Article
Pharmacology & Pharmacy
Andrei Lucian Groza, Bogdan Silviu Ungureanu, Cristian Tefas, Bogdan Miutescu, Marcel Tantau
Summary: Colorectal cancer is a significant global public health burden, and colonoscopy is the primary diagnostic and preventive method. Many countries have implemented screening programs. In Romania, despite the highest incidence of CRC, there is no national screening program and the quality of colonoscopy is not regularly assessed. A study conducted in a region of Romania found that the quality level of colonoscopy is above the minimum recommended by international societies. The adenoma detection rate (ADR) correlates well with other quality indicators, and ADR is higher in colonoscopies performed without sedation.
FRONTIERS IN PHARMACOLOGY
(2022)
Review
Gastroenterology & Hepatology
Douglas K. Rex
Summary: Many quality indicators have been proposed for colonoscopy, with emphasis on adenoma detection rate, cecal intubation rate, screening and surveillance intervals. Bowel preparation efficacy and polyp resection skills are emerging as potential key indicators. This review provides an update on performance indicators for colonoscopy quality.
GASTROENTEROLOGY REPORT
(2023)
Article
Health Care Sciences & Services
Wenwen Cai, Xingxing Zhang, Yanxia Luo, Minshan Ye, Yu Guo, Weiqing Ruan
Summary: This study aims to explore the standards and requirements of quality of care in colonoscopy from the perspectives of patients and nurses. Through interviews with participants and nursing staff, several important themes related to the quality of colonoscopy care were identified.
BMC HEALTH SERVICES RESEARCH
(2022)
Review
Gastroenterology & Hepatology
Kasenee Tiankanon, Satimai Aniwan
Summary: Colonoscopy is widely used as a CRC screening tool and its effectiveness is associated with decreased CRC risk. However, the quality performance of colonoscopy varies among endoscopists. This article reviews the priority metrics and practices that contribute to high-quality screening colonoscopy and emphasizes the importance of measuring and improving these indicators at the individual and unit levels.
DIGESTIVE ENDOSCOPY
(2023)
Article
Gastroenterology & Hepatology
Sameer Bhat, Cameron I. Wells, Jeffrey Tan, Ian P. Bissett, Marianne Lill
Summary: This study aimed to compare colonoscopy KPIs between patients with nonintact and intact colons. The study found that patients with nonintact colons had a significantly higher caecal or ileal intubation rate compared to those with intact colons, but their adenoma detection rate and polyp detection rate were similar. Additionally, participants with nonintact colons had significantly shorter colonoscope withdrawal time and caecal or ileal intubation time.
COLORECTAL DISEASE
(2021)
Review
Gastroenterology & Hepatology
Rajesh N. Keswani, Seth D. Crockett, Audrey H. Calderwood
Summary: The purpose of this study was to provide best practice advice on improving the quality of screening and surveillance colonoscopy, but no formal rating of evidence quality or strength of recommendation was conducted.
Review
Gastroenterology & Hepatology
Wen-Feng Hsu, Han-Mo Chiu
Summary: Colonoscopy is crucial in preventing colorectal cancer (CRC) and reducing associated mortality. This comprehensive review examines the importance of high-quality colonoscopy and associated quality indicators, while also discussing often overlooked quality aspects and the potential of artificial intelligence in enhancing colonoscopy. It emphasizes the implications of organized screening programs and the need for continuous quality improvement. A thorough understanding of colonoscopy quality components is necessary for healthcare professionals to develop more effective CRC screening programs and improve patient outcomes.
DIGESTIVE ENDOSCOPY
(2023)
Article
Medicine, General & Internal
Yu-tse Chiu, Chen-Ya Kuo, Fu-Jen Lee, Chi-Yang Chang
Summary: This study compared the quality of colonoscopy with and without dedicated patient education, finding that the dedicated staff group had higher bowel preparation quality and shorter procedure time. Patient education by dedicated staff can improve bowel preparation quality and has the potential to decrease procedure time.
Article
Medicine, General & Internal
Hadie Razjouyan, Myunghoon Kim, John Levenick, Kofi Clarke, Thomas McGarrity
Summary: The study aimed to investigate the impact of clinical subspecialty focus on the quality of screening colonoscopies, particularly adenoma detection (AD). Gastroenterologists were categorized into different subspecialties, and the rates of AD and AD + SSP were compared. It was found that subspecialty focus, patient gender, bowel preparation, and withdrawal time were all significant factors affecting AD and AD + SSP detection.
