结肠镜检查中的关键质量指标。
Key quality indicators in colonoscopy.
作者信息
Rex Douglas K
机构信息
Division of Gastroenterology/Hepatology, Indiana University School of Medicine, Indianapolis, IN, USA.
出版信息
Gastroenterol Rep (Oxf). 2023 Mar 10;11:goad009. doi: 10.1093/gastro/goad009. eCollection 2023.
Abstract
Many quality indicators have been proposed for colonoscopy, but most colonoscopists and endoscopy groups focus on measuring the adenoma detection rate and the cecal intubation rate. Use of proper screening and surveillance intervals is another accepted key indicator but it is seldom evaluated in clinical practice. Bowel preparation efficacy and polyp resection skills are areas that are emerging as potential key or priority indicators. This review summarizes and provides an update on key performance indicators for colonoscopy quality.
摘要
针对结肠镜检查已提出了许多质量指标，但大多数结肠镜检查医师和内镜检查小组都专注于测量腺瘤检出率和盲肠插管率。采用适当的筛查和监测间隔是另一个公认的关键指标，但在临床实践中很少对其进行评估。肠道准备效果和息肉切除技术正成为潜在的关键或优先指标领域。本综述总结并更新了结肠镜检查质量的关键性能指标。
相似文献
1
Key quality indicators in colonoscopy.结肠镜检查中的关键质量指标。
Gastroenterol Rep (Oxf). 2023 Mar 10;11:goad009. doi: 10.1093/gastro/goad009. eCollection 2023.
2
Quality indicators in colonoscopy: the chasm between ideal and reality.结肠镜检查的质量指标：理想与现实之间的差距。
Clin Endosc. 2022 May;55(3):332-338. doi: 10.5946/ce.2022.037. Epub 2022 Apr 4.
3
The performance indicator of colonic intubation (PICI) in a FIT-based colorectal cancer screening program.基于粪便免疫化学检测的结直肠癌筛查项目中的结肠插管性能指标（PICI）
Scand J Gastroenterol. 2019 Sep;54(9):1176-1181. doi: 10.1080/00365521.2019.1648548. Epub 2019 Sep 9.
4
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.
5
Quality indicators for colonoscopy in a Tunisian endoscopy unit.突尼斯一家内镜检查单位的结肠镜检查质量指标
Tunis Med. 2015 Mar;93(3):138-41.
6
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.
7
Data quality and colonoscopy performance indicators in the prevalent round of a FIT-based colorectal cancer screening program.基于粪便免疫化学检测的结直肠癌筛查项目现患轮次中的数据质量和结肠镜检查性能指标
Scand J Gastroenterol. 2019 Apr;54(4):471-477. doi: 10.1080/00365521.2019.1597158. Epub 2019 Apr 12.
8
Point-of-care, peer-comparator colonoscopy practice audit: The Canadian Association of Gastroenterology Quality Program--Endoscopy.即时护理、同行比较结肠镜检查实践审计：加拿大胃肠病学协会质量计划——内镜检查
Can J Gastroenterol. 2011 Jan;25(1):13-20. doi: 10.1155/2011/320904.
9
Optimizing Colonoscopy Quality: From Bowel Preparation to Surveillance.优化结肠镜检查质量：从肠道准备到监测
Curr Treat Options Gastroenterol. 2016 Mar;14(1):115-27. doi: 10.1007/s11938-016-0073-3.
10
Clinical practice standards for colonoscopy.结肠镜检查临床实践标准。
Tunis Med. 2021;99(10):952-960.
引用本文的文献
1
Texture and Color Enhanced Imaging in the Diagnosis of Colonic Neoplasia: A Systematic Review and Analysis.纹理和颜色增强成像在结肠肿瘤诊断中的应用：一项系统评价与分析
JGH Open. 2025 Aug 17;9(8):e70191. doi: 10.1002/jgh3.70191. eCollection 2025 Aug.
2
Adenoma per polypectomy as a training metric in colonoscopy: a retrospective analysis of trainee progression compared to expert performance.结肠镜检查中息肉切除术后腺瘤作为培训指标：与专家表现相比的实习生进展回顾性分析
Ann Surg Treat Res. 2025 Aug;109(2):113-119. doi: 10.4174/astr.2025.109.2.113. Epub 2025 Jul 30.
3
Bowel preparation assessment using artificial intelligence: Systematic review.使用人工智能进行肠道准备评估：系统评价
Endosc Int Open. 2025 Jul 1;13:a26256327. doi: 10.1055/a-2625-6327. eCollection 2025.
4
Mucin 5AC as a Biomarker for Sessile Serrated Lesions: Results From a Systematic Review and Meta-Analysis.黏蛋白5AC作为无蒂锯齿状病变的生物标志物：系统评价和荟萃分析结果
Clin Transl Gastroenterol. 2025 May 1;16(5):e00831. doi: 10.14309/ctg.0000000000000831.
5
AI and Polyp Detection During Colonoscopy.结肠镜检查期间的人工智能与息肉检测
Cancers (Basel). 2025 Feb 26;17(5):797. doi: 10.3390/cancers17050797.
6
Operation sequence of bidirectional endoscopy with topical anesthesia affected colonoscopy performance: a randomized controlled trial.局部麻醉下双向内镜检查的操作顺序对结肠镜检查性能的影响：一项随机对照试验。
BMC Gastroenterol. 2025 Feb 27;25(1):121. doi: 10.1186/s12876-025-03721-5.
