DOI QR코드

DOI QR Code

Revision of Quality Indicators for the Endoscopy Quality Improvement Program of the National Cancer Screening Program in Korea

  • Min, Jun Ki (Department of Internal Medicine, Kyung Hee University Hospital at Gang Dong, Kyung Hee University School of Medicine) ;
  • Cha, Jae Myung (Department of Internal Medicine, Kyung Hee University Hospital at Gang Dong, Kyung Hee University School of Medicine) ;
  • Cho, Yu Kyung (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Jie-Hyun (Department of Internal Medicine, Yonsei University School of Medicine) ;
  • Yoon, Soon Man (Department of Internal Medicine, Chungbuk National University College of Medicine) ;
  • Im, Jong Pil (Department of Internal Medicine, Seoul National University Hospital) ;
  • Jung, Yunho (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Moon, Jeong Seop (Department of Internal Medicine, Inje University College of Medicine) ;
  • Kim, Jin-Oh (Department of Internal Medicine, Soonchunhyang University College of Medicine) ;
  • Jeen, Yoon Tae (Department of Internal Medicine, Korea University College of Medicine)
  • 투고 : 2018.05.01
  • 심사 : 2018.05.14
  • 발행 : 2018.05.30

초록

Gastroscopy and colonoscopy are widely used for the early diagnosis of stomach and colorectal cancer. The present revision integrates recent data regarding previous quality indicators and novel indicators suggested for gastroscopy and colonoscopy procedures for the National Cancer Screening Program in Korea. The new indicators, developed by the Quality Improvement Committee of the Korean Society for Gastrointestinal Endoscopy, vary in the level of supporting evidence, and most are based solely on expert opinion. Updated indicators validated by clinical research were prioritized, but were chosen by expert consensus when such studies were absent. The resultant quality indicators were graded according to the levels of consensus and recommendations. The updated indicators will provide a relevant guideline for high-quality endoscopy. The future direction of quality indicator development should include relevant outcome measures and an evidence-based approach to support proposed performance targets.

