TY - JOUR
T1 - Quality in the technical performance of screening flexible sigmoidoscopy
T2 - Recommendations of an international multi-society task group
AU - Levin, T. R.
AU - Farraye, F. A.
AU - Schoen, R. E.
AU - Hoff, G.
AU - Atkin, W.
AU - Bond, J. H.
AU - Winawer, S.
AU - Burt, R. W.
AU - Johnson, D. A.
AU - Kirk, L. M.
AU - Litin, S. C.
AU - Rex, D. K.
PY - 2005/6
Y1 - 2005/6
N2 - 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.
AB - 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.
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U2 - 10.1136/gut.2004.052282
DO - 10.1136/gut.2004.052282
M3 - Article
C2 - 15888789
AN - SCOPUS:21144443785
SN - 0017-5749
VL - 54
SP - 807
EP - 813
JO - Gut
JF - Gut
IS - 6
ER -