结肠镜检查用于结直肠癌筛查的质量指标
Quality indicators for colorectal cancer screening for colonoscopy.
作者信息
Schoenfeld Philip S, Cohen Jonathan
机构信息
Division of Gastroenterology, University of Michigan School of Medicine, 2215 Fuller Road, Room 111D, Ann Arbor, Michigan 48105.
出版信息
Tech Gastrointest Endosc. 2013 Apr;15(2):59-68. doi: 10.1016/j.tgie.2013.02.005.
Abstract
The growing importance of colonoscopy in the prevention of colorectal cancer has stimulated an effort to identify and track quality indicators for this procedure. Several factors have been identified so far which are readily measurable and in many cases have been associated with improved patient outcomes. There is also ample evidence of variations in performance of this procedure. As a result, gathering data about quality indicators may play a vital role in the process of continuous quality improvement. Quality indicators for colonoscopy in colorectal cancer prevention are described along with the evidence that supports their use in benchmarking, quality reporting, and continuous quality improvement.
摘要
结肠镜检查在预防结直肠癌方面日益重要，这促使人们努力识别和跟踪该检查的质量指标。到目前为止，已经确定了几个易于测量的因素，并且在许多情况下，这些因素与改善患者预后相关。也有大量证据表明该检查的操作存在差异。因此，收集质量指标数据可能在持续质量改进过程中发挥至关重要的作用。本文描述了结直肠癌预防中结肠镜检查的质量指标，以及支持其用于基准评估、质量报告和持续质量改进的证据。
相似文献
1
Quality indicators for colorectal cancer screening for colonoscopy.结肠镜检查用于结直肠癌筛查的质量指标
Tech Gastrointest Endosc. 2013 Apr;15(2):59-68. doi: 10.1016/j.tgie.2013.02.005.
2
[High quality colonoscopy must be secured].必须确保高质量的结肠镜检查。
Lakartidningen. 2017 May 15;114:EHD7.
3
Standardized colonoscopy reporting and data system: report of the Quality Assurance Task Group of the National Colorectal Cancer Roundtable.标准化结肠镜检查报告与数据系统：美国国家结直肠癌圆桌会议质量保证任务组报告
Gastrointest Endosc. 2007 May;65(6):757-66. doi: 10.1016/j.gie.2006.12.055.
4
Fecal occult blood test for colorectal cancer screening: an evidence-based analysis.用于结直肠癌筛查的粪便潜血试验：一项基于证据的分析。
Ont Health Technol Assess Ser. 2009;9(10):1-40. Epub 2009 Sep 1.
5
Quality Indicators in Colonoscopy.结肠镜检查中的质量指标
Curr Treat Options Gastroenterol. 2017 Sep;15(3):416-428. doi: 10.1007/s11938-017-0140-4.
6
Quality indicators for colonoscopy and the risk of interval cancer.结肠镜检查的质量指标与间隔期癌症风险。
N Engl J Med. 2010 May 13;362(19):1795-803. doi: 10.1056/NEJMoa0907667.
7
Quality indicators for colonoscopy: Current insights and caveats.结肠镜检查的质量指标：当前见解与注意事项。
World J Gastrointest Endosc. 2014 Dec 16;6(12):571-83. doi: 10.4253/wjge.v6.i12.571.
8
Quality of colonoscopy and advances in detection of colorectal lesions: a current overview.结肠镜检查质量与结直肠病变检测进展：当前概述
Expert Rev Gastroenterol Hepatol. 2015 Apr;9(4):417-30. doi: 10.1586/17474124.2015.972940. Epub 2014 Dec 3.
9
Quality indicators for screening colonoscopy and colonoscopist performance and the subsequent risk of interval colorectal cancer: a systematic review.筛查结肠镜检查的质量指标、结肠镜检查医师的表现及随后发生间隔期结直肠癌的风险：一项系统评价
JBI Database System Rev Implement Rep. 2019 Nov;17(11):2265-2300. doi: 10.11124/JBISRIR-2017-003927.
10
Evaluating the Improvement in Colonoscopy Quality Indicators Subsequent to Publication of Professional Society Guidelines.评估专业学会指南发布后结肠镜检查质量指标的改善情况。
Cureus. 2021 Jan 31;13(1):e13040. doi: 10.7759/cureus.13040.
引用本文的文献
1
A soft robotic "Add-on" for colonoscopy: increasing safety and comfort through force monitoring.一种用于结肠镜检查的软性机器人“附加装置”：通过力监测提高安全性和舒适度。
Npj Robot. 2025;3(1):15. doi: 10.1038/s44182-025-00028-1. Epub 2025 Jun 13.
2
AN ELECTRONIC MEDICAL RECORD PREDICTION MODEL TO IDENTIFY INADEQUATE BOWEL PREPARATION IN PATIENTS AT OUTPATIENT COLONOSCOPY.一种用于识别门诊结肠镜检查患者肠道准备不充分的电子病历预测模型。
Tech Innov Gastrointest Endosc. 2024;26(2):130-137. doi: 10.1016/j.tige.2023.12.008. Epub 2023 Dec 26.
3
Colon Cancer Screening Methods: 2023 Update.结肠癌筛查方法：2023年更新
Cureus. 2023 Apr 12;15(4):e37509. doi: 10.7759/cureus.37509. eCollection 2023 Apr.
