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DOI: 10.1055/s-0032-1309796
European guidelines for quality assurance in colorectal cancer screening and diagnosis. First Edition – Professional requirements and training
Publication History
Publication Date:
25 September 2012 (online)
![](https://www.thieme-connect.de/media/endoscopy/2012S03/lookinside/thumbnails/10.1055-s-0032-1309796-1.jpg)
Multidisciplinary, evidence-based guidelines for quality assurance in colorectal cancer screening and diagnosis have been developed by experts in a project coordinated by the International Agency for Research on Cancer. The full guideline document covers the entire process of population-based screening. It consists of 10 chapters and over 250 recommendations, graded according to the strength of the recommendation and the supporting evidence. The 450-page guidelines and the extensive evidence base have been published by the European Commission. The chapter on professional requirements and training includes 23 graded recommendations. The content of the chapter is presented here to promote international discussion and collaboration by making the principles and standards recommended in the new EU Guidelines known to a wider professional and scientific community. Following these recommendations has the potential to enhance the control of colorectal cancer through improvement in the quality and effectiveness of surveillance and other elements in the screening process, including multi-disciplinary diagnosis and management of the disease.
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References
- 1 Aslinia F, Uradomo L, Steele A et al. Quality assessment of colonoscopic cecal intubation: an analysis of 6 years of continuous practice at a university hospital. Am J Gastroenterol 2006; 101: 721-731
- 2 Atkin W, Rogers P, Cardwell C et al. Wide variation in adenoma detection rates at screening flexible sigmoidoscopy. Gastroenterology 2004; 126: 1247-1256
- 3 Atkin W, Valori R, Kuipers EJ et al. European guidelines for quality assurance in colorectal cancer screening and diagnosis: First edition. Colonoscopic surveillance following adenoma removal. Endoscopy 2012; 44: SE151-SE163
- 4 Austoker J, Giordano L, Hewitson P et al. European guidelines for quality assurance in colorectal cancer screening and diagnosis: First edition. Communication. Endoscopy 2012; 44: SE164-SE185
- 5 Council of the European Union. Council Recommendation of 2 December 2003 on cancer screening (2003/878/EC). Off J Eur Union; 2003: 34-38
- 6 Ferlay J, Shin HR, Bray F et al. GLOBOCAN 2008 v1.2, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 10. Internet Lyon, France: International Agency for Research on Cancer; 2010 Available from: http://globocan.iarc.fr Accessed on 05/04/2012
- 7 Ferreira MR, Dolan NC, Fitzgibbon ML et al. Health care provider-directed intervention to increase colorectal cancer screening among veterans: results of a randomized controlled trial. J Clin Oncol 2005; 23: 1548-1554
- 8 Fleissig A, Jenkins V, Catt S et al. Multidisciplinary teams in cancer care: are they effective in the UK?. Lancet Oncol 2006; 7: 935-943
- 9 Halloran S, Launoy G, Zappa M. European guidelines for quality assurance in colorectal cancer screening and diagnosis: First edition. Faecal Occult Blood Testing. Endoscopy 2012; 44: SE65-SE87
- 10 Landsorp-Vogelaar I, von Karsa L. European guidelines for quality assurance in colorectal cancer screening and diagnosis: First edition. Introduction. Endoscopy 2012; 44: SE15-SE30
- 11 Lane DS, Messina CR, Cavanagh MF et al. A provider intervention to improve colorectal cancer screening in county health centers. Med Care 2008; 46: 109-116
- 12 Malila N, Senore C, Armaroli P. European guidelines for quality assurance in colorectal cancer screening and diagnosis: First edition. Organisation. Endoscopy 2012; 44: SE31-SE48
