Thorlacius Henrik, Wurm Johansson Gabriele, Nemeth Artur, Toth Ervin
Skåne University Hospital, Lund University - Department of Clinical Sciences, Section of Surgery Malmö, Sweden Skåne University Hospital, Lund University - Department of Clinical Sciences, Malmö Malmö, Sweden.
Skåne University Hospital, Lund University - Department of Clinical Sciences, Malmö Malmö, Sweden Skåne University Hospital, Lund University - Department of Clinical Sciences, Malmö Malmö, Sweden.
Lakartidningen. 2017 May 15;114:EHD7.
High quality colonoscopy must be secured Colonoscopy plays a key role in the work-up of digestive diseases and constitutes the cornerstone in colorectal cancer diagnosis and prevention. Data suggest that the quality of colonoscopy varies widely between different endoscopists. This article summarizes current evidence and expert consensus on quality indicators, along with the evidence supporting their use in benchmarking, quality reporting, and continuous quality improvement in order to secure high quality colonoscopy. In particular, four quality indicators, i.e. adenoma detection rate, compliance with guidelines on intervals for endoscopic surveillance, cecal intubation rate and complications, should be monitored in endoscopy units to ensure that colonoscopy practice is of high quality. Proper performance and documentation of high quality colonoscopy is critical for reducing colorectal cancer incidence and mortality.
必须确保高质量的结肠镜检查 结肠镜检查在消化系统疾病的检查中起着关键作用，是结直肠癌诊断和预防的基石。数据表明，不同内镜医师进行的结肠镜检查质量差异很大。本文总结了关于质量指标的当前证据和专家共识，以及支持其在基准评估、质量报告和持续质量改进中应用的证据，以确保高质量的结肠镜检查。特别是，内镜检查单位应监测四个质量指标，即腺瘤检出率、内镜监测间隔指南的依从性、盲肠插管率和并发症，以确保结肠镜检查操作具有高质量。高质量结肠镜检查的正确执行和记录对于降低结直肠癌的发病率和死亡率至关重要。
