Quality is the Key for Emerging Issues of Population-based Colonoscopy Screening

Quality Improvement Committee of Korean Society of Gastrointestinal Endoscopy (KSGE) and Medical Policy Committee of Korean Association for the Study of Intestinal Research (KASID)

    Research output: Contribution to journalReview articlepeer-review

    Abstract

    Colonoscopy is currently regarded as the gold standard and preferred method of screening for colorectal cancer (CRC). However, the benefit of colonoscopy screening may be blunted by low participation rate in population-based screening program. Harmful effects of population-based colonoscopy screening may include complications induced by colonoscopy itself and by sedation, psychosocial distress, potential over-diagnosis and socioeconomic burden. In addition, harmful effect of colonoscopy may increase with age and comorbidity. As the adverse event risk in population-based colonoscopy screening may offset benefit of the screening colonoscopy, the adverse events associated with screening colonoscopy should be well managed and monitored. To adopt population-based colonoscopy screening, consensus for the risk and benefits of screening colonoscopy should be formed for its potential harms, patient preference, socioeconomic considerations, quality improvement of colonoscopy as well as its efficacy for CRC prevention. As the suboptimal colonoscopy quality is a major pitfall of population-based colonoscopy screening, adequate training and provider regulation for screening colonoscopists should be the first step to minimize the variation of quality between colonoscopists. Gastroenterologists should lead quality improvement, auditing, and training associated with colonoscopy in a population-based colonoscopy screening program.

    Original languageEnglish
    Pages (from-to)3-9
    Number of pages7
    JournalThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi
    Volume71
    Issue number1
    DOIs
    Publication statusPublished - 2018 Jan 25

    Keywords

    • Colonic neoplasms
    • Colonoscopy
    • Mass screening
    • Quality
    • Safety

    ASJC Scopus subject areas

    • Medicine(all)

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