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    Quality assurance of colonoscopy within the Dutch national colorectal cancer screening program.

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    Authors
    Bronzwaer, Maxime E S
    Depla, Annekatrien C T M
    van Lelyveld, Niels
    Spanier, Marcel B W
    Oosterhout, Yvonne H
    van Leerdam, Monique E
    Spaander, Manon C W
    Dekker, Evelien
    van Haastert, M
    Keller, J J
    Koch, A D
    Koornstra, J J
    van Kouwen, M C A
    Masclee, A
    Mundt, M W
    de Ridder, R J
    van der Sluys-Veer, A
    van Wieren, M
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    Type
    Article
    Language
    en
    
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    Title
    Quality assurance of colonoscopy within the Dutch national colorectal cancer screening program.
    Published in
    Gastrointest Endoscop 2019; 89(1):1-13
    Publiekssamenvatting
    Colorectal cancer (CRC) screening is capable of reducing CRC-related morbidity and mortality. Colonoscopy is the reference standard to detect CRC, also providing the opportunity to detect and resect its precursor lesions; colorectal polyps. Therefore, colonoscopy is either used as a primary screening tool or as a subsequent procedure after a positive triage test in screening programs based on non-invasive stool testing or sigmoidoscopy. However, in both settings, colonoscopy is not fully protective for the occurrence of post-colonoscopy CRCs (PCCRCs). Because the majority of PCCRCs are the result of colonoscopy-related factors, a high-quality procedure is of paramount importance to assure optimal effectiveness of CRC screening programs. For this reason, at the start of the Dutch fecal immunochemical test (FIT)-based screening program, quality criteria for endoscopists performing colonoscopies in FIT-positive screenees, as well as for endoscopy centers, were defined. In conjunction, an accreditation and auditing system was designed and implemented. In this report we describe the quality assurance process for endoscopists participating in the Dutch national CRC Screening Program, including a detailed description of the evidence-based quality criteria. We believe that our experience might serve as an example for colonoscopy quality assurance programs in other CRC screening programs.
    DOI
    10.1016/j.gie.2018.09.011
    PMID
    30240879
    URI
    http://hdl.handle.net/10029/622202
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.gie.2018.09.011
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