Efficacy and effectiveness of colonoscopy: how do we bridge the gap?

Hewett, David G., Kahi, Charles J. and Rex, Douglas K. (2010) Efficacy and effectiveness of colonoscopy: how do we bridge the gap?. Gastrointestinal Endoscopy Clinics of North America, 20 4: 673-684. doi:10.1016/j.giec.2010.07.011


Author Hewett, David G.
Kahi, Charles J.
Rex, Douglas K.
Title Efficacy and effectiveness of colonoscopy: how do we bridge the gap?
Journal name Gastrointestinal Endoscopy Clinics of North America   Check publisher's open access policy
ISSN 1052-5157
1558-1950
Publication date 2010-10
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.giec.2010.07.011
Open Access Status
Volume 20
Issue 4
Start page 673
End page 684
Total pages 12
Place of publication Maryland Heights, MO, United States
Publisher W.B. Saunders
Language eng
Abstract Colonoscopy is sometimes considered the preferred colorectal cancer screening modality, yet this modality may be subject to variation in operator performance more than any other screening test. Failures of colonoscopy to consistently detect precancerous lesions threaten the effectiveness of this technique for the prevention of colorectal cancer. Studies on high-level adenoma detectors under optimal conditions have begun to establish the true efficacy of colonoscopy and further widen the gap between efficacy and effectiveness. Research is required to establish the component skills, attitudes, and behaviors for high-level mucosal inspection competence necessary for training and assessment. Interventions to bridge the gap between efficacy and effectiveness are lacking, yet they should emphasize quality measurement and operate at various levels within the health system to motivate change in endoscopist behavior.
Keyword Colonoscopy
Efficacy
Effectiveness
Adenoma detection
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: School of Medicine Publications
 
Versions
Version Filter Type
Citation counts: Scopus Citation Count Cited 18 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Wed, 27 Nov 2013, 14:19:10 EST by System User on behalf of School of Medicine