Quintero Enrique, Alarcón-Fernández Onofre, Jover Rodrigo
Servicio de Aparato Digestivo, Hospital Universitario de Canarias, La Laguna, Santa Cruz de Tenerife, España; Servicio de Aparato Digestivo, Universidad de La Laguna, La Laguna, Santa Cruz de Tenerife, España.
Gastroenterol Hepatol. 2013 Nov;36(9):597-605. doi: 10.1016/j.gastrohep.2013.02.005. Epub 2013 Jun 12.
The strategies used in population-based colorectal screening strategies culminate in colonoscopy and consequently the success of these programs largely depends on the quality of this diagnostic test. The main factors to consider when evaluating quality are scientific-technical quality, safety, patient satisfaction, and accessibility. Quality indicators allow variability among hospitals, endoscopy units and endoscopists to be determined and can identify those not achieving recommended standards. In Spain, the working group for colonoscopy quality of the Spanish Society of Gastroenterology and the Spanish Society of Gastrointestinal Endoscopy have recently drawn up a Clinical Practice Guideline that contains the available evidence on the quality of screening colonoscopy, as well as the basic requirements that must be met by endoscopy units and endoscopists carrying out this procedure. The implementation of training programs and screening colonoscopy quality controls are strongly recommended to guarantee the success of population-based colorectal cancer screening.
基于人群的结直肠癌筛查策略最终都会落实到结肠镜检查上，因此这些项目的成功很大程度上取决于这项诊断测试的质量。评估质量时要考虑的主要因素包括科学技术质量、安全性、患者满意度和可及性。质量指标可以确定医院、内镜检查单位和内镜医师之间的差异，并能识别未达到推荐标准的情况。在西班牙，西班牙胃肠病学会和西班牙胃肠内镜学会的结肠镜检查质量工作组最近制定了一项临床实践指南，其中包含了关于筛查结肠镜检查质量的现有证据，以及进行该检查的内镜检查单位和内镜医师必须满足的基本要求。强烈建议实施培训计划和筛查结肠镜检查质量控制，以确保基于人群的结直肠癌筛查取得成功。
