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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Format: | Article |
Language: | English |
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Shiraz University of Medical Sciences
2018-09-01
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Series: | Iranian Journal of Colorectal Research |
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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. |
first_indexed | 2024-12-21T09:24:08Z |
format | Article |
id | doaj.art-2d8532ebd58c4d069a27adaeeda6275e |
institution | Directory Open Access Journal |
issn | 2783-2430 |
language | English |
last_indexed | 2024-12-21T09:24:08Z |
publishDate | 2018-09-01 |
publisher | Shiraz University of Medical Sciences |
record_format | Article |
series | Iranian Journal of Colorectal Research |
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 |
work_keys_str_mv | AT halimboudaher qualitymetricsandindicatorsincolonoscopy AT alasharara qualitymetricsandindicatorsincolonoscopy |