Scottish Bowel Screening Programme colonoscopy quality – scope for improvement?

Quyn, Aaron; Fraser, Callum G.; Stanners, Greig; Carey, Frank; Rees, Colin; Moores, Billie; Steele, Robert

doi:10.1111/codi.14281

Cited by 17 publications

(26 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Quyn AJ ve ark. (9) 53.332 olgulık tarama grubu serilerinde % 7.1 KRK ve %35.5 adenomatöz polip yakalama oranları rapor etmişlerdir. Çalışmamızda, toplamda 88 olguda (%29.3) herhangi bir patoloji izlenmemişken, 12 olguda (%4) KRK ve 120 olguda (%40) prekanseröz adenomatöz polipler saptanmıştır.…”

Section: Discussionunclassified

Evaluation Of The Effectiveness Of Colon Cancer Screening Program Conducted in Our Region

Kara¹,

Sarıcı²,

Kalaycı³

2018

İKSST

View full text Add to dashboard Cite

ÖZAmaç: Kolon kanseri tarama programı (KKTP) kapsamında birinci basamaktan kliniğimize yönlendirilen herhangi bir yakınması olmayıp GGK pozitifliği saptanan ardışık 300 olguya yapılan kolonoskopi sonuçları ile Sağlık Bakanlığınca bölgemizde yürütülen KKTP'nin etkinliğini araştırmayı amaçladık. Yöntem: Çalışmaya alınan bireylerin demografik özellikleri, kolonoskopi bulguları, patolojik tanıları ve tedavi sonuçları retrospektif olarak incelendi. Bulgular: Olguların 180'i kadın (%60), idi. On iki hastada (%4) kolorektal kanser (KRK) belirlendi. Bir hastada geniş tabanlı, sesil polipte yüksek grade displazili, tübülovillöz adenom saptandı. Bu 13 hastaya erken evrede laparoskopik olarak onkolojik prensiplere uygun cerrahi uygulandı. Toplamda 120 olguya prekanseröz adenomatöz polipler nedeni ile polipektomi uygulandı; bunların 30'unda (%10) yüksek gradeli displazi (YGD) saptandı. Kırkiki olguda (%14) benign anorektal hastalıklar (BAH) (fissür, hemoroid vb.) saptandı. Yirmi yedi (% 9) olguda divertiküler hastalık belirlendi. Patoloji sonucu ile 9 olguya (%3) ülseratif kolit ve 19 olguya (%6.3) nonspesifik kolit tanısı konuldu. Seksensekiz olguda (%29.3) normal kolonoskopik bulgular rapor edildi. Sonuç: Asemptomatik safhada kolon kanseri saptanan oniki ve bir geniş tabanlı YGD'li sesil polipli, olguya erken evrede cerrahi uygulanmıştır. Yüz yirmi olguda prekanseröz adenomatöz poliplere, polipektomi uygulanmış ve kolonoskopik takibe alınmıştır. Türkiyede KKTP'nin yaygınlaştırılması, etkin uygulanması ile erken teşhis ve tedavi oranlarının artacağı aynı zamanda KRK mortalite ve morbiditesinde önemli azalma olabileceği düşüncesindeyiz.Anahtar kelimeler: kolorektal kanser tarama programı, gaitada gizli kan, tarama kolonoskopisi, kolon polibi ABSTRACT Introduction: In order to search the success and efficacy of Colon Cancer Screening Program (CCSP), we aimed to evaluate the colonoscopic results of FOBT-positive 300 consecutive individuals that have been refered to our clinic within the scope of screening program. Method: Demographic features, colonoscopic findings, pathologic results, final diagnosis and treatment results of individuals were examined retrospectively. Results: A hundred and eighty (60%) individuals were women and 120 (40%) individuals were men. The median age of the individuals was 56 (50-70) years. Colorectal carcinoma (CRC) was detected in 12 (4%) patients. İn one patient tubulovillous adenoma with high grade dysplasia (HGD) was detected in broad-based sessile polyp. Laparoscopic surgery in compliance with oncologic principles was performed in these thirteen patients during the early stage of the disease. Precancerous adenomatous polyps were detected in 120 (40%), and high grade dysplasia (HGD) in 30 (10%) patients. In 42 individuals, benign anorectal diseases (fissure, hemorrhoids) were detected. Twenty-seven (9%) individuals had diverticulosis. According to pathologic results, nine (3%) patients were diagnosed as ulcerative colitis and nineteen (6.3%) patients as nonspecific colitis. Eighty-eight individua...

show abstract

Section: Discussionunclassified

Evaluation Of The Effectiveness Of Colon Cancer Screening Program Conducted in Our Region

Kara¹,

Sarıcı²,

Kalaycı³

2018

İKSST

View full text Add to dashboard Cite

show abstract

“…The report from Quyn et al [1] in this issue describes the performance of the Scottish Bowel Cancer Screening Programme and makes comparisons with the English Bowel Cancer Screening Programme (BCSP). The processes of invitation and selection for colonoscopy in the two programmes are identical, but with different age ranges.…”

mentioning

confidence: 99%

“…In Scotland, accreditation of screeners was resisted on the basis it would lead to a two-tier system: one standard for the patients in the programme and another for everyone else [1]. However, the EU guideline subsequently recognized that the amount and type of pathology in FOBT-positive patients meant that a higher level of competence would be required for screen-positive patients, so called level 3 polypectomy [9].…”

mentioning

confidence: 99%

World Endoscopy Organization Consensus Statements on Post-Colonoscopy and Post-Imaging Colorectal Cancer

et al. 2018

View full text Add to dashboard Cite

show abstract

“…In Scotland, accreditation of screeners was resisted on the basis it would lead to a two‐tier system: one standard for the patients in the programme and another for everyone else . However, the EU guideline subsequently recognized that the amount and type of pathology in FOBT‐positive patients meant that a higher level of competence would be required for screen‐positive patients, so called level 3 polypectomy .…”

mentioning

confidence: 70%

“…The report from Quyn et al . in this issue describes the performance of the Scottish Bowel Cancer Screening Programme and makes comparisons with the English Bowel Cancer Screening Programme (BCSP). The processes of invitation and selection for colonoscopy in the two programmes are identical, but with different age ranges.…”

mentioning

confidence: 99%

Commentary: Accrediting colonoscopy services and colonoscopists for screening makes a difference

Valori

Thomas-Gibson

2018

Colorectal Disease

View full text Add to dashboard Cite

Scottish Bowel Screening Programme colonoscopy quality – scope for improvement?

Cited by 17 publications

References 25 publications

Evaluation Of The Effectiveness Of Colon Cancer Screening Program Conducted in Our Region

Evaluation Of The Effectiveness Of Colon Cancer Screening Program Conducted in Our Region

World Endoscopy Organization Consensus Statements on Post-Colonoscopy and Post-Imaging Colorectal Cancer

Commentary: Accrediting colonoscopy services and colonoscopists for screening makes a difference

Contact Info

Product

Resources

About