PMID- 30374522
OWN - NLM
STAT- MEDLINE
DCOM- 20190415
LR  - 20190415
IS  - 1432-1262 (Electronic)
IS  - 0179-1958 (Linking)
VI  - 34
IP  - 1
DP  - 2019 Jan
TI  - The contribution of endoscopy quality measures to the development of interval
      colorectal cancers in the screening population: a systematic review.
PG  - 123-140
LID - 10.1007/s00384-018-3182-8 [doi]
AB  - BACKGROUND: Colon cancer is the second most common cause of cancer-related death 
      and an important cause of morbidity. The natural history of carcinogenesis, via
      the adenoma-carcinoma sequence, permits screening, which reduces the relative
      risk of mortality by up to 16%. The efficacy of a screening programme is limited 
      by the growth of interval colorectal cancers between screening examinations.
      Quantifying the rate of interval cancers and delineating contributing endoscopic 
      factors are crucial to maximise the benefit of a screening program. METHODS: A
      systematic review was performed in accordance with PRISMA principles. Electronic 
      databases were interrogated with a considered search strategy, and reference
      lists of retrieved papers were surveyed. For inclusion, studies included the rate
      of interval cancer (stated or calculated) and reported at least one of a
      predefined list of endoscopy characteristics. The primary outcome was to
      establish the rate of interval cancers. The secondary outcome was to determine
      the association between endoscopy quality measures and interval cancers. RESULTS:
      The search yielded 2067 papers. Seventy-six full text papers were reviewed.
      Fifteen papers met the inclusion criteria. In total, there were 117,793 colon
      cancers, 7281 of which were interval lesions, giving an overall rate of 6.2%. The
      adenoma detection rate (ADR) of the endoscopist performing the index operation
      was the most consistent endoscopy factor associated with development of interval 
      cancers. The impact of setting, volume and bowel preparation varied between
      papers. CONCLUSION: Interval cancers reduce the efficacy of colorectal screening 
      programmes. Ensuring the quality of the endoscopy process, specifically by
      increasing the ADR of practitioners, is crucial to the reduction of the rate of
      interval cancers.
FAU - Nally, Deirdre M
AU  - Nally DM
AUID- ORCID: http://orcid.org/0000-0001-8590-0021
AD  - Department of Surgical Affairs, 2nd Floor, Royal College of Surgeons of Ireland, 
      121 St. Stephen's Green, Dublin 2, Ireland. deirdrenally@rcsi.com.
FAU - Ballester, Athena Wright
AU  - Ballester AW
AD  - Department of Surgical Affairs, 2nd Floor, Royal College of Surgeons of Ireland, 
      121 St. Stephen's Green, Dublin 2, Ireland.
FAU - Valentelyte, Gintare
AU  - Valentelyte G
AD  - Department of Health Outcomes Research, Royal College of Surgeons, Beaux Lane
      House, Mercer Street Lower, Dublin 2, Ireland.
FAU - Kavanagh, Dara O
AU  - Kavanagh DO
AD  - Department of Surgical Affairs, 2nd Floor, Royal College of Surgeons of Ireland, 
      121 St. Stephen's Green, Dublin 2, Ireland.
LA  - eng
PT  - Journal Article
PT  - Systematic Review
DEP - 20181029
PL  - Germany
TA  - Int J Colorectal Dis
JT  - International journal of colorectal disease
JID - 8607899
SB  - IM
MH  - Aged
MH  - Cecum/pathology
MH  - Colonoscopy/*standards
MH  - Colorectal Neoplasms/*diagnosis
MH  - Early Detection of Cancer/*standards
MH  - Female
MH  - Humans
MH  - Intubation
MH  - Male
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Colorectal cancer
OT  - Interval cancer
OT  - Post-colonoscopy cancer
OT  - Screening
EDAT- 2018/10/31 06:00
MHDA- 2019/04/16 06:00
CRDT- 2018/10/31 06:00
PHST- 2018/10/22 00:00 [accepted]
PHST- 2018/10/31 06:00 [pubmed]
PHST- 2019/04/16 06:00 [medline]
PHST- 2018/10/31 06:00 [entrez]
AID - 10.1007/s00384-018-3182-8 [doi]
AID - 10.1007/s00384-018-3182-8 [pii]
PST - ppublish
SO  - Int J Colorectal Dis. 2019 Jan;34(1):123-140. doi: 10.1007/s00384-018-3182-8.
      Epub 2018 Oct 29.