Clinical practice Guidelines: quality of colonoscopy in colorectal cancer screening

Jover, Rodrigo; Herráiz, Maite; Alarcón, Onofre; Brullet, Enric; Bujanda, Luís; Bustamante, Marco; Campo, Rafel; Carreño, Rosario Granados; Castells, Antoni; Cubiella, Joaquín; García-Iglesias, Pilar; Hervás, Antonio; Menchén, Pedro; Ono, Akiko; Panadés, Agustí; Parra‐Blanco, Adolfo; Pellisé, María; Ponce, Marta; Quintero, Enrique; Reñé, Josep–Maria; Río, A. Sánchez del; Seoane, Agustín; Serradesanferm, Anna; Izquierdo, A. Soriano; Sequeiros, E. Vázquez

doi:10.1055/s-0032-1306690

Cited by 133 publications

(163 citation statements)

References 53 publications

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“…Numerous screening programmes, or scientific societies in their respective countries, have developed or recommended evidence-based guidelines and standards dealing with key elements of the screening process; see for example [53][54][55][56][57]. The EU guidelines are unique, however, because of their broad scope and detail and because they do not focus on indicating which methods can be recommended for screening.…”

Section: Discussionmentioning

confidence: 99%

European guidelines for quality assurance in colorectal cancer screening and diagnosis: Overview and introduction to the full Supplement publication

Karsa¹,

Patnick²,

Segnan³

et al. 2012

Endoscopy

250

187

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Population-based screening for early detection and treatment of colorectal cancer (CRC) and precursor lesions, using evidence-based methods, can be effective in populations with a significant burden of the disease provided the services are of high quality. Multidisciplinary, evidence-based guidelines for quality assurance in CRC screening and diagnosis have been developed by experts in a project co-financed by the European Union. The 450-page guidelines were published in book format by the European Commission in 2010.They include 10 chapters and over 250 recommendations, individually graded according to the strength of the recommendation and the supporting evidence. Adoption of the recommendations can improve and maintain the quality and effectiveness of an entire screening process, including identification and invitation of the target population, diagnosis and management of the disease and appropriate surveillance in people with detected lesions. To make the principles, recommendations and standards in the guidelines known to a wider professional and scientific community and to facilitate their use in the scientific literature, the original content is presented in journal format in an open-access Supplement of Endoscopy. The editors have prepared the present overview to inform readers of the comprehensive scope and content of the guidelines. IntroductionAccording to recent estimates by the International Agency for Research on Cancer [1], colorectal cancer (CRC) is the most common cancer in Europe with 432 000 new cases reported annually in men and women combined. It is the second most common cause of cancer deaths in Europe with 212 000 deaths reported in 2008.Worldwide, CRC ranks third in incidence and fourth in mortality with an estimated 1.2 million cases and 0.6 million deaths annually. In the 27 Member States of the European Union (EU), CRC ranks first in incidence and second in mortality, with approximately 334000 new cases and 149000 deaths estimated in 2008.Even in those Member States in the lower range for age-standardized rates of CRC, the burden of disease is significantly greater when compared with many other HHS Public Access Author Manuscript Author ManuscriptAuthor ManuscriptAuthor Manuscript regions of the world (see reference [1]). CRC is therefore an important health problem across the EU.Screening can be effective in cancer control in populations with a significant burden of CRC, provided the services are of high quality [2]. The aim of CRC screening is to lower the burden of cancer in the population by discovering disease in its early, latent stages [3]. Evidence-based methods permit treatment that is more effective than if disease is diagnosed later when symptoms have occurred. Early treatment of invasive lesions, for example by endoscopic resection of early CRC, can also be less detrimental for quality of life. The endoscopic removal of pre-malignant lesions also reduces the incidence of CRC by avoiding the progression to cancer. Randomized trials in people of average risk invite...

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Section: Discussionmentioning

confidence: 99%

European guidelines for quality assurance in colorectal cancer screening and diagnosis: Overview and introduction to the full Supplement publication

Karsa¹,

Patnick²,

Segnan³

et al. 2012

Endoscopy

250

187

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“…Colonoscopy was performed blind to FIT result. Bowel cleansing, sedation, and colonoscopy procedure were performed according to the Spanish Guidelines on Quality of Colonoscopy in colorectal cancer screening (20). All colonoscopies were performed by experienced endoscopists (>200 colonoscopies per year; ref.…”

Section: Study Interventionsmentioning

confidence: 99%

Characteristics of Adenomas Detected by Fecal Immunochemical Test in Colorectal Cancer Screening

Cubiella

Castro

Hernández

et al. 2014

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: Fecal immunochemical test (FIT) diagnostic accuracy for colorectal adenoma detection in colorectal cancer screening is limited.Methods: We analyzed 474 asymptomatic subjects with adenomas detected on colonoscopy in two blinded diagnostic tests studies designed to assess FIT diagnostic accuracy. We determined the characteristics of adenomas (number, size, histology, morphology, and location) and the risk of metachronous lesions (according to European guidelines). Finally, we performed a logistic regression to identify those variables independently associated with a positive result.Results: Advanced adenomas were found in 145 patients (75.6% distal and 24.3% only proximal to splenic flexure). Patients were classified as low (59. Conclusions: European guidelines classification and adenoma location correlates with the likelihood of a positive FIT result.Impact: This information allows us to understand the FIT impact in colorectal cancer prevention. Likewise, it should be taken into account in the development of new colorectal adenomas biomarkers. Cancer Epidemiol Biomarkers Prev; 23(9); 1884-92. Ó2014 AACR.

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“…The quality criterion is to achieve a preparation good or very good in 95% of scans (1)(2)(3). The preparation of the colon must be notified in the endoscopy report using validated assessment scales.…”

Section: Evaluation Of Preparation: Cleaning Scalesmentioning

confidence: 99%

“…The defining characteristics of high-quality colonoscopy is the examination of the entire colon, optimal cleaning of the colon and endoscope withdrawal time of 6-10 min from cecum to rectum (1)(2)(3). In this regard, insufficient preparation reduces the quality of the procedure, increases the risk of complications, decreases the rate of detection of adenomas, extends the exploration and induces a new application for endoscopy in a shorter time than recommended in the guidelines clinical practice (4).…”

Section: Introductionmentioning

confidence: 99%

Preparation for colonoscopy: types of scales and cleaning products

Lorenzo-Zúñiga

Moreno-de-Vega

Boix

2012

Rev. esp. enferm. dig.

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Adequate bowel preparation is essential before a colonoscopy, allowing us to make a proper examination of the entire mucosa. The ideal method of colon cleansing should be fast, safe, and get a proper cleaning with minimal discomfort for the patient. Today we have a wide variety of colon cleansing products, information sometimes becomes confused. A good colon preparation depends partly on correct choice of the same, but also upon dietary restriction. Knowledge of all these products, with their advantages and limitations, we can make a better selection for each patient, and although the efficacy is comparable, is the experience of the browser, patient preferences, and the degree of compliance with the instructions preparation, which greatly influence the results.

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Clinical practice Guidelines: quality of colonoscopy in colorectal cancer screening

Cited by 133 publications

References 53 publications

European guidelines for quality assurance in colorectal cancer screening and diagnosis: Overview and introduction to the full Supplement publication

European guidelines for quality assurance in colorectal cancer screening and diagnosis: Overview and introduction to the full Supplement publication

Characteristics of Adenomas Detected by Fecal Immunochemical Test in Colorectal Cancer Screening

Preparation for colonoscopy: types of scales and cleaning products

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