- 13 Minozzi S, Armaroli P, Banzi R et al. European guidelines for quality assurance in colorectal cancer screening and diagnosis. First edition. Appendix 1: Systematic evidence review. 2010. http://bookshop.europa.eu/en/european-guidelines-for-quality-assurance-in-colorectal-cancer-screening-and-diagnosis-pbND3210390/ Accessed 11/2/2012
- 14 Minozzi S, Armaroli P, Segnan N. European guidelines for quality assurance in colorectal cancer screening and diagnosis: First edition. Principles of evidence assessment and methods for reaching recommendations. Endoscopy 2012; 44: SE9-SE14
- 15 Morris M, Platell CF. Surgical volume influences survival in patients undergoing resections for stage II colon cancers. ANZ J Surg 2007; 77: 902-906
- 16 Moss S, Ancelle-Park R, Brenner H. European guidelines for quality assurance in colorectal cancer screening and diagnosis: First edition – Evaluation and interpretation of screening outcomes. Endoscopy 2012;
- 17 NHS Executive. The NHS Cancer Plan and the New NHS. Report no. 264924. London: 2004
- 18 Public Health Resource Unit. Bowel cancer Screening Programme – Guidance for Public Health and Commissioners. BCSP Publication No 3. Sheffield: NHS Cancer Screening Programmes; 2008
- 19 Quirke P, Risio M, Lambert R et al. European guidelines for quality assurance in colorectal cancer screening and diagnosis: First edition. Quality assurance in pathology in colorectal cancer screening and diagnosis. Endoscopy 2012; 44: SE116-SE130
- 20 Salz T, Sandler RS. The effect of hospital and surgeon volume on outcomes for rectal cancer surgery. Clin Gastroenterol Hepatol 2008; 6: 1185-1193
- 21 Scottish Bowel Screening Programme. 2010 http://www.bowelscreening.scot.nhs.co.uk/ Accessed 11/2/2012
- 22 Segnan N, Patnick J, von Karsa L (eds.) European guidelines for quality assurance in colorectal cancer screening and diagnosis. First edition. Luxembourg: European Commission, Publications Office of the European Union; 2010
- 23 Shorthouse A. Specialist Training – a vision for the future. Association of Coloproctology of Great Britain and Ireland 2009; 8: 522-524
- 24 Steele RJ, McClements PL, Libby G et al. Results from the first three rounds of the Scottish demonstration pilot of FOBT screening for colorectal cancer. Gut 2009; 58: 530-535
- 25 Steele RJC, Pox C, Kuipers EJ et al. European guidelines for quality assurance in colorectal cancer screening and diagnosis: First edition. Managment of lesions detected in colorectal cancer screening. Endoscopy 2012; 44: SE140-SE150
- 26 Thomas-Gibson S, Bassett P, Suzuki N et al. Intensive training over 5 days improves colonoscopy skills long-term. Endoscopy 2007; 39: 818-824
- 27 Valori R, Rey J-F, Atkin W et al. European guidelines for quality assurance in colorectal cancer screening and diagnosis: First edition. Quality assurance in endoscopy in colorectal screening and diagnosis. Endoscopy 2012; 44: SE88-SE105
- 28 von Karsa L, Anttila A, Ronco G et al. Cancer Screening in the European Union. Report on the implementation of the Council Recommendation on Cancer Screening. First Report. Luxembourg: European Commission; 2008 http://ec.europa.eu/health/archive/ph_determinants/genetics/documents/cancer_screening.pdf Accessed 11/2/2012
- 29 von Karsa L, Lignini TA, Patnick J et al. The dimensions of the CRC problem. Best Pract Res Clin Gastroenterol 2010; 24: 381-396
- 30 Walsh JM, Salazar R, Terdiman JP et al. Promoting use of colorectal cancer screening tests. Can we change physician behavior?. J Gen Intern Med 2005; 20: 1097-1101
- 31 Wilson JM, Jungner YG. Principles and practice of mass screening for disease. World Health Organization; 1968 http://whqlibdoc.who.int/php/WHO_PHP_34.pdf Accessed 11/2/2012