Wieten Els, Spaander Manon C W, Kuipers Ernst J
Department of Gastroenterology & Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Best Pract Res Clin Gastroenterol. 2016 Jun;30(3):487-95. doi: 10.1016/j.bpg.2016.04.008. Epub 2016 May 4.
Colorectal cancer (CRC) screening is widely implemented to reduce CRC incidence and related mortality. The impact of screening as well as the balance between screening burden and benefits strongly depends on the quality of colonoscopy. Besides quality, safety of the endoscopic procedure and patient satisfaction are important outcome parameters for a screening program. Therefore the requirements for both CRC screening endoscopy services and endoscopists focus on technical aspects, patient safety, and patient experience. Stringent quality assurance by means of routine monitoring of quality indicators for the performance of endoscopists and endoscopy units is recommended. This allows setting minimum standards, targeted interventions, and enhancement of the overall quality of population screening. This reviews deals with guidelines and quality standards for colorectal cancer screening, with focus on both endoscopist and endoscopy services.
结直肠癌（CRC）筛查已广泛开展，以降低结直肠癌发病率和相关死亡率。筛查的效果以及筛查负担与收益之间的平衡在很大程度上取决于结肠镜检查的质量。除质量外，内镜检查程序的安全性和患者满意度也是筛查计划的重要结果参数。因此，对结直肠癌筛查内镜服务和内镜医师的要求都集中在技术方面、患者安全和患者体验上。建议通过对内镜医师和内镜检查单位的表现进行质量指标的常规监测来进行严格的质量保证。这有助于设定最低标准、进行有针对性的干预并提高人群筛查的整体质量。本综述涉及结直肠癌筛查的指南和质量标准，重点关注内镜医师和内镜检查服务。
