Quality Assurance for Colonoscopy in Ontario Evidence Summary

Guideline Objective

To summarize evidence available regarding quality indicators for colonoscopy including the definition and validation of indicators, benchmarking and targets.

Patient Population

Adult patients undergoing colonoscopy in Ontario.

Intended Guideline Users

This document is intended for healthcare professionals involved in the delivery of colonoscopy to patients in Ontario and for policy makers and program planners involved in quality assurance at OH (CCO), as well as at hospitals and out-of-hospital premises where colonoscopies are performed. Colonoscopy may be performed for a variety of indications, specifically: follow-up to an abnormal FIT result, screening for those who have a family history of CRC, investigation of symptomatic patients, surveillance of those with a history of advanced adenomatous or serrated polyps, inflammatory bowel disease or CRC, and other screening.

Research Question(s)

What evidence is available for colonoscopy quality indicators, and is there any evidence to support benchmarks for these indicators to improve patient outcomes?