Quality Indicators for Colonoscopy

Post-Colonoscopy Complications: A Systematic Review, Time Trends, and Meta-Analysis of Population-Based Studies

“…Real-life postcolonoscopy complication rate could be higher. Some studies included self-reported complications by physicians, whereas others practice ( 29,47,49 ). Systematic training of endoscopic resection techniques is increasingly implemented (hands-on training and video-training) ( 50 )).…”

“…Th e American Society for Gastrointestinal Endoscopy (ASGE)/American College of Gastroenterology (ACG) Task Force on Quality in Endoscopy recommends that the post-polypectomy "bleeding" rate and post-colonoscopy "perforation" should be ≤1/100 and ≤1 per 500 colonoscopies (≤1/1,000 in screening) ( 28,29 ). In screening colonoscopy, the European Society of Gastrointestinal Endoscopy (ESGE) proposes that "bleeding" should require surgery in ≤5/100 and "perforation" in ≤1/1,000 ( 30 ).…”

Colorectal Cancer Screening

“…The reported rates of colonoscopic perforations varies between approximately 1 in 500 and less than 1 in 1000, 65 but the fatality of this complication has been estimated to about 5%. 50 Patients should also be informed about the risks and consequences of a false-negative or a false-positive test, which may result in false health reassurance or undue fear of serious disease.…”

“…Quality indicators for the performance of colonoscopy were outlined in 2002 and have since been updated based on emerging evidence. 49,50 Computed tomographic colonography…”

Utilidad de la Colonografía-TC o Colonoscopia virtual en la patología colorrectal

“…La tasa de la observación cecal es la métrica utilizada para asegurar la calidad de la CO, los endoscopistas eficaces deben ser capaces de intubar el ciego en una proporción igual o mayor al 90% de todos los casos e igual o mayor al 95% de los casos cuando la indicación se realiza en un adulto sano 135 . Aunque a veces llegar a la visualización total del colon puede estar lejos del estándar de alta calidad 136 .…”