Navigation Links
Annals colonoscopy study underscores importance of quality standards

A study by Baxter, et al. released this week and scheduled to be published in the Jan. 6, 2009, edition of Annals of Internal Medicine, concluded that while screening colonoscopy is associated with fewer deaths from colorectal cancer, the association is primarily limited to deaths from cancer developing in the left side of the colon.

This confirms the value of colonoscopy as a screening test and clarifies a possible weakness: detecting polyps on the right side of the colon. While the findings were notable, it's important to note that the study enrolled patients starting more than a decade ago. During the past decade, there have been significant advances in how colonoscopies are performed and in the colonoscopes themselves with wider fields of view and better optics.

"It's of paramount importance that physicians perform a colonoscopy examination as effectively as possible," notes Robert Sandler, MD, AGAF, president of the AGA Institute. "Gastroenterologists are aware of the need to slowly withdraw the colonoscope and to carefully examine the right colon for flat polyps. The most important variable in colonoscopy is the skill of the physician performing the test. Having a well trained, careful endoscopist who is aware of the newest ideas and techniques is a patient's best protection against poor results."

The AGA and other professional societies are working to make quality care a priority for the medical community. To define high-quality colonoscopy, the AGA directs physicians, purchasers and the public to the standards for endoscopy and polyp surveillance created by the AGA and ASGE through the Physician Consortium for Performance Improvement and the National Committee for Quality Assurance. We urge all who perform colonoscopy to adhere to this physician performance measure set.

Of particular relevance is Measure #3: Comprehensive Colonoscopy Documentation. It notes that the final reports include documentation of all of the following:

  • Pre-procedure risk assessment
  • Depth of insertion of the colonoscope
  • Quality of the bowel preparation
  • Complete description of the polyps found, including the location of each polyp, size, number and gross morphology
  • Recommendations for follow up


Contact: Aimee Frank
American Gastroenterological Association

Related medicine news :

1. July/August 2008 Annals of Family Medicine tip sheet
2. Annals of Internal Medicine tip sheet for May 20, 2008, issue
3. May/June 2008 Annals of Family Medicine tip sheet
4. Tip sheet for the Annals of Internal Medicine, April 15, 2008, issue
5. Annals of Internal Medicine tip sheet for April 1, 2008, issue
6. Annals of Internal Medicine tip sheet for Feb. 5, 2008, issue
7. Annals of Internal Medicine tip sheet for Jan. 1, 2008, issue
8. Annals of Internal Medicine Tip Sheet for Nov. 20, 2007, Issue
9. Annals of Internal Medicine tip sheet for Oct. 2
10. September/October 2007 Annals of Family Medicine tip sheet
11. Annals of Internal Medicine tip sheet for Aug. 21, 2007, issue
Post Your Comments:
(Date:11/27/2015)... ... November 27, 2015 , ... According to an article published ... Toronto and the University of British Columbia suggested that laws requiring bicyclists to wear ... explains that part of the reason for the controversial conclusion is that, while helmets ...
(Date:11/27/2015)... (PRWEB) , ... November 27, 2015 , ... A team ... ways to treat it. Surviving Mesothelioma has just posted the findings on the ... University Hospital Zurich analyzed the cases of 136 mesothelioma patients who were treated with ...
(Date:11/27/2015)... ... November 27, 2015 , ... Lizzie’s Lice Pickers just announced a special promotion ... off of their purchase of lice treatment product. In addition, customers will receive a ... company spokesperson. “Finding lice is a sure way to ruin the holidays, so we ...
(Date:11/27/2015)... ANGELES, CA (PRWEB) , ... November 27, 2015 , ... MPWH, the No.1 Herpes-only dating ... of 30 (see Table 1-1 ). More than 3.7 billion people under the ... virus type 1 (HSV-1), according to WHO's first global estimates of HSV-1 infection . ...
(Date:11/27/2015)... ... November 27, 2015 , ... A simply groundbreaking television series, "Voices in America", ... delves into an array of issues that are presently affecting Americans. Dedicated to providing ... this show is changing the subjects consumers focus on, one episode at a time. ...
Breaking Medicine News(10 mins):
(Date:11/25/2015)... WILMINGTON, N.C. , Nov. 25, 2015 /PRNewswire/ ... announces the planned investment of at least $15.8 ... in Wilmington, NC . The ... services capacity to meet the growing demands of ... Wilmington site expansion will provide up ...
(Date:11/25/2015)... N.Y. , Nov. 25, 2015  Henry Schein, ... and services to office-based dental, medical and animal health ... (GNYDM) Meeting the Henry Schein ConnectDental® Pavilion , ... broadest array of open solutions designed to help any ... Click here for a schedule of experts ...
(Date:11/25/2015)... , Nov. 25, 2015  Trovagene, Inc. (NASDAQ: ... announced that Chief Executive Officer Antonius Schuh, Ph.D., is ... th Annual Piper Jaffray Healthcare Conference. ... New York Palace Hotel in New York ... p.m. EST. Mr. Schuh will be available for one-on-one ...
Breaking Medicine Technology: