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Quality is the Key for Emerging Issues of Population-Based Colonoscopy Screening
Jin Young Yoon1, Jae Myung Cha1, Yoon Tae Jeen2
1Division of Gastroenterology, Department of Internal Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.
Clinical Endoscopy
|February 6, 2018
Summary
Colonoscopy is the gold standard for colorectal cancer (CRC) screening, but low participation and potential harms necessitate careful risk-benefit assessment. Improving colonoscopy quality through training and regulation is crucial for effective population-based screening.
Area of Science:
- Gastroenterology and Oncology
- Public Health and Preventive Medicine
Background:
- Colonoscopy is the preferred method for colorectal cancer (CRC) screening.
- Low participation rates and potential harms can limit the effectiveness of population-based screening programs.
Purpose of the Study:
- To evaluate the risks and benefits of population-based colonoscopy screening for CRC.
- To identify strategies for managing and monitoring adverse events associated with colonoscopy screening.
Main Methods:
- Review of existing literature on colonoscopy screening efficacy, harms, and quality metrics.
- Analysis of factors influencing participation rates and patient preferences.
- Discussion of quality improvement initiatives, including training and regulation of endoscopists.
Main Results:
- Potential harms of colonoscopy screening include complications, sedation risks, psychosocial distress, over-diagnosis, and socioeconomic burden, which may increase with age and comorbidities.
- Suboptimal colonoscopy quality is a significant challenge in population-based screening programs.
Conclusions:
- A consensus on risks, benefits, patient preferences, and socioeconomic factors is needed for population-based colonoscopy screening.
- Improving colonoscopy quality through adequate training, regulation, auditing, and continuous quality improvement is paramount for effective CRC prevention.
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