Standardized colonoscopy reporting and data system: Report of the Quality Assurance Task Group of the National Colorectal Cancer Roundtable

Section of Gastroenterology, Boston University, Boston, Massachusetts, United States
Gastrointestinal Endoscopy (Impact Factor: 5.37). 06/2007; 65(6):757-66. DOI: 10.1016/j.gie.2006.12.055
Source: PubMed


Standardized reporting systems for diagnostic and screening tests facilitate quality improvement programs and clear communication among health care providers. Although colonoscopy is commonly used for screening, diagnosis, and therapy, no standardized reporting system for this procedure currently exists. The Quality Assurance Task Group of the National Colorectal Cancer Roundtable developed a reporting and data system for colonoscopy based on continuous quality improvement indicators.
The Task Group systematically reviewed quality indicators recommended by the Multi-Society Task Force on Colorectal Cancer and developed consensus-based terminology for reporting and data systems to capture these data elements. The Task Group included experts in several disciplines: gastroenterology, primary care, diagnostic imaging, and health care delivery.
The standardized colonoscopy reporting and data system provides a tool that can be used for efforts in continuous quality improvement within and across practices that use colonoscopy.

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    • "The key indicators proposed were: preprocedure (appropriate indication and use of surveillance intervals, informed consent); intraprocedure (documentation of quality of bowel preparation, cecal intubation rates with photodocumentation of cecal landmarks, adenoma detection rate, withdrawal time >6 minutes, adequate resection of polyps); postprocedure (measurement of incidence of perforation, post-polypectomy bleeding and nonoperative management of post-polypectomy bleeding). Lieberman was the lead author of the report of the Quality Assurance Task Group of the National Colorectal Cancer Roundtable that developed a reporting and data system for colonoscopy to assist endoscopists in monitoring quality indicators in their practice.10 European guidelines for quality assurance in CRC screening and diagnosis have recently been published.11 "
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    • "We have heard anecdotally from some programs that some endoscopists " chart by exception " , meaning they only mention the quality of the bowel preparation when it is inadequate. However, CO-RADS recommends that endoscopists explicitly document whether they believe bowel preparation was adequate to allow the detection of lesions larger than 5 mm [20]. "
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