Herszényi László, Lakatos Gábor, Tulassay Zsolt
Semmelweis Egyetem, Altalános Orvostudományi Kar II. Belgyógyászati Klinika, MTA Gasztroenterológiai és Molekuláris Medicina Kutatócsoport, Budapest, Szentkirályi u. 46. 1088.
Orv Hetil. 2010 Aug 15;151(33):1331-9. doi: 10.1556/OH.2010.28930.
Colonoscopy has become accepted as the most effective method of screening of the colon for neoplasia. Evidences prove that utilization of colonoscopy has increased dramatically in the past few years, largely because of increased rates of CRC screening. Effectiveness and safety of colonoscopy depend on the quality of examination, and growing body of evidence suggests that the quality of colonoscopy varies in clinical practice. Quality assurance of colonoscopy could be expected to contribute significantly to improved patient care. There is a clear need for evidence-based quality measures to ensure the quality of colonoscopy. In this review we present an overview of literature concerning criteria for best practice and important quality indicators for colonoscopy.
结肠镜检查已被公认为筛查结肠肿瘤最有效的方法。证据表明，在过去几年中，结肠镜检查的使用率大幅上升，这主要归因于结直肠癌筛查率的提高。结肠镜检查的有效性和安全性取决于检查质量，越来越多的证据表明，结肠镜检查的质量在临床实践中存在差异。结肠镜检查的质量保证有望显著改善患者护理。显然需要基于证据的质量指标来确保结肠镜检查的质量。在本综述中，我们概述了有关结肠镜检查最佳实践标准和重要质量指标的文献。
