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Scottish Bowel Screening Programme colonoscopy quality – scope for improvement?

Lookup NU author(s): Professor Colin Rees



This is the final published version of an article that has been published in its final definitive form by Blackwell Publishing Ltd, 2018.

For re-use rights please refer to the publisher's terms and conditions.


Colorectal Disease © 2018 The Association of Coloproctology of Great Britain and Ireland Aim: The delivery of the Scottish Bowel Screening Programme (SBoSP) is rooted in the provision of a high quality, effective and participant-centred service. Safe and effective colonoscopy forms an integral part of the process. Additional accreditation as part of a multi-faceted programme for participating colonoscopists, as in England, does not exist in Scotland. This study aimed to describe the quality of colonoscopy in the SBoSP and compare this to the English national screening standards. Methods: Data were collected from the SBoSP between 2007 and 2014. End-points for analysis were caecal intubation, cancer, polyp and adenoma detection, and complications. Overall results were compared with 2012 published English national standards for screening and outcomes from 2006 to 2009. Results: During the study period 53 332 participants attended for colonoscopy. The colonoscopy completion rate was 95.6% overall. The mean cancer detection rate was 7.1%, the polyp detection rate was 45.7% and the adenoma detection rate was 35.5%. The overall complication rate was 0.47%. Conclusion: Colonoscopy quality in the SBoSP has exceeded the standard set for screening colonoscopy in England, despite not adopting a multi-faceted programme for screening colonoscopy. However, the overall adenoma detection rate in Scotland was 9.1% lower than that in England which has implications for colonoscopy quality and may have an impact on cancer prevention rates, a key aim of the SBoSP.

Publication metadata

Author(s): Quyn AJ, Fraser CG, Stanners G, Carey FA, Rees CJ, Moores B, Steele RJ

Publication type: Article

Publication status: Published

Journal: Colorectal Disease

Year: 2018

Volume: 20

Issue: 9

Pages: O277-O283

Print publication date: 01/09/2018

Online publication date: 04/06/2018

Acceptance date: 30/04/2018

Date deposited: 27/09/2018

ISSN (print): 1462-8910

ISSN (electronic): 1463-1318

Publisher: Blackwell Publishing Ltd


DOI: 10.1111/codi.14281


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