Quality Colorectal Cancer Screening: Endoscopic Performance Measures and Beyond

Abstract

Purpose of Review

The rationale behind and implementation of quality measures around colonoscopy for colorectal (CRC) screening are important topics for endoscopists to understand to deliver exemplary care with the goal of decreasing the incidence of this disease. This article will evaluate recent data on this subject and summarize pertinent findings in the growing field of quality improvement research surrounding colonoscopy for CRC screening.

Recent Findings

Both pre- and intra-procedural metrics have been studied across a variety of practice models and patient populations. Contemporary metrics include adequate bowel preparation, cecal intubation rate, adenoma detection rate, polypectomy rate, proximal serrated polyp detection rate, withdrawal time, and patient satisfaction.

Summary

Multiple quality metrics have been formally evaluated regarding colonoscopy, and others have recently been proposed. Additional validation is necessary to determine which quality metrics serve as practical and implementable to improve endoscopic performance and overall delivery of care.

http://ift.tt/2smKepH