Year 2009 / Volume 101 / Number 2
Original
Colonoscopy quality assessment

pp. 107-116

Morán Sánchez, S. / Torrella, E. / Esteban Delgado, P. / Baños Madrid, R. / García, A. / Ono, A. / Pérez Cuadrado, E. / Parra, P. / Cruzado Quevedo, J. / Pérez Riquelme, F. / Carballo Álvarez, F.

Abstract
Aim: colonoscopy has become accepted as the most effective method for colon exploration. Some application problems have been detected in the setting of normal clinical care due to its wide range of uses in recent years, and therefore there is a need to measure colonoscopy quality. For that purpose valid quality indicators are necessary to be defined. The application process of some quality indicators is presented in this study. The proposed indicators in this study are: quality of bowel preparation, cecal intubation rate, withdrawal time, adenoma detection rate, and adenoma removal rate.
Material and method: this is a prospective 12-month study where colonoscopies performed in the VI health area of Murcia Region were evaluated. From February 2006 to February 2007 a total of 609 subjects were eligible for colonoscopy after a positive fecal blood test in the setting of a colorectal cancer screening program. A sample of thirty patients (n: 30) was considered representative to assess the reliability of quality indicators and for a preliminary analysis of results.
Results: indicators results are: quality of bowel preparation (87%), kappa 0.74 (95% CI: 0.48-0.99); cecal intubation rate (90%) 0.74 (95% CI: 0.49-0.99); adenoma detection and removal rate (96%), kappa: 0.78 (95% CI: 0.53-0.99); withdrawal time: 13.36 min (95% CI: 10.48-16.11). Kappa: 0.78 (95% CI: 0.49-0.99).
Conclusions: quality indicators definition and application in colonoscopy performance is possible. More studies are necessary to define the role of these indicators in the setting of clinical practice.
New comment
Comments
No comments for this article
Related articles
Citation tools
Morán Sánchez, S. / Torrella, E. / Esteban Delgado, P. / Baños Madrid, R. / García, A. / Ono, A. / Pérez Cuadrado, E. / Parra, P. / Cruzado Quevedo, J. / Pérez Riquelme, F. / Carballo Álvarez, F.. Colonoscopy quality assessment. 107-116


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 55 visits.
This article has been downloaded 51 times.
Share
This article has been rated by 1 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2025 y Creative Commons. The Spanish Journal of Gastroenterology