ChesterCountyMedicine Spring 2018 - 2
What is a Quality Colonoscopy?
Not
all
colonoscopies
are
alike!
Studies
show
a
marked
difference
in
colorectal
cancer
(CRC)
risk
reduction
between
facilities
and
physicians
What are the most important factors for a high quality colonoscopy? *ASGE guidelines
Cecal intubation rate with photo documentation,
i.e.
How
often
do
we
make
it
to
the
end?
o Benchmark:
>90%
o West
Chester
Gastrointestinal
Group
(WCGG):
99%
Proper use of recommended intervals
between
colonoscopies
performed
for
average--‐risk
patients
and
for
colon
polyp
surveillance.
o WCGG
has
a
robust,
blinded,
quarterly
evaluation
of
representative
pathology
for
each
physician
to
ensure
proper
surveillance.
Our
CMS
QualityNet
Data
shows
compliance
in
excess
of
98%.
Adenoma Detection Rate or ADR, the most important measure of a quality colonoscopy
(i.e.
how
often
do
we
detect
a
pre--‐cancerous
polyp
in
the
colon
and
remove
it?)
o Benchmark
by
ASGE/AGA:
ADR
target
of
30%
is
recommended
for
men
and
20%
for
women.
Source:
GIQuIC,
a
CMS
approved
Qualified
Clinical
Data
Registry
(QCDR)
For every 1% increase in ADR,
there was a 3% reduction in
CRC incidence and 5%
reduction in cancer mortality.
Higher ADRs were associated
with lower risk of cancer in
both men and women.
Corley, D et al, Adenoma Detection Rate and
Risk of Colorectal Cancer and Death, NEJM,
2014; 370:1298--‐306.
WEST CHESTER ● EXTON ● KENNETT SQUARE ● WEST GROVE
www.westchestergi.com
(610) 431--‐3122
http://www.westchestergi.com
ChesterCountyMedicine Spring 2018
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