology

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Colonoscopy is fundamental to the diagnosis and management of digestive diseases and plays a key role in colorectal cancer (CRC) screening and diagnosis. Therefore, it is important to ensure that colonoscopy is of high quality. The present guidance document updates the evidence and recommendations in Cancer Care Ontario's 2007 Colonoscopy Standards, and was conducted under the aegis of the Program in Evidence-Based Care. It is intended to support quality improvement for colonoscopies for all indications, including follow-up to a positive fecal occult blood test, screening for individuals who have a family history of CRC and those at average risk, investigation for symptomatic patients, and surveillance of those with a history of adenomatous polyps or CRC. A systematic review was performed to evaluate the existing evidence concerning the following three key aspects of colonoscopy: physician endoscopist training and maintenance of competency; institutional quality assurance parameters; and colonoscopy quality indicators and auditable outcomes. Where appropriate, indicators were designated quality indicators (where there was sufficient evidence to recommend a specific target) and auditable outcomes (insufficient evidence to recommend a specific target, but which should be monitored for quality assurance purposes). The guidance document may be used to support colonoscopy quality assurance programs to improve the quality of colonoscopy regardless of indication. Improvements in colonoscopy quality are anticipated to improve important outcomes in digestive diseases, such as reduction of the incidence of and mortality from CRC.

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Quality assurance in colonoscopy for colorectal cancer diagnosis

Cited by 12 publications

References 55 publications

MedJet - a new CO2-based disposable cleaning device allows safe and effective bowel cleansing during colonoscopy: a pilot study

MedJet - a new CO2-based disposable cleaning device allows safe and effective bowel cleansing during colonoscopy: a pilot study

Colonoscopy quality assessment in a mass population screening programme based on faecal occult blood test

Colonoscopy Quality Assurance in Ontario: Systematic Review and Clinical Practice Guideline

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