{"id":1991,"date":"2023-02-10T10:05:21","date_gmt":"2023-02-10T13:05:21","guid":{"rendered":"https:\/\/pressreleases.scielo.org\/en\/?p=1991"},"modified":"2023-02-10T08:56:22","modified_gmt":"2023-02-10T11:56:22","slug":"improvements-in-colonoscopy-performance-help-prevent-and-treat-colorectal-cancer","status":"publish","type":"post","link":"https:\/\/pressreleases.scielo.org\/en\/2023\/02\/10\/improvements-in-colonoscopy-performance-help-prevent-and-treat-colorectal-cancer\/","title":{"rendered":"Improvements in colonoscopy performance help prevent and treat colorectal cancer"},"content":{"rendered":"

Rosa Emilia Moraes, Scientific journalist at Linceu Editorial, S\u00e3o Jos\u00e9 dos Campos, SP, Brazil.<\/strong><\/p>\n

\"Logo<\/a>Colonoscopy is an exam for evaluating the colorectal mucosa through images, which allows the detection of anomalies such as polyps and lesions (LESLIE, et al<\/em>, 2002). A well-performed colonoscopy is of great value in the prevention and diagnosis of colorectal cancer, representing a significant reduction in the risk of death for the patient.<\/p>\n

However, despite being such an important health research tool, it is still not widely offered to the population in Brazil as part of disease prevention programs (SCHREUDERS, et al<\/em>, 2015). Furthermore, studies evaluating the efficiency and quality of the intervention are scarce in the country and Latin America.<\/p>\n

A clinical investigation conducted by researchers from the Faculdade de Medicina da Universidade de S\u00e3o Paulo<\/em> (FMUSP) retrospectively analyzed data from colonoscopy procedures performed in eleven hospital units in seven cities in two Brazilian states from January to December 2021. The results are present in the article Quality indicators in colonoscopy: an observational study in a supplementary health system<\/a>, published in the Acta Cir\u00fargica Brasileira <\/em>(vol. 37, no. 11), where the authors analyze the quality indicators in the procedure related to several aspects such as the accuracy of the indication for the exam, the polyp detection rate, the cecal intubation rate, the quality of the patient’s colon preparation for the procedure, and the incidence of immediate adverse effects.<\/p>\n

\"Composition:<\/a>

Image: Composition \/ Canva.<\/em><\/p><\/div>\n

The research observed the correlation between the analyzed factors and the contribution of each one to the proficiency of the results. Among other observations, it was concluded that the structure of the place where the exam is performed, and the quality of medical care provided to the patient are variables that have a significant impact on the quality of the colonoscopy. In particular, the endoscopist’s level of technical knowledge and specialized training demonstrated a great influence on the polyp detection rates and the cecal intubation rate, which are determining factors in the evaluation.<\/p>\n

The present study was carried out in a supplementary private health system in Brazil, a scenario where, in general, colonoscopies are safe procedures performed by trained physicians with good image-generating equipment. Even so, many opportunities were identified to improve the quality indicators in the participating hospitals, which demonstrates the relevance of a continuous evaluation that, it is hoped, will reflect in more effective exams and better prognoses in cases of colorectal cancer.<\/p>\n

References<\/h3>\n

LESLIE, A., et al<\/em>. The colorectal adenoma\u2013carcinoma sequence. Br J Surg<\/em> [online]. 2002, vol. 89, no. 7, pp. 845-860 [viewed 10 February 2023]. https:\/\/doi.org\/10.1046\/j.1365-2168.2002.02120.x<\/a>. Available from: https:\/\/academic.oup.com\/bjs\/article\/89\/7\/845\/6150758<\/a><\/p>\n

SCHREUDERS, E.H., et al<\/em>. Colorectal cancer screening: a global overview of existing programmes. Gut<\/em> [online]. 2015, vol. 64, no. 10, pp. 1637-1649 [viewed 10 February 2023]. https:\/\/doi.org\/10.1136\/gutjnl-2014-309086<\/a>. Available from: https:\/\/gut.bmj.com\/content\/64\/10\/1637<\/a><\/p>\n

To read the article, access<\/h3>\n

KUGA, R., FACANALI JUNIOR, M.R. and ARTIFON, E.L.A. Quality indicators in colonoscopy: observational study in a supplementary health system. Acta Cir\u00fargica Brasileira<\/em> [online]. 2022, vol. 37, no. 11, e371106 [viewed 10 February 2023]. https:\/\/doi.org\/10.1590\/acb371106<\/a>. Available from: https:\/\/www.scielo.br\/j\/acb\/a\/FqsSyzhyzZYPC3hcy8SG9yH\/<\/a><\/p>\n

External links<\/h3>\n

Acta Cirurgica Brasileira \u2013 ACB: https:\/\/www.scielo.br\/acb\/<\/a><\/p>\n

Faculdade de Medicina da Universidade de S\u00e3o Paulo (FMUSP): https:\/\/www.fm.usp.br\/<\/a><\/p>\n

Redes sociais da Acta Cir\u00fargica Brasileira: Facebook<\/a> | Twitter<\/a> | Instagram<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

Colonoscopy plays an essential role in detecting and diagnosing lesions and tumors of the colorectal mucosa. The quality of the equipment used, the colonoscopist’s technical knowledge and practical skills interfere directly with the effectiveness of the procedure and an analysis of these indicators may reveal opportunities for positive interventions and the improvement of results. …<\/span> Read More →<\/span><\/a><\/span><\/p>\n","protected":false},"author":606,"featured_media":1995,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[171,8,12],"tags":[172,191],"class_list":["post-1991","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-acb","category-health-sciences","category-press-releases","tag-acta-cirurgica-brasileira","tag-medicine"],"aioseo_notices":[],"aioseo_head":"\n\t\t\n\t\n\t\n\t\n\t\n\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t