Description
This volume provides a comprehensive overview of quality metrics and methods used to improve quality for all major modalities of CRC screening. It introduces the readers to the evidence of effectiveness behind various CRC screening modalities: stool-based tests (Fecal Occult Blood, Fecal Immunochemical and Fecal DNA tests), flexible sigmoidoscopy, colonoscopy and CT colonography. In-depth chapters review the latest guidelines for CRC screening, compare differences among the five major national guidelines, and highlight the need for valid quality and cost indicators. While the main focus of this volume is on colonoscopy, since most quality indicators and analyses have focused on this modality of screening and surveillance, one chapter is devoted to quality indicators of other screening modalities. Differences between process and outcome measures are also highlighted and a small but valid set of recommended national measures are listed. Written by experts in the field, Colorectal Cancer Screening: Quality and Benchmarks is an important and useful resource written for gastroenterologists, primary care physicians, general and colorectal surgeons, family physicians, and investigators with research focus in screening and quality metrics. Dr. Shaukat received her medical degree at The Aga Khan University Medical College in Pakistan. She then matriculated to Johns Hopkins School of Public Health where she received an M.P.H. in International Health and Epidemiology. She conducted a gastroenterology fellowship at Emory University School of Medicine and complete her residency at Stat University New York School of Medicine and Biomedical Sciences in Buffalo, New York. She joined the faculty of the Department of Medicine, Division of Gastroenterology at the University of Minnesota in 2007. Dr. Allen graduated with honors from Rice University in Houston, Texas, in 1973. At Rice, he held numerous swimming records and received the Bob Quinn Award for Outstanding Scholar Athlete. He attended medical school at the University of New Mexico, graduating in 1977. His internship, residency and specialty training in gastroenterology were completed at the University of Minnesota. After his fellowship ended in 1980, Dr. Allen joined the academic faculty in the Department of Medicine at the University of Minnesota, where he achieved the honor of becoming an Associate Professor of Medicine. While at the University he published numerous papers about nutrition, alcoholic liver disease and colon cancer. Dr. Allen joined Minnesota Gastroenterology in 1991. There, he continued his clinical research about colon cancer prevention and cancer genetics in conjunction with scientists at the University of Minnesota. Dr. Allen continues to speak nationally and internationally about colon cancer and quality performance in gastroenterology. He has published over 50 articles on various aspects of gastroenterology research and practice and is currently editing a book on quality in colonoscopy. Ch. 1: History and Overview of the National Quality Strategy John I. Allen Ch. 2: Current Screening and Surveillance Guidelines Swati G. Patel Dennis J. Ahnen Ch. 3: Comparative and Cost Effectiveness of Current CRC Screening Modalities Ann G. Zauber Ch. 4: Quality Indicators and Benchmarks For Guideline Recommended Fecal Occult Blood Tests (FOBT) James E. Allison Callum G. Fraser Stephen P. Halloran Graeme P. Young Ch. 5: Quality Indicators for CT Colonography (CTC) Elizabeth G. McFarland Judy Yee Abraham H. Dachman Paul Martin Knechtges Ch. 6: Stool DNA for Colorectal Cancer Screening: From Concepts to Quality Care John B. Kisiel David A. Ahlquist Ch. 7: Quality Indicators for Colonoscopy Victoria Gmez Michael Bradley Wallace Ch. 8: Toward a Learning Healthcare System: Use of Colorectal Cancer Quality Measures for Physician Evaluation Ziad F. Gellad Joel V. Brill Ch. 9: Sedation Issues in Colonoscopy: Quality and Economic Considerations Karen J. Wernli John M. Inadomi Ch. 10: Role of Pathology in Quality of Colonoscopy Lawrence J. Burgart Patrick M. O’Reilly Kenneth P. Batts Jason A. Daniels H. Parry Dilworth Schuyler O. Sanderson Ch. 11: Managing Quality in Ancillary Services Michael Frist Marc Sonenshine Steven J. Morris Ch. 12: Medical Legal Aspects of Quality Improvement Kayla Allison Feld Sarah Faye Blankstein Andrew D. Feld Ch. 13: Areas for Future Research Douglas K. Rex Ashish K. Tiwari




