Colonoscopy quality assessment in a mass population screening programme based on faecal occult blood test

Background and aim: the success of colorectal cancer (CRC) screening programmes largely depends on the quality of the events, processes and outcomes and therefore, quality assurance of endoscopy is an essential component. The quality indicators for colonoscopy in a screening programme setting are di...

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Autores: Binefa i Rodríguez, Gemma, García Martínez, Montserrat, Milà, Núria, Rodríguez Alonso, Lorena, Rodríguez Moranta, Francisco, Guardiola, Jordi, Moreno Aguado, Víctor
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2013
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/99381
Acceso en línea:https://hdl.handle.net/2445/99381
Access Level:acceso abierto
Palabra clave:Colonoscòpia
Indicadors de salut
Càncer colorectal
Cribratge
Programes de prevenció
Colonoscopy
Health status indicators
Colorectal cancer
Medical screening
Prevention programs
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spelling Colonoscopy quality assessment in a mass population screening programme based on faecal occult blood testBinefa i Rodríguez, GemmaGarcía Martínez, MontserratMilà, NúriaRodríguez Alonso, LorenaRodríguez Moranta, FranciscoGuardiola, JordiMoreno Aguado, VíctorColonoscòpiaIndicadors de salutCàncer colorectalCribratgeProgrames de prevencióColonoscopyHealth status indicatorsColorectal cancerMedical screeningPrevention programsBackground and aim: the success of colorectal cancer (CRC) screening programmes largely depends on the quality of the events, processes and outcomes and therefore, quality assurance of endoscopy is an essential component. The quality indicators for colonoscopy in a screening programme setting are different from those performed in symptomatic people. The objective of this study was to report the main quality indicators of colonoscopies performed after a positive faecal occult blood test (FOBT) in a CRC screening programme in Catalonia. Methods: the period of study includes three rounds of the CRC screening programme from June 2006 to July 2013. Two types of FOBT were used: a qualitative biochemical guaiac-based test (gFOBT) and a quantitative immunochemical test (FIT). Quality indicators analysed in this study were compared to recommended colonoscopy standards from the published guidelines. Results: during the study period, 1,806 colonoscopies were performed in 1,691 individuals with a positive FOBT. All indicators were within the standard except waiting time to colonoscopy. Caecal intubation rate was 95.6 % and adequate bowel cleansing 93.6 %. Adenoma detection rate was better using FIT than gFOBT, 30.7 and 3.8 per 1,000 screenees, respectively. Cancer detection rate was also greater using FIT. Nearly 62 % of cancers were diagnosed at an early stage. The overall complication rate was 10.7 . Conclusion: although the majority of results reached the recommended standards, some areas have been identified for quality enhancement. Continuous monitoring of quality indicators is essential for improving the current effectiveness of CRC screening programmes.Aran Ediciones2013info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/99381Articles publicats en revistes (Ciències Clíniques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: http://dx.doi.org/10.4321/S1130-01082013000700005Revista Española de Enfermedades Digestivas, 2013, vol. 105, num. 7, p. 400-408http://dx.doi.org/10.4321/S1130-01082013000700005(c) Aran Ediciones, 2013info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/993812026-05-27T06:46:51Z
dc.title.none.fl_str_mv Colonoscopy quality assessment in a mass population screening programme based on faecal occult blood test
title Colonoscopy quality assessment in a mass population screening programme based on faecal occult blood test
spellingShingle Colonoscopy quality assessment in a mass population screening programme based on faecal occult blood test
Binefa i Rodríguez, Gemma
Colonoscòpia
Indicadors de salut
Càncer colorectal
Cribratge
Programes de prevenció
Colonoscopy
Health status indicators
Colorectal cancer
Medical screening
Prevention programs
title_short Colonoscopy quality assessment in a mass population screening programme based on faecal occult blood test
title_full Colonoscopy quality assessment in a mass population screening programme based on faecal occult blood test
title_fullStr Colonoscopy quality assessment in a mass population screening programme based on faecal occult blood test
title_full_unstemmed Colonoscopy quality assessment in a mass population screening programme based on faecal occult blood test
title_sort Colonoscopy quality assessment in a mass population screening programme based on faecal occult blood test
dc.creator.none.fl_str_mv Binefa i Rodríguez, Gemma
García Martínez, Montserrat
Milà, Núria
Rodríguez Alonso, Lorena
Rodríguez Moranta, Francisco
Guardiola, Jordi
Moreno Aguado, Víctor
author Binefa i Rodríguez, Gemma
author_facet Binefa i Rodríguez, Gemma
García Martínez, Montserrat
Milà, Núria
Rodríguez Alonso, Lorena
Rodríguez Moranta, Francisco
Guardiola, Jordi
Moreno Aguado, Víctor
author_role author
author2 García Martínez, Montserrat
Milà, Núria
Rodríguez Alonso, Lorena
Rodríguez Moranta, Francisco
Guardiola, Jordi
Moreno Aguado, Víctor
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Colonoscòpia
Indicadors de salut
Càncer colorectal
Cribratge
Programes de prevenció
Colonoscopy
Health status indicators
Colorectal cancer
Medical screening
Prevention programs
topic Colonoscòpia
Indicadors de salut
Càncer colorectal
Cribratge
Programes de prevenció
Colonoscopy
Health status indicators
Colorectal cancer
Medical screening
Prevention programs
description Background and aim: the success of colorectal cancer (CRC) screening programmes largely depends on the quality of the events, processes and outcomes and therefore, quality assurance of endoscopy is an essential component. The quality indicators for colonoscopy in a screening programme setting are different from those performed in symptomatic people. The objective of this study was to report the main quality indicators of colonoscopies performed after a positive faecal occult blood test (FOBT) in a CRC screening programme in Catalonia. Methods: the period of study includes three rounds of the CRC screening programme from June 2006 to July 2013. Two types of FOBT were used: a qualitative biochemical guaiac-based test (gFOBT) and a quantitative immunochemical test (FIT). Quality indicators analysed in this study were compared to recommended colonoscopy standards from the published guidelines. Results: during the study period, 1,806 colonoscopies were performed in 1,691 individuals with a positive FOBT. All indicators were within the standard except waiting time to colonoscopy. Caecal intubation rate was 95.6 % and adequate bowel cleansing 93.6 %. Adenoma detection rate was better using FIT than gFOBT, 30.7 and 3.8 per 1,000 screenees, respectively. Cancer detection rate was also greater using FIT. Nearly 62 % of cancers were diagnosed at an early stage. The overall complication rate was 10.7 . Conclusion: although the majority of results reached the recommended standards, some areas have been identified for quality enhancement. Continuous monitoring of quality indicators is essential for improving the current effectiveness of CRC screening programmes.
publishDate 2013
dc.date.none.fl_str_mv 2013
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/99381
url https://hdl.handle.net/2445/99381
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: http://dx.doi.org/10.4321/S1130-01082013000700005
Revista Española de Enfermedades Digestivas, 2013, vol. 105, num. 7, p. 400-408
http://dx.doi.org/10.4321/S1130-01082013000700005
dc.rights.none.fl_str_mv (c) Aran Ediciones, 2013
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) Aran Ediciones, 2013
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Aran Ediciones
publisher.none.fl_str_mv Aran Ediciones
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,301603

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