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Endoscopy. 2019 Jun;51(6):574-598. doi: 10.1055/a-0889-9586. Epub 2019 May 10.

Performance measures for small-bowel endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative.

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Digestive Endoscopy Unit and Gastroenterology, Fondazione Poliambulanza, Brescia, Italy.
Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli - IRCCS, Rome, Italy.
TAGG Research Centre, Department of Clinical Medicine, Tallaght Hospital, Trinity College Dublin, Ireland.
Royal Free Unit for Endoscopy, The Royal Free Hospital and UCL Institute for Liver and Digestive Health, London, UK.
Division of Gastroenterology, Shaare Zedek Medical Center, Jerusalem, Israel.
Department of Gastroenterology, Hepatology, and Nutrition, UT Health Science Center at Houston/Memorial Hermann, Houston, USA.
McGovern Medical School, Department of Internal Medicine, Houston, USA.
Department of Gastroenterology, Navarra Hospital Complex, Pamplona, Spain.
Department of Gastroenterology and Hepatology, University Hospital Centre, Zagreb, Croatia.
Clinic for Internal Medicine, Bethesda Krankenhaus Bergedorf, Hamburg, Germany.
Academic Department of Gastroenterology and Hepatology, Sheffield Teaching Hospitals NHS Trust, Sheffield, UK.
Gastroenterology and Endoscopy Unit, Hospices Civils de Lyon, Hôpital E. Herriot, Lyon, France.
Department of Gastroenterology, South Tyneside NHS Foundation Trust, South Shields, UK.
CPO Piemonte, AOU Città della Salute e della Scienza, Turin, Italy.
Office of Research and Innovation, Royal College of Surgeons in Ireland Coláiste Ríoga na Máinleá in Éirinn, Dublin, Ireland.
Clinical Effectiveness Research Group, University of Oslo and Oslo University Hospital, Oslo, Norway.
Servicio de Gastroenterologia, Instituto Portugues de Oncologia Francisco Gentil, Porto, Portugal.
Department of Medicine I, Josephs-Hospital Warendorf, Academic Teaching Hospital, University of Muenster, Warendorf, Germany.
Endoscopy Unit, Nuovo Regina Margherita Hospital, Rome, Italy.
Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland.
Department of Gastroenterological Oncology and Department of Cancer Prevention, The Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland.
Department of Health Management and Health Economics, University of Oslo, Oslo, Norway.
Northern Institute for Cancer Research, Newcastle University, Newcastle, UK.
Department of Gastroenterology, Gloucestershire Hospitals NHS Foundation Trust, Gloucestershire, UK.
Department of Gastroenterology and Hepatology. University Hospital Leuven, Leuven, Belgium.
Department of Gastroenterology, University Hospital of North Tees, Stockton-on-Tees, Cleveland, UK.


The European Society of Gastrointestinal Endoscopy (ESGE) together with the United European Gastroenterology (UEG) recently developed a short list of performance measures for small-bowel endoscopy (i. e. small-bowel capsule endoscopy and device-assisted enteroscopy) with the final goal of providing endoscopy services across Europe with a tool for quality improvement. Six key performance measures for both small-bowel capsule endoscopy and for device-assisted enteroscopy were selected for inclusion, with the intention being that practice at both a service and endoscopist level should be evaluated against them. Other performance measures were considered to be less relevant, based on an assessment of their overall importance, scientific acceptability, and feasibility. Unlike lower and upper gastrointestinal endoscopy, where performance measures had already been identified, this is the first time that small-bowel endoscopy quality measures have been proposed.

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Conflict of interest statement

S. Adler gives teaching seminars in capsule endoscopy sponsored by Medtronic (2015 to present). C. Bennett owns and works for Systematic Research Ltd., and received a consultancy fee from ESGE to provide scientific, technical, and methodological expertise for the present project (2014 – 2018). R. Bisschops has received: speaker’s fees from Covidien (2009 – 2014) and Fujifilm (2013); speaker’s fee and hands-on training sponsorship from Olympus Europe (2013 – 2014); speaker’s fee and research support from Pentax Europe; and an editorial fee from Georg Thieme Verlag as co-editor of Endoscopy. M. Bretthauer receives fees for being a member of the Norwegian government CRC screening advisory group (2012 to present) and receives funds from the American College of Physicians for editorial work for Annals of Internal Medicine. E. Despott has received honoraria from Fujifilm and Olympus (2017 – 2019) and academic and research funding from Fujifilm, Olympus, and Pentax Medical (2017 – 2019). M. Dinis-Ribeiro receives funds from Georg Thieme Verlag for editorial work for Endoscopy. I. Fernández-Urién receives consultancy fees from Given Imaging, Covidien, and Medtronic (2010 – 2018). M. Kaminski receives speakers and teaching fees and travel support from Olympus Erbe. M. Keuchel has received speaker fees from Medtronic and Olympus (2002 – 2019), Given Imaging study support (2010 – 2013), and DGVS – guideline quality in endoscopy (2012 – 2015). M. McAlindon receives consultancy fees from Medtronic (2016 – 2019) and receives research support from Ankon Ltd. and Intromedic Ltd. (2017 – 2019). D. McNamara was a member of the Colon Expert Group at the Medtronic session in Tarquinia. J.-C. Saurin has provided consultancy for Intromedic Capsovision Medtronic (2014 – 2018). C. Senore’s department received PillCAM2 Colon devices from Medtronic to conduct a comparative study (2014 – 2017); along with C. Belissario and S. Minozzi, he also received consultancy fees from ESGE to provide methodological expertise (PICOs evaluation, literature searches, and evidence summaries) for the present project (2014 – 2017). S. Panter has received support for Ad boards from Medtronic (from 2010), for a capsule course from Diagmed (from 2005), and for training guideline development from the JAG training working group (from 2010). He was also a member of the Colon Expert Group at the Medtronic session in Tarquinia. C. Spada receives consultancy fees from Medtronic (2016 to present), and speakers and teaching fees and travel support from Olympus (2018 – 2019). R. Valori is a director of AnderVal Ltd., a company providing endoscopy skills training (2015 to present). B. D. Cash, D. Domagk, C. Hassan, H. Ivekovic, C. J. Rees, and M. Rutter have no competing interests.

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