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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.
Intestinal Research
|February 10, 2018
Summary
Colonoscopy is the gold standard for colorectal cancer (CRC) screening, but low participation and potential harms like complications and distress can limit its benefit. Careful management of risks and quality improvement are essential for effective population-based CRC screening.
Area of Science:
- Gastroenterology
- Preventive Medicine
- Public Health
Background:
- Colonoscopy is the preferred method for colorectal cancer (CRC) screening.
- Low participation rates and potential harms can diminish the benefits of population-based colonoscopy screening.
- Adverse effects of colonoscopy may increase with age and comorbidities.
Purpose of the Study:
- To evaluate the balance of risks and benefits in population-based colonoscopy screening for CRC.
- To identify key considerations for the successful implementation of screening programs.
- To emphasize the importance of quality improvement and professional training.
Main Methods:
- Review of current literature on colonoscopy screening for CRC.
- Analysis of potential benefits, harms, and socioeconomic factors.
- Discussion of strategies for quality assurance and professional development.
Main Results:
- The benefits of colonoscopy screening can be offset by low participation and adverse events.
- Potential harms include procedural complications, sedation risks, psychosocial distress, over-diagnosis, and socioeconomic burden.
- Suboptimal colonoscopy quality is a significant challenge in population-based screening.
Conclusions:
- A consensus on risks, benefits, patient preferences, and socioeconomic factors is needed for population-based colonoscopy screening.
- Minimizing variations in colonoscopy quality through training and regulation is crucial.
- Gastroenterologists must actively promote quality improvement, auditing, and training for effective CRC prevention programs.
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