National endoscopy quality improvement program remains suboptimal in Korea

Jae Myung Cha, Jeong Seop Moon, Il Kwun Chung, Jin Oh Kim, Jong Pil Im, Yu Kyung Cho, Hyun Gun Kim, Sang Kil Lee, Hang Lak Lee, Jae Young Jang, Eun-Sun Kim, Yunho Jung, Chang Mo Moon, Yeol Kim, Bo Young Park

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background/Aims: We evaluated the characteristics of the National Cancer Screening Program (NCSP) and opinions regarding the National Endoscopy Quality Improvement Program (NEQIP). Methods: We surveyed physicians performing esophagogastroduodenoscopy and/or colonoscopy screenings as part of the NCSP via e-mail between July and August in 2015. The 32-item survey instrument included endoscopic capacity, sedation, and reprocessing of endoscopes as well as opinions regarding the NEQIP. Results: A total of 507 respondents were analyzed after the exclusion of 40 incomplete answers. Under the current capacity of the NCSP, the typical waiting time for screening endoscopy was less than 4 weeks in more than 90% of endoscopy units. Performance of endoscopy reprocessing was suboptimal, with 28% of respondents using unapproved disinfectants or not knowing the main ingredient of their disinfectants and 15% to 17% of respondents not following reprocessing protocols. Agreement with the NEQIP was optimal, because only 5.7% of respondents did not agree with NEQIP; however, familiarity with the NEQIP was suboptimal, because only 37.3% of respondents were familiar with the NEQIP criteria. Conclusions: The NEQIP remains suboptimal in Korea. Given the suboptimal performance of endoscopy reprocessing and low familiarity with the NEQIP, improved quality in endoscopy reprocessing and better understanding of the NEQIP should be emphasized in Korea.

Original languageEnglish
Pages (from-to)699-705
Number of pages7
JournalGut and Liver
Volume10
Issue number5
DOIs
Publication statusPublished - 2016 Sep 1

Fingerprint

Korea
Quality Improvement
Endoscopy
Early Detection of Cancer
Disinfectants
Digestive System Endoscopy
Endoscopes
Postal Service
Colonoscopy
Surveys and Questionnaires

Keywords

  • Colorectal neoplasms
  • Endoscopy
  • Gastrointestinal
  • Mass screening
  • Quality
  • Stomach neoplasms

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

Cite this

Cha, J. M., Moon, J. S., Chung, I. K., Kim, J. O., Im, J. P., Cho, Y. K., ... Park, B. Y. (2016). National endoscopy quality improvement program remains suboptimal in Korea. Gut and Liver, 10(5), 699-705. https://doi.org/10.5009/gnl15623

National endoscopy quality improvement program remains suboptimal in Korea. / Cha, Jae Myung; Moon, Jeong Seop; Chung, Il Kwun; Kim, Jin Oh; Im, Jong Pil; Cho, Yu Kyung; Kim, Hyun Gun; Lee, Sang Kil; Lee, Hang Lak; Jang, Jae Young; Kim, Eun-Sun; Jung, Yunho; Moon, Chang Mo; Kim, Yeol; Park, Bo Young.

In: Gut and Liver, Vol. 10, No. 5, 01.09.2016, p. 699-705.

Research output: Contribution to journalArticle

Cha, JM, Moon, JS, Chung, IK, Kim, JO, Im, JP, Cho, YK, Kim, HG, Lee, SK, Lee, HL, Jang, JY, Kim, E-S, Jung, Y, Moon, CM, Kim, Y & Park, BY 2016, 'National endoscopy quality improvement program remains suboptimal in Korea', Gut and Liver, vol. 10, no. 5, pp. 699-705. https://doi.org/10.5009/gnl15623
Cha JM, Moon JS, Chung IK, Kim JO, Im JP, Cho YK et al. National endoscopy quality improvement program remains suboptimal in Korea. Gut and Liver. 2016 Sep 1;10(5):699-705. https://doi.org/10.5009/gnl15623
Cha, Jae Myung ; Moon, Jeong Seop ; Chung, Il Kwun ; Kim, Jin Oh ; Im, Jong Pil ; Cho, Yu Kyung ; Kim, Hyun Gun ; Lee, Sang Kil ; Lee, Hang Lak ; Jang, Jae Young ; Kim, Eun-Sun ; Jung, Yunho ; Moon, Chang Mo ; Kim, Yeol ; Park, Bo Young. / National endoscopy quality improvement program remains suboptimal in Korea. In: Gut and Liver. 2016 ; Vol. 10, No. 5. pp. 699-705.
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abstract = "Background/Aims: We evaluated the characteristics of the National Cancer Screening Program (NCSP) and opinions regarding the National Endoscopy Quality Improvement Program (NEQIP). Methods: We surveyed physicians performing esophagogastroduodenoscopy and/or colonoscopy screenings as part of the NCSP via e-mail between July and August in 2015. The 32-item survey instrument included endoscopic capacity, sedation, and reprocessing of endoscopes as well as opinions regarding the NEQIP. Results: A total of 507 respondents were analyzed after the exclusion of 40 incomplete answers. Under the current capacity of the NCSP, the typical waiting time for screening endoscopy was less than 4 weeks in more than 90{\%} of endoscopy units. Performance of endoscopy reprocessing was suboptimal, with 28{\%} of respondents using unapproved disinfectants or not knowing the main ingredient of their disinfectants and 15{\%} to 17{\%} of respondents not following reprocessing protocols. Agreement with the NEQIP was optimal, because only 5.7{\%} of respondents did not agree with NEQIP; however, familiarity with the NEQIP was suboptimal, because only 37.3{\%} of respondents were familiar with the NEQIP criteria. Conclusions: The NEQIP remains suboptimal in Korea. Given the suboptimal performance of endoscopy reprocessing and low familiarity with the NEQIP, improved quality in endoscopy reprocessing and better understanding of the NEQIP should be emphasized in Korea.",
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AU - Chung, Il Kwun

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AU - Im, Jong Pil

AU - Cho, Yu Kyung

AU - Kim, Hyun Gun

AU - Lee, Sang Kil

AU - Lee, Hang Lak

AU - Jang, Jae Young

AU - Kim, Eun-Sun

AU - Jung, Yunho

AU - Moon, Chang Mo

AU - Kim, Yeol

AU - Park, Bo Young

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AB - Background/Aims: We evaluated the characteristics of the National Cancer Screening Program (NCSP) and opinions regarding the National Endoscopy Quality Improvement Program (NEQIP). Methods: We surveyed physicians performing esophagogastroduodenoscopy and/or colonoscopy screenings as part of the NCSP via e-mail between July and August in 2015. The 32-item survey instrument included endoscopic capacity, sedation, and reprocessing of endoscopes as well as opinions regarding the NEQIP. Results: A total of 507 respondents were analyzed after the exclusion of 40 incomplete answers. Under the current capacity of the NCSP, the typical waiting time for screening endoscopy was less than 4 weeks in more than 90% of endoscopy units. Performance of endoscopy reprocessing was suboptimal, with 28% of respondents using unapproved disinfectants or not knowing the main ingredient of their disinfectants and 15% to 17% of respondents not following reprocessing protocols. Agreement with the NEQIP was optimal, because only 5.7% of respondents did not agree with NEQIP; however, familiarity with the NEQIP was suboptimal, because only 37.3% of respondents were familiar with the NEQIP criteria. Conclusions: The NEQIP remains suboptimal in Korea. Given the suboptimal performance of endoscopy reprocessing and low familiarity with the NEQIP, improved quality in endoscopy reprocessing and better understanding of the NEQIP should be emphasized in Korea.

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