4
Almost One-Third of Large Sessile Serrated Polyps Are Missed on CT Colonography.几乎三分之一的大型无蒂锯齿状息肉在 CT 结肠成像中漏诊。
Turk J Gastroenterol. 2021 Oct;32(10):837-842. doi: 10.5152/tjg.2021.20372.
5
Cecal intubation time in screening colonoscopy.筛查结肠镜检查中的盲肠插管时间。
Medicine (Baltimore). 2021 May 14;100(19):e25927. doi: 10.1097/MD.0000000000025927.
6
The Impact of Sedation on Adenoma Detection Rate and Cecal Intubation Rate in Colonoscopy.镇静对结肠镜检查中腺瘤检出率和盲肠插管率的影响。
Gastroenterol Res Pract. 2020 Dec 16;2020:3089094. doi: 10.1155/2020/3089094. eCollection 2020.
7
Prevalence of 'one and done' in adenoma detection rates: results from the New Hampshire Colonoscopy Registry.腺瘤检出率中“一次检查即可”的情况：新罕布什尔结肠镜检查登记处的结果
Endosc Int Open. 2019 Nov;7(11):E1344-E1354. doi: 10.1055/a-0895-5410. Epub 2019 Oct 22.
8
Revision of Quality Indicators for the Endoscopy Quality Improvement Program of the National Cancer Screening Program in Korea.韩国国家癌症筛查计划内镜质量改进项目质量指标的修订
Clin Endosc. 2018 May;51(3):239-252. doi: 10.5946/ce.2018.075. Epub 2018 May 31.
9
Risk factors associated with longer cecal intubation time: a systematic review and meta-analysis.与更长的盲肠插管时间相关的风险因素：系统评价和荟萃分析。
Int J Colorectal Dis. 2018 Apr;33(4):359-365. doi: 10.1007/s00384-018-3014-x. Epub 2018 Mar 9.
10
Increasing colonoscopy screening in disparate populations: Results from an evaluation of patient navigation in the New Hampshire Colorectal Cancer Screening Program.在不同人群中增加结肠镜检查筛查：新罕布什尔州结直肠癌筛查项目中患者导航评估的结果。
Cancer. 2017 Sep 1;123(17):3356-3366. doi: 10.1002/cncr.30761. Epub 2017 May 2.
本文引用的文献
1
Annual Fecal Occult Blood Testing can be Safely Suspended for up to 5 Years After a Negative Colonoscopy in Asymptomatic Average-Risk Patients.对于无症状的平均风险患者，结肠镜检查结果为阴性后，每年的粪便潜血检测可安全暂停长达5年。
Am J Gastroenterol. 2015 Sep;110(9):1355-8. doi: 10.1038/ajg.2015.234. Epub 2015 Aug 4.
2
Understanding gastroenterologist adherence to polyp surveillance guidelines.了解胃肠病学家对息肉监测指南的遵循情况。
Am J Gastroenterol. 2012 Sep;107(9):1283-7. doi: 10.1038/ajg.2012.59.
3
Burden of gastrointestinal disease in the United States: 2012 update.美国胃肠道疾病负担：2012 年更新。
Gastroenterology. 2012 Nov;143(5):1179-1187.e3. doi: 10.1053/j.gastro.2012.08.002. Epub 2012 Aug 8.
4
Guidelines for colonoscopy surveillance after screening and polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer.筛查和息肉切除术后结肠镜监测指南：美国结直肠癌多学会特别工作组的共识更新
Gastroenterology. 2012 Sep;143(3):844-857. doi: 10.1053/j.gastro.2012.06.001. Epub 2012 Jul 3.
5
6
Serrated lesions of the colorectum: review and recommendations from an expert panel.结直肠锯齿状病变：专家小组的综述和建议。
Am J Gastroenterol. 2012 Sep;107(9):1315-29; quiz 1314, 1330. doi: 10.1038/ajg.2012.161. Epub 2012 Jun 19.
7
Association between colonoscopy and colorectal cancer mortality in a US cohort according to site of cancer and colonoscopist specialty.根据癌症发生部位和结肠镜医生专业，美国队列中结肠镜检查与结直肠癌死亡率的关联。
J Clin Oncol. 2012 Jul 20;30(21):2664-9. doi: 10.1200/JCO.2011.40.4772. Epub 2012 Jun 11.
8
The efficacy of cap-assisted colonoscopy in polyp detection and cecal intubation: a meta-analysis of randomized controlled trials.套扎辅助结肠镜检查在息肉检测和盲肠插管中的疗效：一项随机对照试验的荟萃分析。
Am J Gastroenterol. 2012 Aug;107(8):1165-73. doi: 10.1038/ajg.2012.135. Epub 2012 Jun 5.
9
Outcomes of EMR of defiant colorectal lesions directed to an endoscopy referral center.内镜转诊中心导向的挑战性结直肠病变内镜黏膜下剥离术的结果。
Gastrointest Endosc. 2012 Aug;76(2):255-63. doi: 10.1016/j.gie.2012.02.060. Epub 2012 May 31.
10
Wide field endoscopic resection for advanced colonic mucosal neoplasia: current status and future directions.大面积内镜切除术治疗进展期结直肠黏膜肿瘤：现状与未来方向。
Clin Gastroenterol Hepatol. 2012 Sep;10(9):969-79. doi: 10.1016/j.cgh.2012.05.020. Epub 2012 May 27.
Zotero 插件