The quality of colonoscopy services-Responsibilities of referring clinicians: A consensus statement of the quality assurance task group, national colorectal cancer roundtable

Robert H. Fletcher, Marion R. Nadel, John I. Allen, Jason A. Dominitz, Douglas O. Faigel, David A. Johnson, Dorothy S. Lane, David Lieberman, John B. Pope, Michael B. Potter, Deborah P. Robin, Paul C. Schroy, Robert A. Smith

Research output: Contribution to journalReview article

23 Scopus citations

Abstract

Primary care clinicians initiate and oversee colorectal screening for their patients, but colonoscopy, a central component of screening programs, is usually performed by consultants. The accuracy and safety of colonoscopy varies among endoscopists, even those with mainstream training and certification. Therefore, it is a primary care responsibility to choose the best available colonoscopy services. A working group of the National Colorectal Cancer Roundtable identified a set of indicators that primary care clinicians can use to assess the quality of colonoscopy services. Quality measures are of actual performance, not training, specialty, or experience alone. The main elements of quality are a complete report, technical competence, and a safe setting for the procedure. We provide explicit criteria that primary care physicians can use when choosing a colonoscopist. Information on quality indicators will be increasingly available with quality improvement efforts within the colonoscopy community and growth in the use of electronic medical records.

Original languageEnglish (US)
Pages (from-to)1230-1234
Number of pages5
JournalJournal of general internal medicine
Volume25
Issue number11
DOIs
StatePublished - Nov 1 2010

Keywords

  • Colonoscopist
  • Colorectal screening
  • Endoscopist
  • Primary care clinicians

ASJC Scopus subject areas

  • Internal Medicine

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    Fletcher, R. H., Nadel, M. R., Allen, J. I., Dominitz, J. A., Faigel, D. O., Johnson, D. A., Lane, D. S., Lieberman, D., Pope, J. B., Potter, M. B., Robin, D. P., Schroy, P. C., & Smith, R. A. (2010). The quality of colonoscopy services-Responsibilities of referring clinicians: A consensus statement of the quality assurance task group, national colorectal cancer roundtable. Journal of general internal medicine, 25(11), 1230-1234. https://doi.org/10.1007/s11606-010-1446-2