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United European Gastroenterol J. 2017 Apr;5(3):309-334. doi: 10.1177/2050640617700014. Epub 2017 Mar 16.

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
Departments of Gastroenterological Oncology and Cancer Prevention, The Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland.
3
Department of Health Management and Health Economics, University of Oslo, Oslo, Norway.
4
Department of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
5
Wolfson Unit for Endoscopy, St. Mark's Hospital, Harrow, and Imperial College, London, UK.
6
South Tyneside NHS Foundation Trust, South Tyneside, UK.
7
Department of Gastroenterology and Hepatology, University of Amsterdam, Amsterdam, The Netherlands.
8
Department of Research and Development, Telemark Hospital, Skien, Norway.
9
Cancer Registry of Norway, Oslo, Norway.
10
Unidad de Gastroenterologia, Hospital General Universitario de Alicante, Alicante, Spain.
11
Department of Internal Medicine, Military University Hospital, Prague, Czech Republic.
12
Department of Medicine III, Medical University of Vienna, Vienna, Austria.
13
Gloucestershire Hospitals NHS Foundation Trust, Cheltenham General Hospital, Cheltenham, UK.
14
Department of Interdisciplinary Endoscopy, University Hospital Hamburg-Eppendorf, Hamburg, Germany.
15
Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden.
16
Department of Internal Medicine and Gastroenterology, Petz Aladar County and Teaching Hospital, Györ, Hungary.
17
Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
18
Translational Gastroenterology Unit, John Radcliffe Hospital, Oxford, UK.
19
Department of Gastroenterology, Vestfold Hospital Trust, Tønsberg, Norway.
20
Centre for Technology Enabled Research, Coventry University, Coventry, UK.
21
CPO Piemonte, AOU Città della Salute e della Scienza, Turin, Italy.
22
Department of Gastroenterology and Hepatology, University Hospital Leuven and KU Leuven, Leuven, Belgium.
23
Department of Internal Medicine, Joseph's Hospital, Warendorf, Germany.
24
Department of Gastroenterology, Gloucestershire Hospitals NHS Foundation Trust, Gloucestershire, UK.
25
Digestive Endoscopy Unit, Agostino Gemelli University Hospital, Rome, Italy.
26
Nuovo Regina Margherita Hospital, Rome, Italy.
27
Center for Health Technology and Services Research (CINTESIS), University of Porto, Porto, Portugal.
28
Servicio de Gastroenterologia, Instituto Portugues de Oncologia Francisco Gentil, Porto, Portugal.
29
Department of Gastroenterology, University Hospital of North Tees, Stockton-on-Tees, UK.
30
School of Medicine, Durham University, Durham, 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.

KEYWORDS:

Colonoscopy; patient safety; performance measures; quality; quality indicators

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