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

Dirk Domagk; Kofi W. Oppong; Lars Aabakken; Laszlo Czakó; Tibor Gyökeres; Gianpiero Manes; Peter Meier; Jan-Werner Poley; Thierry Ponchon; Andrea Tringali; Cristina Bellisario; Silvia Minozzi; Carlo Senore; Cathy Bennett; Michael Bretthauer; Cesare Hassan; Michal F. Kaminski; Mario Dinis-Ribeiro; Colin J. Rees; Cristiano Spada; Roland Valori; Raf Bisschops; Matthew D. Rutter

doi:10.1055/a-0749-8767

Endoscopy, Table of Contents

Endoscopy 2018; 50(11): 1116-1127
DOI: 10.1055/a-0749-8767

Guideline

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

Authors

Dirk Domagk

¹Department of Medicine I, Josephs Hospital Warendorf, Academic Teaching Hospital, University of Muenster, Warendorf, Germany
Kofi W. Oppong

²HPB Unit, Freeman Hospital, Newcastle upon Tyne, United Kingdom

³Institute of Cellular Medicine, Newcastle University, Newcastle, United Kingdom
Lars Aabakken

⁴Faculty of Medicine, University of Oslo, Oslo, Norway

⁵Department of Transplantation Medicine, Oslo University Hospital, Oslo Norway
Laszlo Czakó

⁶First Department of Medicine, University of Szeged, Szeged, Hungary
Tibor Gyökeres

⁷Department of Gastroenterology, Medical Center Hungarian Defence Forces, Budapest, Hungary
Gianpiero Manes

⁸Department of Gastroenterology, ASST Rhodense, Rho, and Garbagnate Milanese Hospitals, Milan, Italy
Peter Meier

⁹Med. Klinik II, DIAKOVERE Henriettenstift, Klinik für Enterologie, Hannover, Germany
Jan-Werner Poley

¹⁰Department of Gastroenterology and Hepatology, Erasmus MC, University Medical Center Rotterdam, The Netherlands
Thierry Ponchon

¹¹Department of Endoscopy and Gastroenterology, Edouard Herriot Hospital, Lyon, France
Andrea Tringali

¹²Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli – IRCCS, Catholic University, Rome, Italy.

¹³CERTT, Center for Endoscopic Research, Therapeutics and Training – Catholic University, Rome, Italy
Cristina Bellisario

¹⁴CPO Piemonte, AOU Città della Salute e della Scienza, Turin, Italy
Silvia Minozzi

¹Department of Medicine I, Josephs Hospital Warendorf, Academic Teaching Hospital, University of Muenster, Warendorf, Germany
Carlo Senore

¹⁴CPO Piemonte, AOU Città della Salute e della Scienza, Turin, Italy
Cathy Bennett

¹⁵Office of Research and Innovation, Royal College of Surgeons in Ireland Coláiste Ríoga na Máinleá in Éirinn, Dublin, Ireland.
Michael Bretthauer

¹⁶Clinical Effectiveness Research Group, University of Oslo and Oslo University Hospital, Oslo, Norway
Cesare Hassan

¹⁷Endoscopy Unit, Nuovo Regina Margherita Hospital, Rome, Italy
Michal F. Kaminski

¹⁸Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland

¹⁹Department of Gastroenterological Oncology and Department of Cancer Prevention, The Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland

²⁰Department of Health Management and Health Economics, University of Oslo, Norway
Mario Dinis-Ribeiro

²¹Servicio de Gastroenterologia, Instituto Portugues de Oncologia Francisco Gentil, Porto, Portugal
Colin J. Rees

²²Northern Institute for Cancer Research, Newcastle University, Newcastle, United Kingdom
Cristiano Spada

¹²Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli – IRCCS, Catholic University, Rome, Italy.

²³Digestive Endoscopy and Gastroenterology Unit, Poliambulanza Foundation, Brescia, Italy
Roland Valori

²⁴Department of Gastroenterology, Gloucestershire Hospitals NHS Foundation Trust, Gloucestershire, United Kingdom
Raf Bisschops

²⁵Department of Gastroenterology and Hepatology. University Hospital Leuven, Leuven, Belgium
Matthew D. Rutter

²²Northern Institute for Cancer Research, Newcastle University, Newcastle, United Kingdom

²⁶Department 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 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.

Full Text

References

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