Quality in the technical performance of screening flexible sigmoidoscopy: recommendations of an international multi-society task group

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 detec...

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Bibliographic Details
Published in:	Gut 2005-06, Vol.54 (6), p.807-813
Main Authors:	Levin, T R, Farraye, F A, Schoen, R E, Hoff, G, Atkin, W, Bond, J H, Winawer, S, Burt, R W, Johnson, D A, Kirk, L M, Litin, S C, Rex, D K
Format:	Article
Language:	eng
Subjects:	advanced adenoma American Society of Gastrointestinal Endoscopists Antibiotic Prophylaxis - methods Antibiotics Anticoagulants - therapeutic use ASGE Biopsy Colorectal Cancer colorectal cancer screening Colorectal Neoplasms - prevention & control Colorectal Surgery - education Consent Documentation Early Diagnosis Education, Medical, Continuing endoscopic screening Endoscopy faecal occult blood test flexible sigmoidoscopy FOBT Gastroenterology Hepatitis Humans Informed Consent Mass Screening - methods Medical screening Medical Staff, Hospital - education Mortality Patient Satisfaction Referral and Consultation Sensitivity and Specificity SGNA Sigmoidoscopy - adverse effects Sigmoidoscopy - methods Sigmoidoscopy - standards Society of Gastroenterology Nurses and Associates Task forces technical performance quality tubular adenoma
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Summary:	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.
ISSN:	0017-5749 1468-3288