Article
Medicine, General & Internal
Cristiano Spada, Anastasios Koulaouzidis, Cesare Hassan, Pedro Amaro, Anurag Agrawal, Lene Brink, Wolfgang Fischbach, Matthias Huenger, Rodrigo Jover, Urpo Kinnunen, Akiko Ono, Arpad Patai, Silvia Pecere, Lucio Petruzziello, Juergen F. Riemann, Harry Staines, Ann L. Stringer, Ervin Toth, Giulio Antonelli, Lorenzo Fuccio
Summary: The European Colonoscopy Quality Investigation (ECQI) Group aims to raise awareness and improve colonoscopy standards across Europe. They analyzed data on procedures conducted in Europe to evaluate the achievement of the European Society of Gastrointestinal Endoscopy (ESGE) mean withdrawal time target. They also investigated factors associated with withdrawal time, hoping to identify areas for quality improvement.
Article
Multidisciplinary Sciences
Jun Lee, Seong-Jung Kim, Sang-Wook Kim, Hyo-Yeop Song, Geom Seog Seo, Dong-Hyun Kim, Dae-Seong Myung, Hyun-Soo Kim, Young-Eun Joo, So Yeong Kim
Summary: This study compared the effectiveness of 1 L polyethylene glycol (PEG) with ascorbic acid and sodium picosulfate (PICO) with magnesium citrate for bowel cleansing. The results showed that overall bowel cleansing success was similar between the two groups. High-quality bowel cleansing was slightly higher in the 1 L PEG with ascorbic acid group. Patient satisfaction was better in the PICO with magnesium citrate group, but compliance and side effects were similar in both groups.
Article
Gastroenterology & Hepatology
Tonya Kaltenbach, Andrew Gawron, Craig S. Meyer, Samir Gupta, Amandeep Shergill, Jason A. Dominitz, Roy M. Soetikno, Tiffany Nguyen-Vu, Mary A. Whooley, Charles J. Kahi
Summary: The study showed that assessing adenoma detection rate (ADR) for colonoscopies irrespective of indication may be as effective as conventional ADR based on screening colonoscopies. This could facilitate quality monitoring and implementation of quality measurement and reporting. Future studies should further evaluate the validity of using overall ADR for quality reporting before adopting this method in clinical practice.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2021)
Article
Medicine, General & Internal
Manuel Zorzi, Giulio Antonelli, Claudio Barbiellini Amidei, Jessica Battagello, Bastianello Germana, Flavio Valiante, Stefano Benvenuti, Alberto Tringali, Francesco Bortoluzzi, Erica Cervellin, Davide K. Giacomin, Tamara Meggiato, Erik Rosa-Rizzotto, Diego Fregonese, Manuela Dinca, Gianluca Baldassarre, Paola Scalon, Maurizio Pantalena, Luisa Milan, Gianmarco Bulighin, Daniele Di Piramo, Maurizio Azzurro, Armando Gabbrielli, Alessandro Repici, Douglas Rex, Massimo Rugge, Cesare Hassan
Summary: In a FIT-based screening program, there is an inverse association between ADR and the risk of PCCRC, highlighting the importance of monitoring colonoscopy quality. Increasing endoscopists' ADR can significantly reduce the risk of PCCRC.
ANNALS OF INTERNAL MEDICINE
(2023)
Article
Gastroenterology & Hepatology
Shimaa Afify, Mohammed Tag-Adeen, Ahmed Abu-Elfatth, Alshaimaa Eid, Ahmed Nageh, Ahmed Alzamzamy, Fathiya El-Raey, Ahmed N. Basiony, Mohamed Abdelghani, Doaa Abdeltawab, Rasha M. Ahmed, Hayam Nasr, Mohamed N. Alkady, Wael Ibrahim, Omar Elshaarawy, Hossam Amer, Mo Thoufeeq, Mohamed Alboraie
Summary: This study aimed to assess the quality of colonoscopy in Egypt and proposed 13 indicators. The results showed that Egypt has bright aspects in colonoscopy practice, including high cecal intubation rates and low complication rates. However, the adenoma detection rate, bowel cleansing quality, and infection control measures need improvement.
ARAB JOURNAL OF GASTROENTEROLOGY
(2022)
Review
Gastroenterology & Hepatology
Matthew Mazurek, Alistair Murray, Steven J. Heitman, Yibing Ruan, Stavros A. Antoniou, Devon Boyne, Sanjay Murthy, Nancy N. Baxter, Indraneel Datta, Risa Shorr, Christopher Ma, Mark G. Swain, Robert J. Hilsden, Darren R. Brenner, Nauzer Forbes
Summary: This study found that colonoscopies performed by surgeons or other endoscopists were associated with poorer quality metrics and outcomes compared with those performed by gastroenterologists, suggesting targeted quality improvement efforts may be warranted.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2022)