Revision of Quality Indicators for the Endoscopy Quality Improvement Program of the National Cancer Screening Program in Korea

Overview

Journal Clin Endosc

Date 2018 Jun 8

PMID 29874905

Citations 16

Authors

Jun Ki Min

Jae Myung Cha

Yu Kyung Cho

Jie-Hyun Kim

Soon Man Yoon

Jong Pil Im

Yunho Jung

Jeong Seop Moon

Jin-Oh Kim

Yoon Tae Jeen

Affiliations

Soon will be listed here.

Abstract

Gastroscopy and colonoscopy are widely used for the early diagnosis of stomach and colorectal cancer. The present revision integrates recent data regarding previous quality indicators and novel indicators suggested for gastroscopy and colonoscopy procedures for the National Cancer Screening Program in Korea. The new indicators, developed by the Quality Improvement Committee of the Korean Society for Gastrointestinal Endoscopy, vary in the level of supporting evidence, and most are based solely on expert opinion. Updated indicators validated by clinical research were prioritized, but were chosen by expert consensus when such studies were absent. The resultant quality indicators were graded according to the levels of consensus and recommendations. The updated indicators will provide a relevant guideline for high-quality endoscopy. The future direction of quality indicator development should include relevant outcome measures and an evidence-based approach to support proposed performance targets.

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References

Yoo K . Cancer control activities in the Republic of Korea. Jpn J Clin Oncol. 2008; 38(5):327-33. DOI: 10.1093/jjco/hyn026. View

Froehlich F, Wietlisbach V, Gonvers J, Burnand B, Vader J . Impact of colonic cleansing on quality and diagnostic yield of colonoscopy: the European Panel of Appropriateness of Gastrointestinal Endoscopy European multicenter study. Gastrointest Endosc. 2005; 61(3):378-84. DOI: 10.1016/s0016-5107(04)02776-2. View

Rex D, Imperiale T, Latinovich D, Bratcher L . Impact of bowel preparation on efficiency and cost of colonoscopy. Am J Gastroenterol. 2002; 97(7):1696-700. DOI: 10.1111/j.1572-0241.2002.05827.x. View

Kahi C, Hewett D, Norton D, Eckert G, Rex D . Prevalence and variable detection of proximal colon serrated polyps during screening colonoscopy. Clin Gastroenterol Hepatol. 2010; 9(1):42-6. DOI: 10.1016/j.cgh.2010.09.013. View

Lee S, Chung I, Kim S, Kim J, Ko B, Hwangbo Y . An adequate level of training for technical competence in screening and diagnostic colonoscopy: a prospective multicenter evaluation of the learning curve. Gastrointest Endosc. 2008; 67(4):683-9. DOI: 10.1016/j.gie.2007.10.018. View

Bretthauer M, Aabakken L, Dekker E, Kaminski M, Rosch T, Hultcrantz R . Requirements and standards facilitating quality improvement for reporting systems in gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement. Endoscopy. 2016; 48(3):291-4. DOI: 10.1055/s-0042-100186. View

Lee S, Jun J, Suh M, Park B, Noh D, Jung K . Gastric cancer screening uptake trends in Korea: results for the National Cancer Screening Program from 2002 to 2011: a prospective cross-sectional study. Medicine (Baltimore). 2015; 94(8):e533. PMC: 4554157. DOI: 10.1097/MD.0000000000000533. View

Cha J, Moon J, Chung I, Kim J, Im J, Cho Y . National Endoscopy Quality Improvement Program Remains Suboptimal in Korea. Gut Liver. 2016; 10(5):699-705. PMC: 5003191. DOI: 10.5009/gnl15623. View

Oh H, Kim J . Clinical Practice Guidelines for Endoscope Reprocessing. Clin Endosc. 2015; 48(5):364-8. PMC: 4604272. DOI: 10.5946/ce.2015.48.5.364. View

10.

Ford A, Gurusamy K, Delaney B, Forman D, Moayyedi P . Eradication therapy for peptic ulcer disease in Helicobacter pylori-positive people. Cochrane Database Syst Rev. 2016; 4:CD003840. PMC: 7163278. DOI: 10.1002/14651858.CD003840.pub5. View

11.

Anderson M, Ben-Menachem T, Gan S, Appalaneni V, Banerjee S, Cash B . Management of antithrombotic agents for endoscopic procedures. Gastrointest Endosc. 2009; 70(6):1060-70. DOI: 10.1016/j.gie.2009.09.040. View

12.

Rey J, Lambert R . ESGE recommendations for quality control in gastrointestinal endoscopy: guidelines for image documentation in upper and lower GI endoscopy. Endoscopy. 2001; 33(10):901-3. DOI: 10.1055/s-2001-42537. View

13.

Rizk M, Sawhney M, Cohen J, Pike I, Adler D, Dominitz J . Quality indicators common to all GI endoscopic procedures. Gastrointest Endosc. 2014; 81(1):3-16. DOI: 10.1016/j.gie.2014.07.055. View

14.

Cha J . [Quality improvement of gastrointestinal endoscopy in Korea: past, present, and future]. Korean J Gastroenterol. 2014; 64(6):320-32. DOI: 10.4166/kjg.2014.64.6.320. View

15.

Yamazato T, Oyama T, Yoshida T, Baba Y, Yamanouchi K, Ishii Y . Two years' intensive training in endoscopic diagnosis facilitates detection of early gastric cancer. Intern Med. 2012; 51(12):1461-5. DOI: 10.2169/internalmedicine.51.7414. View

16.

Ahn C, Hwang Y, Park S . Predictors of all-cause mortality among 514,866 participants from the Korean National Health Screening Cohort. PLoS One. 2017; 12(9):e0185458. PMC: 5619780. DOI: 10.1371/journal.pone.0185458. View

17.

Calderwood A, Chapman F, Cohen J, Cohen L, Collins J, Day L . Guidelines for safety in the gastrointestinal endoscopy unit. Gastrointest Endosc. 2014; 79(3):363-72. PMC: 3980655. DOI: 10.1016/j.gie.2013.12.015. View

18.

Enestvedt B, Eisen G, Holub J, Lieberman D . Is the American Society of Anesthesiologists classification useful in risk stratification for endoscopic procedures?. Gastrointest Endosc. 2013; 77(3):464-71. PMC: 3816502. DOI: 10.1016/j.gie.2012.11.039. View

19.

Cha J, Han D, Lee H, Kim Y, Chung I, Kim H . Endoscopist specialty is associated with high-quality endoscopy in Korea. Yonsei Med J. 2012; 53(2):310-7. PMC: 3282978. DOI: 10.3349/ymj.2012.53.2.310. View

20.

Schoenfeld P, Cohen J . Quality indicators for colorectal cancer screening for colonoscopy. Tech Gastrointest Endosc. 2013; 15(2):59-68. PMC: 3790322. DOI: 10.1016/j.tgie.2013.02.005. View