키워드

과제정보

연구 과제 주관 기관 : Ministry of Health & Welfare

참고문헌

  1. Ahn C, Hwang Y, Park SK. Predictors of all-cause mortality among 514,866 participants from the Korean National Health Screening Cohort. PLoS One 2017;12:e0185458. https://doi.org/10.1371/journal.pone.0185458
  2. Jung M. National Cancer Screening Programs and evidence-based healthcare policy in South Korea. Health Policy 2015;119:26-32. https://doi.org/10.1016/j.healthpol.2014.08.012
  3. Lee S, Jun JK, Suh M, et al. Gastric cancer screening uptake trends in Korea: results for the National Cancer Screening Program from 2002 to 2011: a prospective cross-sectional study. Medicine (Baltimore) 2015;94:e533. https://doi.org/10.1097/MD.0000000000000533
  4. Yoo KY. Cancer control activities in the Republic of Korea. Jpn J Clin Oncol 2008;38:327-333. https://doi.org/10.1093/jjco/hyn026
  5. National Cancer Center. Education for National Cancer Screening Program [Internet]. Goyang: National Cancer Center; c2017 [cited 2018 Feb 19]. Available from: http://education.ncc.re.kr/main.do.
  6. Shin A, Choi KS, Jun JK, et al. Validity of fecal occult blood test in the national cancer screening program, Korea. PLoS One 2013;8:e79292. https://doi.org/10.1371/journal.pone.0079292
  7. Cha JM. [Quality improvement of gastrointestinal endoscopy in Korea: past, present, and future]. Korean J Gastroenterol 2014;64:320-332. https://doi.org/10.4166/kjg.2014.64.6.320
  8. Cha JM, Han DS, Lee HL, et al. Endoscopist specialty is associated with high-quality endoscopy in Korea. Yonsei Med J 2012;53:310-317. https://doi.org/10.3349/ymj.2012.53.2.310
  9. Cha JM, Moon JS, Chung IK, et al. National Endoscopy Quality Improvement Program remains suboptimal in Korea. Gut Liver 2016;10:699-705. https://doi.org/10.5009/gnl15623
  10. Park WG, Shaheen NJ, Cohen J, et al. Quality indicators for EGD. Am J Gastroenterol 2015;110:60-71. https://doi.org/10.1038/ajg.2014.384
  11. Rex DK, Schoenfeld PS, Cohen J, et al. Quality indicators for colonoscopy. Am J Gastroenterol 2015;110:72-90. https://doi.org/10.1038/ajg.2014.385
  12. Ministry of Health and Welfare, National Cancer Center. Quality guidelines of gastric cancer screening. Seoul: National Cancer Center; 2017.
  13. Ministry of Health and Welfare, National Cancer Center. Quality guidelines of colorectal cancer screening. Seoul: National Cancer Center;2017.
  14. Principles of training in gastrointestinal endoscopy. From the ASGE. American Society for Gastrointestinal Endoscopy. Gastrointest Endosc 1999;49:845-853. https://doi.org/10.1016/S0016-5107(99)70316-0
  15. Lee SH, Chung IK, Kim SJ, et al. An adequate level of training for technical competence in screening and diagnostic colonoscopy: a prospective multicenter evaluation of the learning curve. Gastrointest Endosc 2008;67:683-689. https://doi.org/10.1016/j.gie.2007.10.018
  16. Rembacken B, Hassan C, Riemann JF, et al. Quality in screening colonoscopy: position statement of the European Society of Gastrointestinal Endoscopy (ESGE). Endoscopy 2012;44:957-968. https://doi.org/10.1055/s-0032-1325686
  17. Jover R, Herraiz M, Alarcon O, et al. Clinical practice guidelines: quality of colonoscopy in colorectal cancer screening. Endoscopy 2012;44:444-451. https://doi.org/10.1055/s-0032-1306690
  18. Yalamarthi S, Witherspoon P, McCole D, Auld CD. Missed diagnoses in patients with upper gastrointestinal cancers. Endoscopy 2004;36:874-879. https://doi.org/10.1055/s-2004-825853
  19. Ren W, Yu J, Zhang ZM, Song YK, Li YH, Wang L. Missed diagnosis of early gastric cancer or high-grade intraepithelial neoplasia. World J Gastroenterol 2013;19:2092-2096. https://doi.org/10.3748/wjg.v19.i13.2092
  20. Choi KS, Jun JK, Park EC, et al. Performance of different gastric cancer screening methods in Korea: a population-based study. PLoS One 2012;7:e50041. https://doi.org/10.1371/journal.pone.0050041
  21. Yamazato T, Oyama T, Yoshida T, et al. Two years' intensive training in endoscopic diagnosis facilitates detection of early gastric cancer. Intern Med 2012;51:1461-1465. https://doi.org/10.2169/internalmedicine.51.7414
  22. Chen SC, Rex DK. Endoscopist can be more powerful than age and male gender in predicting adenoma detection at colonoscopy. Am J Gastroenterol 2007;102:856-861. https://doi.org/10.1111/j.1572-0241.2006.01054.x
  23. Hetzel JT, Huang CS, Coukos JA, et al. Variation in the detection of serrated polyps in an average risk colorectal cancer screening cohort. Am J Gastroenterol 2010;105:2656-2664. https://doi.org/10.1038/ajg.2010.315
  24. Kahi CJ, Hewett DG, Norton DL, Eckert GJ, Rex DK. Prevalence and variable detection of proximal colon serrated polyps during screening colonoscopy. Clin Gastroenterol Hepatol 2011;9:42-46. https://doi.org/10.1016/j.cgh.2010.09.013
  25. Pohl H, Srivastava A, Bensen SP, et al. Incomplete polyp resection during colonoscopy-results of the complete adenoma resection (CARE) study. Gastroenterology 2013;144:74-80.e1. https://doi.org/10.1053/j.gastro.2012.09.043
  26. Wexner SD, Litwin D, Cohen J, et al. Principles of privileging and credentialing for endoscopy and colonoscopy. Gastrointest Endosc 2002;55:145-148. https://doi.org/10.1016/S0016-5107(02)70480-X
  27. ASGE Standards of Practice Committee, Jain R, Ikenberry SO, et al. Minimum staffing requirements for the performance of GI endoscopy. Gastrointest Endosc 2010;72:469-470. https://doi.org/10.1016/j.gie.2010.02.017
  28. Quality improvement of gastrointestinal endoscopy: guidelines for clinical application. From the ASGE. American Society for Gastrointestinal Endoscopy. Gastrointest Endosc 1999;49:842-844. https://doi.org/10.1016/S0016-5107(99)70315-9