7
Auricular acupressure for minimizing adverse reactions to colonoscopic bowel preparation in hospitalized patients: A randomized controlled trial.耳穴按压对减少住院患者结肠镜肠道准备不良反应的效果：一项随机对照试验。
Heliyon. 2025 Jan 22;11(3):e42187. doi: 10.1016/j.heliyon.2025.e42187. eCollection 2025 Feb 15.
8
Effect of Cholecystectomy on Bubble Formation and Endoscopic Visualization: A Retrospective Cohort Study.胆囊切除术对气泡形成和内镜观察的影响：一项回顾性队列研究。
Dig Dis Sci. 2025 Apr;70(4):1555-1559. doi: 10.1007/s10620-025-08911-5. Epub 2025 Feb 18.
9
ARE QUALITY INDICATORS IMPORTANT IN COLONOSCOPIES? ANALYSIS OF 3,076 EXAMS IN A PRIVATE TERTIARY SERVICE IN SOUTHEASTERN BRAZIL.结肠镜检查中的质量指标重要吗？对巴西东南部一家私立三级医疗机构的3076例检查的分析。
Arq Bras Cir Dig. 2025 Feb 10;37:e1864. doi: 10.1590/0102-6720202400070e1864. eCollection 2025.
10
Outcomes of endoscopic retrograde cholangiopancreatography performed in the AM versus PM: does procedural timing matter?上午与下午进行内镜逆行胰胆管造影术的结果：操作时间是否重要？
J Can Assoc Gastroenterol. 2024 Aug 26;7(6):411-415. doi: 10.1093/jcag/gwae028. eCollection 2024 Dec.
本文引用的文献
1
Post-Colonoscopy Colorectal Cancer Etiologies in a Large Integrated US Health Care Setting.美国大型综合医疗保健机构中结肠镜检查后结直肠癌的病因
Gastroenterology. 2023 Mar;164(3):470-472.e3. doi: 10.1053/j.gastro.2022.11.031. Epub 2022 Dec 1.
2
Comparison of Artificial Intelligence With Other Interventions to Improve Adenoma Detection Rate for Colonoscopy: A Network Meta-analysis.人工智能与其他提高结肠镜检查腺瘤检出率干预措施的比较：一项网状Meta分析。
J Clin Gastroenterol. 2024 Feb 1;58(2):143-155. doi: 10.1097/MCG.0000000000001813.
3
Variability in adenoma detection rate in control groups of randomized colonoscopy trials: a systematic review and meta-analysis.随机结肠镜检查试验对照组中腺瘤检出率的变异性：一项系统评价和荟萃分析。
Gastrointest Endosc. 2023 Feb;97(2):212-225.e7. doi: 10.1016/j.gie.2022.10.009. Epub 2022 Oct 13.
4
Impact of withdrawal time on adenoma detection rate: results from a prospective multicenter trial.退镜时间对腺瘤检出率的影响：一项前瞻性多中心试验的结果。
Gastrointest Endosc. 2023 Mar;97(3):537-543.e2. doi: 10.1016/j.gie.2022.09.031. Epub 2022 Oct 10.
5
Reduced Adenoma Miss Rate With 9-Minute vs 6-Minute Withdrawal Times for Screening Colonoscopy: A Multicenter Randomized Tandem Trial.筛查结肠镜检查时 9 分钟与 6 分钟退出时间相比腺瘤检出率降低：一项多中心随机串联试验。
Am J Gastroenterol. 2023 May 1;118(5):802-811. doi: 10.14309/ajg.0000000000002055. Epub 2022 Oct 11.
6
Endocuff-assisted versus standard colonoscopy for improving adenoma detection rate: meta-analysis of randomized controlled trials.Endocuff 辅助与标准结肠镜检查提高腺瘤检出率的比较：随机对照试验的荟萃分析。
Tech Coloproctol. 2023 Feb;27(2):91-101. doi: 10.1007/s10151-022-02642-9. Epub 2022 Aug 2.
7
Association of Physician Adenoma Detection Rates With Postcolonoscopy Colorectal Cancer.腺瘤检出率与结肠镜检查后结直肠癌的关系。
JAMA. 2022 Jun 7;327(21):2114-2122. doi: 10.1001/jama.2022.6644.
8
Computer-Aided Detection Improves Adenomas per Colonoscopy for Screening and Surveillance Colonoscopy: A Randomized Trial.计算机辅助检测可提高结肠镜检查筛查和监测结直肠腺瘤的检出率：一项随机试验。
Gastroenterology. 2022 Sep;163(3):732-741. doi: 10.1053/j.gastro.2022.05.028. Epub 2022 May 25.
9
Age-Stratified Prevalence and Predictors of Neoplasia Among U.S. Adults Undergoing Screening Colonoscopy in a National Endoscopy Registry.国家内镜登记处中接受筛查性结肠镜检查的美国成年人中肿瘤的年龄分层患病率及其预测因素。
Gastroenterology. 2022 Sep;163(3):742-753.e4. doi: 10.1053/j.gastro.2022.05.036. Epub 2022 May 26.
10
Adenoma and Sessile Serrated Lesion Detection Rates at Screening Colonoscopy for Ages 45-49 Years vs Older Ages Since the Introduction of New Colorectal Cancer Screening Guidelines.45-49 岁年龄组与新结直肠癌筛查指南引入以来的较年长年龄组在筛查结肠镜检查中腺瘤和无蒂锯齿状病变检出率的比较。
Clin Gastroenterol Hepatol. 2022 Dec;20(12):2895-2904.e4. doi: 10.1016/j.cgh.2022.04.037. Epub 2022 May 14.
Zotero 插件