Centre for Research into Cancer Prevention and Screening, University of Dundee, Ninewells Hospital and Medical School, Dundee, UK.
Information Services Division, NHS National Services Scotland, Glasgow, UK.
Colorectal Dis. 2018 Sep;20(9):O277-O283. doi: 10.1111/codi.14281. Epub 2018 Jun 28.
The delivery of the Scottish Bowel Screening Programme (SBoSP) is rooted in the provision of a high quality, effective and participant-centred service. Safe and effective colonoscopy forms an integral part of the process. Additional accreditation as part of a multi-faceted programme for participating colonoscopists, as in England, does not exist in Scotland. This study aimed to describe the quality of colonoscopy in the SBoSP and compare this to the English national screening standards.
Data were collected from the SBoSP between 2007 and 2014. End-points for analysis were caecal intubation, cancer, polyp and adenoma detection, and complications. Overall results were compared with 2012 published English national standards for screening and outcomes from 2006 to 2009.
During the study period 53 332 participants attended for colonoscopy. The colonoscopy completion rate was 95.6% overall. The mean cancer detection rate was 7.1%, the polyp detection rate was 45.7% and the adenoma detection rate was 35.5%. The overall complication rate was 0.47%.
Colonoscopy quality in the SBoSP has exceeded the standard set for screening colonoscopy in England, despite not adopting a multi-faceted programme for screening colonoscopy. However, the overall adenoma detection rate in Scotland was 9.1% lower than that in England which has implications for colonoscopy quality and may have an impact on cancer prevention rates, a key aim of the SBoSP.
苏格兰肠道筛查计划（SBoSP）的实施基于提供高质量、有效且以参与者为中心的服务。安全有效的结肠镜检查是该计划的重要组成部分。在英格兰，参与结肠镜检查的医生需要通过多方面的认证计划来获得额外的认证，但在苏格兰，这种认证并不存在。本研究旨在描述 SBoSP 中的结肠镜检查质量，并将其与英国国家筛查标准进行比较。
数据收集自 2007 年至 2014 年的 SBoSP。分析的终点为盲肠插管、癌症、息肉和腺瘤的检出率以及并发症。总体结果与 2012 年英国国家筛查标准和 2006 年至 2009 年的筛查结果进行比较。
在研究期间，共有 53332 名参与者接受了结肠镜检查。结肠镜检查完成率总体为 95.6%。平均癌症检出率为 7.1%，息肉检出率为 45.7%，腺瘤检出率为 35.5%。总体并发症发生率为 0.47%。
尽管苏格兰没有采用多方面的结肠镜检查筛查计划，但 SBoSP 的结肠镜检查质量已经超过了英格兰为筛查结肠镜检查设定的标准。然而，苏格兰的总体腺瘤检出率比英格兰低 9.1%，这对结肠镜检查质量有影响，并可能对癌症预防率产生影响，这是 SBoSP 的一个关键目标。
