Copyright ©2013 Baishideng Publishing Group Co.
World J Gastrointest Endosc. Oct 16, 2013; 5(10): 468-475
Published online Oct 16, 2013. doi: 10.4253/wjge.v5.i10.468
Table 1 Quality metrics for colonoscopy as proposed by ESGE’s guidelines and BCSP in United Kingdom
When to measureOutcome to measureStandard
Pre-procedureAppropriateness100% indicated
Pre-assessment–bowel prep to use100% of cases
Patient information100% of cases
Awaiting time when positive test< 4 wk (< 2 wk desirable)
On the day of procedureReview of comorbidities, check of vital signs100% on admission
Informed consent100% signed
Decontamination of endoscopes100% agreement with local policy
Appropriate function and availability of endoscopes/equipment100% checked by competent staff
Equipment for resuscitation and monitoring100% regular checks
CO2 insufflation100% availability
CIR> 90% unadjusted
Use of reversal agents< 1/500 cases
Bowel cleansinggood/excellent > 90%
Patient comfortNA
Polyp detection rateDependent on case mix
Polyp retrieval rate> 90%
Time of scope withdrawal> 6 min
Complication ratesBleeding < 1/100
Perforation < 1/1000 (diagnostic)
< 1/500 (therapeutic)
Electronically based endoscopy report100% attached to histology request
Aftercare plan100% provided at recovery area
Time for recoveryNA
Post-procedureAnnual number of procedures/endoscopist> 150 ( > 300 desirable)
Adenoma detection rate> 15% unadjusted to race or gender
Time of histopathology report< 15 d post-colonoscopy
Patient feedback/delayed AEs100% at 30 d
Endoscopic Surveillance needed100% agreement with guidelines
Table 2 Groups of patients in whom polyethylene glycol bowel-preparation is considered as safer and thus should be preferred
Candidates for polyethylene glycol bowel preparation for colonoscopy
1GFR < 60 mL/min per 1.73 m2
Electrolyte imbalance
Cardiac failure
Liver cirrhosis
Hypertension with arteriosclerosis
Patients on diuretics
(when cannot be stopped 24 h prior to colonoscopy)
Patients on ACE inhibitors
(when cannot be stopped 72 h prior to colonoscopy)
Patients on NSAIDs
(when cannot be stopped 72 h prior to colonoscopy)