title: Proposed score for the self-assessment of an endoscopy department performance in colonoscopy screening.
abstract: Theaimof the paper was to propose a score for performance evaluation in colonoscopy units.
  
  
  METHODS
  We proposed a score (CDCD score-Cecal intubation, polypDetection rate,Cleansing andDocumentation of cecal intubation) based on the following parameters that assess the quality of colonoscopy units: total colonoscopies rate, polyp detection rate, rate of cecal intubation photo record, rate of recorded Boston bowel preparation scale (BBPS) (rated 1 to 5 stars). The mean score obtained based on the above mentioned criteria was used as a quality parameter of the endoscopy unit. We applied and calculated this score in all screening colonoscopies performed in our Endoscopy Department during the last 4 years.
  
  
  RESULTS
  The study group included 856 screening colonoscopies. The rate of total colonoscopies was 92.1% (789/856 cases) and the polyp detection rate was 23.9%. Regarding the quality of bowel preparation, the BBPS was recorded in 51.1% cases. The cecal intubation was photo recorded in 44% of cases. We considered that of the 4 parameters, the highest weight for an excellent quality belonged to the cecal intubation rate, followed by the polyp detection rate, because they evaluate the endoscopic technique, while the other 2 are more administrative. Thus, for the unit's assessment we used the following equation: UNIT'S QUALITY CDCD SCORE = (3×cecal intubation rate+3×polyp detection rate+1×photo documentation+1×BBPS documentation)/8. Thus, the CDCD Score for our unit was ≈4 stars (3.7 stars).
  
  
  CONCLUSIONS
  The proposed CDCD score may be an objective tool for the quality assessment in different endoscopy units.
authors.affiliation: Department of Gastroenterology and Hepatology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.
authors.forename: Ioan
authors.initials: I
authors.lastname: Sporea
authors.affiliation: Department of Gastroenterology and Hepatology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.
authors.forename: Alina
authors.initials: A
authors.lastname: Popescu
authors.affiliation: Department of Gastroenterology and Hepatology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.
authors.forename: Roxana
authors.initials: R
authors.lastname: Sirli
authors.affiliation: O. Fodor Regional Institute of Gastroenterology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Oliviu
authors.initials: O
authors.lastname: Pascu
authors.affiliation: Department of Gastroenterology, Gh. T. Popa University of Medicine and Pharmacy, Iasi, Romania.
authors.forename: Cristina Cijevschi
authors.initials: CC
authors.lastname: Prelipcean
authors.affiliation: Department of Gastroenterology and Hepatology, University of Medicine and Pharmacy, Tg Mures, Romania.
authors.forename: Daniela
authors.initials: D
authors.lastname: Dobru
authors.affiliation: Department of Gastroenterology and Hepatology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.
authors.forename: Simona
authors.initials: S
authors.lastname: Bota
authors.affiliation: Department of Gastroenterology and Hepatology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.
authors.forename: Diana
authors.initials: D
authors.lastname: Gherhardt
authors.affiliation: Department of Gastroenterology and Hepatology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.
authors.forename: Oana
authors.initials: O
authors.lastname: Gradinaru
authors.affiliation: Department of Gastroenterology and Hepatology, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.
authors.forename: Madalina
authors.initials: M
authors.lastname: Popescu
keywords: performance; quality assurance; screening colonoscopy; self-assessment