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Annals colonoscopy study underscores importance of quality standards
December 18, 2008A study by Baxter, et al. released this week and scheduled to be published in the Jan. 6, 2009, edition of Annals of Internal Medicine, concluded that while screening colonoscopy is associated with fewer deaths from colorectal cancer, the association is primarily limited to deaths from cancer developing in the left side of the colon.
This confirms the value of colonoscopy as a screening test and clarifies a possible weakness: detecting polyps on the right side of the colon. While the findings were notable, it's important to note that the study enrolled patients starting more than a decade ago. During the past decade, there have been significant advances in how colonoscopies are performed and in the colonoscopes themselves with wider fields of view and better optics.
"It's of paramount importance that physicians perform a colonoscopy examination as effectively as possible," notes Robert Sandler, MD, AGAF, president of the AGA Institute. "Gastroenterologists are aware of the need to slowly withdraw the colonoscope and to carefully examine the right colon for flat polyps. The most important variable in colonoscopy is the skill of the physician performing the test. Having a well trained, careful endoscopist who is aware of the newest ideas and techniques is a patient's best protection against poor results."
The AGA and other professional societies are working to make quality care a priority for the medical community. To define high-quality colonoscopy, the AGA directs physicians, purchasers and the public to the standards for endoscopy and polyp surveillance created by the AGA and ASGE through the Physician Consortium for Performance Improvement and the National Committee for Quality Assurance. We urge all who perform colonoscopy to adhere to this physician performance measure set.
Of particular relevance is Measure #3: Comprehensive Colonoscopy Documentation. It notes that the final reports include documentation of all of the following:
* Pre-procedure risk assessment
* Depth of insertion of the colonoscope
* Quality of the bowel preparation
* Complete description of the polyps found, including the location of each polyp, size, number and gross morphology
* Recommendations for follow up
American Gastroenterological Association
The AGA and other professional societies are working to make quality care a priority for the medical community. To define high-quality colonoscopy, the AGA directs physicians, purchasers and the public to the standards for endoscopy and polyp surveillance created by the AGA and ASGE through the Physician Consortium for Performance Improvement and the National Committee for Quality Assurance. We urge all who perform colonoscopy to adhere to this physician performance measure set.
Of particular relevance is Measure #3: Comprehensive Colonoscopy Documentation. It notes that the final reports include documentation of all of the following:
* Pre-procedure risk assessment
* Depth of insertion of the colonoscope
* Quality of the bowel preparation
* Complete description of the polyps found, including the location of each polyp, size, number and gross morphology
* Recommendations for follow up
American Gastroenterological Association
Colonoscopy Current Events and Colonoscopy News RSSColon cancer screening more effective earlier in day, UCLA study finds
The effectiveness of a screening colonoscopy may depend on the time of day it is performed. According to a new UCLA study, early-morning colonoscopies yielded more polyps per patient than later screenings, and fewer polyps were found hour by hour as the day progressed.
Residents play key role in CT colonography awareness and promoting the radiology specialty
Residents can serve a vital role in educating Congress, the medical community, and the general public regarding the efficacy of cutting-edge technologies like CT colonography (CTC) as well as the importance of radiologists' training and education and the role that radiologists serve in the provision of quality health care.
High-definition Colonoscopy Detects More Polyps, Mayo Clinic Researchers Say
High-definition (HD) colonoscopy is much more sensitive than standard colonoscopy in finding polyps that could morph into cancer, say researchers at the Mayo Clinic campus in Florida.
Study shows unsedated colonoscopy for colorectal cancer screening well accepted by patients
Researchers from Taiwan report in a new study that unsedated colonoscopy for primary colorectal cancer screening is well accepted in a majority of patients.
M. D. Anderson redefines screening guidelines for breast, cervical and colorectal cancers
Drawing on years of experience in cancer research and patient care, The University of Texas M. D. Anderson Cancer Center released today the most comprehensive, risk-based screening guidelines publicly available to date for breast, cervical and colorectal cancers.
How to Lower Costs, Waiting Times for Colonoscopies
Colorectal cancer is a leading cause of cancer-related deaths in the United States, leading to over 50,000 fatalities every year.
New blood tests promise simple, cost-effective diagnosis of gastrointestinal cancers
Promising results from two new blood tests that can aid in the early identification of patients with gastrointestinal (GI) cancers will be presented at Europe's largest cancer congress.
Gut Ecology in Transplant Patients
Small-bowel transplant patients with an ileostomy -- an opening into their small bowel -- have a very different population of bacteria living in their gut than patients whose ileostomy has been closed, researchers from UC Davis and Georgetown University Medical Center have found.
How to increase colonoscopy attendance?
In view of low attendance rate for colonoscopy screening for colorectal cancer (CRC), it is necessary to establish effective intervention methods to increase colonoscopy compliance.
Reinterpretation of proximal colon polyps called hyperplastic in 2001
Serrated colorectal polyps include the subgroups hyperplastic polyps, sessile serrated polyps (also called sessile serrated adenomas), and serrated adenomas.
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Colonoscopy Also With: Milner-Fenwick (Producer) This video outlines why patients may require a colonoscopy, including to screen for colorectal cancer. It helps array patients' fears by showing them what to expect throughout this procedure. The video explains cleansing preparations, possible complications, side effects and recovery. Scenes of polyps and their removal shot through the scope will help patients understand the importance of this procedure. Approx. 10 minutes long. | |
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