  29. Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy, Lichtenstein DR, Jagannath S, et al. Sedation and anesthesia in GI endoscopy. Gastrointest Endosc 2008;68:815-826. https://doi.org/10.1016/j.gie.2008.09.029
  30. ASGE Standards of Practice Committee, Anderson MA, Ben-Menachem T, et al. Management of antithrombotic agents for endoscopic procedures. Gastrointest Endosc 2009;70:1060-1070. https://doi.org/10.1016/j.gie.2009.09.040
  31. Hassan C, Bretthauer M, Kaminski MF, et al. Bowel preparation for colonoscopy: European Society of Gastrointestinal Endoscopy (ESGE) guideline. Endoscopy 2013;45:142-150. https://doi.org/10.1055/s-0032-1326186
  32. Froehlich F, Wietlisbach V, Gonvers JJ, Burnand B, Vader JP. Impact of colonic cleansing on quality and diagnostic yield of colonoscopy: the European Panel of Appropriateness of Gastrointestinal Endoscopy European multicenter study. Gastrointest Endosc 2005;61:378-384. https://doi.org/10.1016/S0016-5107(04)02776-2
  33. Rex DK, Imperiale TF, Latinovich DR, Bratcher LL. Impact of bowel preparation on efficiency and cost of colonoscopy. Am J Gastroenterol 2002;97:1696-1700. https://doi.org/10.1111/j.1572-0241.2002.05827.x
  34. Schoenfeld PS, Cohen J. Quality indicators for colorectal cancer screening for colonoscopy. Tech Gastrointest Endosc 2013;15:59-68. https://doi.org/10.1016/j.tgie.2013.02.005
  35. American Society of Anesthesiologists Committee. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: an updated report by the American Society of Anesthesiologists Committee on Standards and Practice Parameters. Anesthesiology 2011;114:495-511. https://doi.org/10.1097/ALN.0b013e3181fcbfd9
  36. Rizk MK, Sawhney MS, Cohen J, et al. Quality indicators common to all GI endoscopic procedures. Gastrointest Endosc 2015;81:3-16. https://doi.org/10.1016/j.gie.2014.07.055
  37. Bisschops R, Areia M, Coron E, et al. Performance measures for upper gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) quality improvement initiative. Endoscopy 2016;48:843-864. https://doi.org/10.1055/s-0042-113128
  38. ASGE Ensuring Safety in the Gastrointestinal Endoscopy Unit Task Force, Calderwood AH, Chapman FJ, et al. Guidelines for safety in the gastrointestinal endoscopy unit. Gastrointest Endosc 2014;79:363-372. https://doi.org/10.1016/j.gie.2013.12.015
  39. Rey JF, Lambert R; ESGE Quality Assurance Committee. ESGE recommendations for quality control in gastrointestinal endoscopy: guidelines for image documentation in upper and lower GI endoscopy. Endoscopy 2001;33:901-903. https://doi.org/10.1055/s-2001-42537
  40. Rex DK, Lewis BS, Waye JD. Colonoscopy and endoscopic therapy for delayed post-polypectomy hemorrhage. Gastrointest Endosc 1992;38:127-129. https://doi.org/10.1016/S0016-5107(92)70376-9
  41. Binmoeller KF, Thonke F, Soehendra N. Endoscopic hemoclip treatment for gastrointestinal bleeding. Endoscopy 1993;25:167-170. https://doi.org/10.1055/s-2007-1010277
  42. Bretthauer M, Aabakken L, Dekker E, et al. Requirements and standards facilitating quality improvement for reporting systems in gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) position statement. Endoscopy 2016;48:291-294. https://doi.org/10.1055/s-0042-100186
  43. Kaminski MF, Thomas-Gibson S, Bugajski M, et al. Performance measures for lower gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) quality improvement initiative. Endoscopy 2017;49:378-397. https://doi.org/10.1055/s-0043-103411
  44. Ford AC, Gurusamy KS, Delaney B, Forman D, Moayyedi P. Eradication therapy for peptic ulcer disease in Helicobacter pylori-positive people. Cochrane Database Syst Rev 2016;4:CD003840.
  45. ASGE Standards of Practice Committee, Banerjee S, Cash BD, et al. The role of endoscopy in the management of patients with peptic ulcer disease. Gastrointest Endosc 2010;71:663-668. https://doi.org/10.1016/j.gie.2009.11.026
  46. Reprocessing Guideline Task Force, Petersen BT, Cohen J, et al. Multisociety guideline on reprocessing flexible GI endoscopes: 2016 update. Gastrointest Endosc 2017;85:282-294.e1. https://doi.org/10.1016/j.gie.2016.10.002
  47. Herrin A, Loyola M, Bocian S, et al. Standards of infection prevention in reprocessing flexible gastrointestinal endoscopes. Gastroenterol Nurs 2016;39:404-418. https://doi.org/10.1097/SGA.0000000000000266
  48. Oh HJ, Kim JS. Clinical practice guidelines for endoscope reprocessing. Clin Endosc 2015;48:364-368.
  49. Enestvedt BK, Eisen GM, Holub J, Lieberman DA. Is the American Society of Anesthesiologists classification useful in risk stratification for endoscopic procedures? Gastrointest Endosc 2013;77:464-471. https://doi.org/10.1016/j.gie.2012.11.039
  50. Charles RJ, Chak A, Cooper GS, Wong RC, Sivak MV Jr. Use of open access in GI endoscopy at an academic medical center. Gastrointest Endosc 1999;50:480-485. https://doi.org/10.1016/S0016-5107(99)70069-6

피인용 문헌

  1. Endoscopy training in Korea vol.34, pp.2, 2018, https://doi.org/10.3904/kjim.2019.028
  2. Updates on the Facilities, Procedures, and Performance of the Accredited Endoscopy Unit vol.52, pp.5, 2019, https://doi.org/10.5946/ce.2019.164
  3. Quality Indicators and Outcome Measures of Endoscopy in the National Cancer Screening Program vol.60, pp.11, 2018, https://doi.org/10.3349/ymj.2019.60.11.1054
  4. Efficacy and Patient Tolerability Profiles of Probiotic Solution with Bisacodyl Versus Conventional Cleansing Solution for Bowel Preparation: A Prospective, Randomized, Controlled Trial vol.9, pp.10, 2018, https://doi.org/10.3390/jcm9103286
  5. Colonoscopy quality in community hospitals and nonhospital facilities in Korea vol.36, pp.suppl1, 2018, https://doi.org/10.3904/kjim.2019.117