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Endoscopy. 2017 Apr;49(4):378-397. doi: 10.1055/s-0043-103411. Epub 2017 Mar 7.

Performance measures for lower gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative.

Author information

1
Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland.
2
Wolfson Unit for Endoscopy, St. Mark's Hospital, Harrow, and Imperial College, London, UK.
3
Department of Health Management and Health Economics, Institute of Health and Society, University of Oslo, and Department of Transplantation Medicine, KG Jebsen Center for Colorectal Cancer Research, Oslo University Hospital, Oslo, Norway.
4
South Tyneside NHS Foundation Trust, South Tyneside, United Kingdom.
5
Department of Gastroenterology and Hepatology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
6
Unidad de Gastroenterologia, Hospital General Universitario de Alicante, Alicante, Spain.
7
Department of Internal Medicine, First Faculty of Medicine, Charles University, Military University Hospital, Prague, Czech Republic.
8
Department of Medicine III, Division of Gastroenterology and Hepatology, Medical University of Vienna, Vienna, Austria.
9
Gloucestershire Hospitals NHS Foundation Trust, Cheltenham General Hospital, Gloucestershire, UK.
10
Department of Interdisciplinary Endoscopy, University Hospital Hamburg-Eppendorf, Germany.
11
Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden.
12
Department of Internal Medicine and Gastroenterology, Petz Aladar County and Teaching Hospital, Györ, Hungary.
13
Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
14
Translational Gastroenterology Unit, John Radcliffe Hospital, University of Oxford, Oxford, UK.
15
Department of Gastroenterology, Vestfold Hospital Trust, Tønsberg, Norway.
16
Centre for Technology Enabled Research, Faculty of Health and Life Sciences, Coventry University, Coventry, UK.
17
CPO Piemonte, AOU Città della Salute e della Scienza, Turin, Italy.
18
Department of Gastroenterology and Hepatology, University Hospital Leuven and KU Leuven, Leuven, Belgium.
19
Department of Internal Medicine, Joseph's Hospital, Warendorf, Germany.
20
Department of Gastroenterology, Gloucestershire Hospitals NHS Foundation Trust, Gloucestershire, UK.
21
Digestive Endoscopy Unit, Agostino Gemelli University Hospital, Rome, Italy.
22
Nuovo Regina Margherita Hospital, Rome, Italy.
23
Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Portugal.
24
Department of Gastroenterology, University Hospital of North Tees, Stockton-on-Tees, Cleveland, UK.

Abstract

The European Society of Gastrointestinal Endoscopy and United European Gastroenterology present a short list of key performance measures for lower gastrointestinal endoscopy. We recommend that endoscopy services across Europe adopt the following seven key performance measures for lower gastrointestinal endoscopy for measurement and evaluation in daily practice at a center and endoscopist level: 1 Rate of adequate bowel preparation (minimum standard 90 %); 2 Cecal intubation rate (minimum standard 90 %); 3 Adenoma detection rate (minimum standard 25 %); 4 Appropriate polypectomy technique (minimum standard 80 %); 5 Complication rate (minimum standard not set); 6 Patient experience (minimum standard not set); 7 Appropriate post-polypectomy surveillance recommendations (minimum standard not set). Other identified performance measures have been listed as less relevant based on an assessment of their importance, scientific acceptability, feasibility, usability, and comparison to competing measures.

PMID:
28268235
DOI:
10.1055/s-0043-103411
[Indexed for MEDLINE]
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