Current Treatment Options in Gastroenterology

, Volume 15, Issue 3, pp 416–428 | Cite as

Quality Indicators in Colonoscopy

  • Kjetil GarborgEmail author
  • Thomas de Lange
  • Michael Bretthauer
Endoscopy (P Siersema, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Endoscopy

Opinion Statement

Colonoscopy is one of the most commonly performed endoscopic procedures. It is the gold standard examination for work-up of colonic symptoms, for follow-up of positive colorectal cancer screening tests and for detection and removal of neoplastic polyps. Colonoscopy is a complex and invasive procedure with a potential not only for colorectal cancer prevention, but also for serious complications. Numerous factors may affect the balance of benefit versus harm of colonoscopy, including the performance of the endoscopist. These factors are commonly called quality indicators. As an increasing number of countries are recommending the general population to undergo colorectal cancer screening, the quality of colonoscopy should be considered a public health concern. Key quality indicators have been identified, and several professional organizations have issued recommendation statements to promote high-quality colonoscopy. To achieve high quality, these key quality indicators must be monitored, results must be analysed, and measures must be undertaken to correct substandard performance. High-quality training in colonoscopy and polypectomy should be a quality assurance priority.


Colonoscopy Quality Colorectal cancer Adenoma 


Compliance with Ethical Standards

Conflict of Interest

Kjetil Garborg declares that he has no conflict of interest. Thomas de Lange declares that he has no conflict of interest. Michael Bretthauer declares that he has no conflict of interest.

Human and Animal Rights and Informed Consent

All reported studies/experiments with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki Declaration and its amendments, institutional/national research committee standards and international/national/institutional guidelines).

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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Kjetil Garborg
    • 1
    • 2
    Email author
  • Thomas de Lange
    • 3
  • Michael Bretthauer
    • 1
    • 2
  1. 1.Department of Transplantation Medicine and KG Jebsen Center for Colorectal Cancer ResearchOslo University HospitalOsloNorway
  2. 2.Department of Health Management and Health EconomyUniversity of OsloOsloNorway
  3. 3.Section for Bowel Cancer ScreeningCancer Registry of NorwayOsloNorway

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