Endoscopy 2018; 50(11): 1116-1127
DOI: 10.1055/a-0749-8767
Guideline
© Georg Thieme Verlag KG Stuttgart · New York

Performance measures for ERCP and endoscopic ultrasound: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative

Dirk Domagk
1   Department of Medicine I, Josephs Hospital Warendorf, Academic Teaching Hospital, University of Muenster, Warendorf, Germany
,
Kofi W. Oppong
2   HPB Unit, Freeman Hospital, Newcastle upon Tyne, United Kingdom
3   Institute of Cellular Medicine, Newcastle University, Newcastle, United Kingdom
,
Lars Aabakken
4   Faculty of Medicine, University of Oslo, Oslo, Norway
5   Department of Transplantation Medicine, Oslo University Hospital, Oslo Norway
,
Laszlo Czakó
6   First Department of Medicine, University of Szeged, Szeged, Hungary
,
Tibor Gyökeres
7   Department of Gastroenterology, Medical Center Hungarian Defence Forces, Budapest, Hungary
,
Gianpiero Manes
8   Department of Gastroenterology, ASST Rhodense, Rho, and Garbagnate Milanese Hospitals, Milan, Italy
,
Peter Meier
9   Med. Klinik II, DIAKOVERE Henriettenstift, Klinik für Enterologie, Hannover, Germany
,
Jan-Werner Poley
10   Department of Gastroenterology and Hepatology, Erasmus MC, University Medical Center Rotterdam, The Netherlands
,
Thierry Ponchon
11   Department of Endoscopy and Gastroenterology, Edouard Herriot Hospital, Lyon, France
,
Andrea Tringali
12   Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli – IRCCS, Catholic University, Rome, Italy.
13   CERTT, Center for Endoscopic Research, Therapeutics and Training – Catholic University, Rome, Italy
,
Cristina Bellisario
14   CPO Piemonte, AOU Città della Salute e della Scienza, Turin, Italy
,
Silvia Minozzi
1   Department of Medicine I, Josephs Hospital Warendorf, Academic Teaching Hospital, University of Muenster, Warendorf, Germany
,
Carlo Senore
14   CPO Piemonte, AOU Città della Salute e della Scienza, Turin, Italy
,
Cathy Bennett
15   Office of Research and Innovation, Royal College of Surgeons in Ireland Coláiste Ríoga na Máinleá in Éirinn, Dublin, Ireland.
,
Michael Bretthauer
16   Clinical Effectiveness Research Group, University of Oslo and Oslo University Hospital, Oslo, Norway
,
Cesare Hassan
17   Endoscopy Unit, Nuovo Regina Margherita Hospital, Rome, Italy
,
Michal F. Kaminski
18   Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland
19   Department of Gastroenterological Oncology and Department of Cancer Prevention, The Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland
20   Department of Health Management and Health Economics, University of Oslo, Norway
,
Mario Dinis-Ribeiro
21   Servicio de Gastroenterologia, Instituto Portugues de Oncologia Francisco Gentil, Porto, Portugal
,
Colin J. Rees
22   Northern Institute for Cancer Research, Newcastle University, Newcastle, United Kingdom
,
Cristiano Spada
12   Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli – IRCCS, Catholic University, Rome, Italy.
23   Digestive Endoscopy and Gastroenterology Unit, Poliambulanza Foundation, Brescia, Italy
,
Roland Valori
24   Department of Gastroenterology, Gloucestershire Hospitals NHS Foundation Trust, Gloucestershire, United Kingdom
,
Raf Bisschops
25   Department of Gastroenterology and Hepatology. University Hospital Leuven, Leuven, Belgium
,
Matthew D. Rutter
22   Northern Institute for Cancer Research, Newcastle University, Newcastle, United Kingdom
26   Department of Gastroenterology, University Hospital of North Tees, Stockton-on-Tees, Cleveland, UK
› Author Affiliations
Further Information

Publication History

Publication Date:
19 October 2018 (online)

Abstract

The European Society of Gastrointestinal Endoscopy and United European Gastroenterology present a short list of key performance measures for endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP). We recommend that endoscopy services across Europe adopt the following seven key and one minor performance measures for EUS and ERCP, for measurement and evaluation in daily practice at center and endoscopist level:

1 Adequate antibiotic prophylaxis before ERCP (key performance measure, at least 90 %); 2 Antibiotic prophylaxis before EUS-guided puncture of cystic lesions (key performance measure, at least 95 %); 3 Bile duct cannulation rate (key performance measure, at least 90 %); 4 Tissue sampling during EUS (key performance measure, at least 85 %); 5 Appropriate stent placement in patients with biliary obstruction below the hilum (key performance measure, at least 95 %); 6 Bile duct stone extraction (key performance measure, at least 90 %); 7 Post-ERCP pancreatitis (key performance measure, less than 10 %). 8 Adequate documentation of EUS landmarks (minor performance measure, at least 90 %).

This present list of quality performance measures for ERCP and EUS recommended by ESGE should not be considered to be exhaustive: it might be extended in future to address further clinical and scientific issues.