Quality measures for colonoscopy: where should we be in 2015?

Current Gastroenterology Reports
John I Allen

Abstract

Colonoscopy is an effective colorectal cancer (CRC) screening and prevention modality as evidenced by a 30-year decline in both incident colon cancers and CRC mortality in the USA. The USA is unique among the developed countries in its use of colonoscopy as the most common method to screen for CRC. Individual patients gain maximum value from their colonoscopy experience when they undergo a comfortable exam that is of highest quality, during which all polyps are found and removed safely and completely, where their physicians adhere to all appropriate guidelines and when they (or their insurance) pay a reasonable amount for their care. Colonoscopy "quality" publications to date have been focused on how to improve the individual physician's procedural results and this narrow focus has birthed an entire industry (usually based on entering data into a national registry) that is focused on demonstrating a physician's success in achieving a certain threshold performance metric that is usually (a) marginally related to true health outcomes, (b) can be captured from the myriad electronic medical records (EMR) in existence today, and (c) is attainable by most practicing gastroenterologists. Medical societies have worked diligently to lin...Continue Reading

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Citations

Dec 29, 2015·Gastroenterology·John I AllenJoel V Brill
Mar 22, 2016·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Sameer D SainiZiad F Gellad
Dec 17, 2015·World Journal of Gastroenterology : WJG·Mark BenedictXuchen Zhang
Jun 9, 2017·Current Opinion in Gastroenterology·Megan A AdamsJohn I Allen

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