Quality in the technical performance of screening flexible sigmoidoscopy

Recommendations of an international multi-society task group

T. R. Levin, F. A. Farraye, R. E. Schoen, G. Hoff, W. Atkin, J. H. Bond, S. Winawer, R. W. Burt, D. A. Johnson, L. M. Kirk, S. C. Litin, D. K. Rex

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)807-813
Number of pages7
JournalGut
Volume54
Issue number6
DOIs
StatePublished - Jun 2005

Fingerprint

Sigmoidoscopy
Endoscopes
Quality Improvement
Colorectal Neoplasms
Antibiotic Prophylaxis
Colonoscopy
Early Detection of Cancer
Documentation
Consensus
Decision Making
Referral and Consultation
Research

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Levin, T. R., Farraye, F. A., Schoen, R. E., Hoff, G., Atkin, W., Bond, J. H., ... Rex, D. K. (2005). Quality in the technical performance of screening flexible sigmoidoscopy: Recommendations of an international multi-society task group. Gut, 54(6), 807-813. https://doi.org/10.1136/gut.2004.052282

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

In: Gut, Vol. 54, No. 6, 06.2005, p. 807-813.

Research output: Contribution to journalArticle

Levin, TR, Farraye, FA, Schoen, RE, Hoff, G, Atkin, W, Bond, JH, Winawer, S, Burt, RW, Johnson, DA, Kirk, LM, Litin, SC & Rex, DK 2005, 'Quality in the technical performance of screening flexible sigmoidoscopy: Recommendations of an international multi-society task group', Gut, vol. 54, no. 6, pp. 807-813. https://doi.org/10.1136/gut.2004.052282
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. / Quality in the technical performance of screening flexible sigmoidoscopy : Recommendations of an international multi-society task group. In: Gut. 2005 ; Vol. 54, No. 6. pp. 807-813.
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