Min Jun Ki, Cha Jae Myung, Cho Yu Kyung, Kim Jie Hyun, Yoon Soon Man, Im Jong Pil, Jung Yunho, Moon Jeong Seop, Kim Jin Oh, Jeen Yoon Tae
Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.
Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
Korean J Gastroenterol. 2018 May 25;71(5):269-281. doi: 10.4166/kjg.2018.71.5.269.
Gastroscopy and colonoscopy are widely used for the early diagnosis of stomach and colorectal cancer. The present revision integrates recent data regarding previous quality indicators and novel indicators suggested for gastroscopy and colonoscopy procedures for the National Cancer Screening Program in Korea. The new indicators, developed by the Quality Improvement Committee of the Korean Society for Gastrointestinal Endoscopy, vary in the level of supporting evidence, and most are based solely on expert opinion. Updated indicators validated by clinical research were prioritized, but were chosen by expert consensus when such studies were absent. The resultant quality indicators were graded according to the levels of consensus and recommendations. The updated indicators will provide a relevant guideline for high-quality endoscopy. The future direction of quality indicator development should include relevant outcome measures and an evidence-based approach to support proposed performance targets.
胃镜检查和结肠镜检查广泛用于胃癌和结直肠癌的早期诊断。本次修订整合了有关韩国国家癌症筛查计划中胃镜检查和结肠镜检查程序的先前质量指标以及新提出指标的最新数据。由韩国胃肠内镜学会质量改进委员会制定的新指标,其支持证据水平各不相同,且大多数仅基于专家意见。经临床研究验证的更新指标被优先考虑,但在缺乏此类研究时则通过专家共识来选择。最终的质量指标根据共识和建议的水平进行分级。更新后的指标将为高质量内镜检查提供相关指南。质量指标发展的未来方向应包括相关的结果测量以及支持提议的绩效目标的循证方法。