Church James
Department of Colorectal Surgery, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, Ohio 44195, USA.
Dis Colon Rectum. 2008 May;51(5):520-3. doi: 10.1007/s10350-008-9239-y. Epub 2008 Mar 6.
With the increasing demand for colonoscopy for colorectal cancer screening and surveillance of colorectal adenomas and carcinomas, there has been an increasing emphasis on the quality of colonoscopy. Few publications have considered the full implications of pushing the adenoma detection rate as a prime quality indicator. In this article, some of the potential problems with this course are discussed and an alternative approach is suggested. Although defining and measuring quality in colonoscopy is important, further work needs to be done to arrive at a practical, clinically meaningful way of quality assessment.
随着结肠镜检查在结直肠癌筛查以及结直肠腺瘤和癌监测方面的需求不断增加，人们对结肠镜检查的质量越来越重视。很少有出版物考虑将腺瘤检出率作为主要质量指标所带来的全部影响。本文讨论了这一做法可能存在的一些问题，并提出了另一种方法。虽然定义和衡量结肠镜检查的质量很重要，但仍需进一步开展工作，以找到一种实用的、具有临床意义的质量评估方法。
