Quality Metrics and Indicators in Colonoscopy

Colonoscopy is the preferred method for colorectal cancer screening. However, despite significant advances, the examination remainssubject to limitations and variability amongst different practitioners. This calls for the need for objective quality indicators toensure the optimal use of the modality...

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Main Authors: Halim Bou Daher, Ala Sharara
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2018-09-01
Series:Iranian Journal of Colorectal Research
Subjects:
Online Access:https://colorectalresearch.sums.ac.ir/article_47181_d47d98b3d5fa80f9ca88a428f53d9424.pdf
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author Halim Bou Daher
Ala Sharara
author_facet Halim Bou Daher
Ala Sharara
author_sort Halim Bou Daher
collection DOAJ
description Colonoscopy is the preferred method for colorectal cancer screening. However, despite significant advances, the examination remainssubject to limitations and variability amongst different practitioners. This calls for the need for objective quality indicators toensure the optimal use of the modality. Three major priority quality measures have been identified that include adenoma detectionrate (ADR), cecal intubation, and adherence to surveillance guidelines. ADR is the best-studied metric correlating with outcomesincluding post-colonoscopy colon cancer, but has inherent limitations such as the potential for corruptibility. Other importantquality indicators include the quality of bowel preparation and colonoscopy withdrawal time. All these quality measures are interrelatedand an improvement in any of them would help in increasing the power of colonoscopy as a screening tool, as well asdecreasing its economic burden and potentially improving adherence to screening guidelines.
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spelling doaj.art-2d8532ebd58c4d069a27adaeeda6275e2022-12-21T19:08:57ZengShiraz University of Medical SciencesIranian Journal of Colorectal Research2783-24302018-09-016447181Quality Metrics and Indicators in ColonoscopyHalim Bou Daher0Ala Sharara1American University of Beirut Medical Center, Department of Internal Medicine, Beirut, LebanonAmerican University of Beirut Medical Center, Department of Internal Medicine, Beirut, LebanonColonoscopy is the preferred method for colorectal cancer screening. However, despite significant advances, the examination remainssubject to limitations and variability amongst different practitioners. This calls for the need for objective quality indicators toensure the optimal use of the modality. Three major priority quality measures have been identified that include adenoma detectionrate (ADR), cecal intubation, and adherence to surveillance guidelines. ADR is the best-studied metric correlating with outcomesincluding post-colonoscopy colon cancer, but has inherent limitations such as the potential for corruptibility. Other importantquality indicators include the quality of bowel preparation and colonoscopy withdrawal time. All these quality measures are interrelatedand an improvement in any of them would help in increasing the power of colonoscopy as a screening tool, as well asdecreasing its economic burden and potentially improving adherence to screening guidelines.https://colorectalresearch.sums.ac.ir/article_47181_d47d98b3d5fa80f9ca88a428f53d9424.pdfcolonoscopyquality indicatorquality metricsqualityscreeningcolorectal cancerpolyps
spellingShingle Halim Bou Daher
Ala Sharara
Quality Metrics and Indicators in Colonoscopy
Iranian Journal of Colorectal Research
colonoscopy
quality indicator
quality metrics
quality
screening
colorectal cancer
polyps
title Quality Metrics and Indicators in Colonoscopy
title_full Quality Metrics and Indicators in Colonoscopy
title_fullStr Quality Metrics and Indicators in Colonoscopy
title_full_unstemmed Quality Metrics and Indicators in Colonoscopy
title_short Quality Metrics and Indicators in Colonoscopy
title_sort quality metrics and indicators in colonoscopy
topic colonoscopy
quality indicator
quality metrics
quality
screening
colorectal cancer
polyps
url https://colorectalresearch.sums.ac.ir/article_47181_d47d98b3d5fa80f9ca88a428f53d9424.pdf
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