Optimizing the Quality of Colorectal Cancer Screening Worldwide.

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ID: 84137
2020
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Abstract
Screening, followed by colonoscopic polypectomy (or surgery for malignant lesions), prevents incident colorectal cancer and mortality. However, there are variations in effective application of nearly every aspect of the screening process. Screening is a multistep process, and failure in any single step could result in unnecessary morbidity and mortality. Awareness of variations in operator- and system-dependent performance has led to detailed, comprehensive recommendations in the United States and Europe on how colonoscopy screening should be performed and measured. Likewise, guidance has been provided on quality assurance for nonprimary colonoscopy-based screening programs, including strategies to maximize adherence. Quality improvement is now a validated science, and there is clear evidence that higher quality prevents incident cancer and cancer death. Quality must be addressed at the levels of the system, provider, and individuals, to maximize the benefits of screening for any population. We review the important aspects of measuring and improving the quality of colorectal cancer screening.
Reference Key
kaminski2020optimizinggastroenterology Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Kaminski, Michael F;Robertson, Douglas J;Senore, Carlo;Rex, Douglas K;
Journal gastroenterology
Year 2020
DOI
S0016-5085(19)41582-5
URL
Keywords
colorectal cancer colonoscopy fecal immunochemical test colorectal polyp

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