Quality in the technical performance of screening flexible sigmoidoscopy: Recommendations of an international multi-society task group Journal Article
| Authors: | Levin, T. R.; Farraye, F. A.; Schoen, R. E.; Hoff, G.; Atkin, W.; Bond, J. H.; Winawer, S.; Burt, R. W.; Johnson, D. A.; Kirk, L. M.; Litin, S. C.; Rex, D. K. |
| Article Title: | Quality in the technical performance of screening flexible sigmoidoscopy: Recommendations of an international multi-society task group |
| Abstract: | Background: Flexible sigmoidoscopy (FS) is a complex technical procedure performed in a variety of settings, by examiners with diverse professional backgrounds, training, and experience. Potential variation in technical quality may have a profound impact on the effectiveness of FS on the early detection and prevention of colorectal cancer. Aim: We propose a set of consensus and evidence based recommendations to assist the development of continuous quality improvement programmes around the delivery of FS for colorectal cancer screening. Recommendations: These recommendations address the intervals between FS examinations, documentation of results, training of endoscopists, decision making around referral for colonoscopy, policies for antibiotic prophylaxis and management of anticoagulation, insertion of the FS endoscope, bowel preparation, complications, the use of non-physicians as FS endoscopists, and FS endoscope reprocessing. For each of these areas, continuous quality improvement targets are recommended, and research questions are proposed. |
| Keywords: | patient satisfaction; antibiotic agent; sensitivity and specificity; colorectal cancer; cancer screening; mass screening; practice guideline; colorectal neoplasms; health care policy; health care quality; early diagnosis; thromboembolism; education, medical, continuing; anticoagulants; warfarin; referral and consultation; colorectal surgery; anticoagulation; informed consent; antibiotic prophylaxis; gastrointestinal endoscopy; sigmoidoscopy; patient referral; medical staff, hospital; anticoagulant agent; endocarditis |
| Journal Title: | Gut |
| Volume: | 54 |
| Issue: | 6 |
| ISSN: | 0017-5749 |
| Publisher: | BMJ Publishing Group Ltd. |
| Date Published: | 2005-06-01 |
| Start Page: | 807 |
| End Page: | 813 |
| Language: | English |
| DOI: | 10.1136/gut.2004.052282 |
| PUBMED: | 15888789 |
| PROVIDER: | scopus |
| PMCID: | PMC1774519 |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 27" - "Export Date: 24 October 2012" - "CODEN: GUTTA" - "Source: Scopus" |
