Endoscopy 2021; 53(02): 196-202
DOI: 10.1055/a-1312-6389

Overcoming the barriers to dissemination and implementation of quality measures for gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and United European Gastroenterology (UEG) position statement

Raf Bisschops
 1  Department of Gastroenterology and Hepatology, University Hospital Leuven, Leuven, Belgium
Matthew D. Rutter
 2  Department of Gastroenterology, University Hospital of North Tees, Stockton-on-Tees, Cleveland, UK
 3  Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, UK
Miguel Areia
 4  Gastroenterology Department, Portuguese Oncology Institute, Coimbra, Portugal
 5  Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Portugal
Cristiano Spada
 6  Università Cattolica del Sacro Cuore, Rome, Italy
 7  Digestive Endoscopy Unit and Gastroenterology, Fondazione Poliambulanza, Brescia, Italy
Dirk Domagk
 8  Department of Medicine I, Josephs-Hospital Warendorf, Academic Teaching Hospital, University of Muenster, Warendorf, Germany
Michel F. Kaminski
 9  Department of Gastroenterological Oncology and Department of Cancer Prevention, The Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland
Andrew Veitch
10  Department of Gastroenterology, Royal Wolverhampton NHS Trust, UK
Wafaa Khannoussi
11  Hepato-gastroenterology department. Mohammed VI University Hospital, Oujda, Morocco
12  Digestive Diseases Research Laboratory (LARMAD), Medical School, Mohammed First University, Oujda, Morocco
Ian M. Gralnek
13  Ellen and Pinchas Mamber Institute of Gastroenterology and Hepatology, Emek Medical Center, Afula, Israel
14  Rappaport Family Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel
Cesare Hassan
15  Endoscopy Unit, Nuovo Regina Margherita Hospital, Rome, Italy
Helmut Messmann
16  Endoscopy Center of the University Clinic of Augsburg, Augsburg, Germany
Thierry Ponchon
17  Gastroenterology Division, Hôpital Edouard Herriot, Lyon, France
Paul Fockens
18  Department of Gastroenterology & Hepatology, Amsterdam Gastroenterology & Metabolism, Amsterdam University Medical Centers, University of Amsterdam, The Netherlands
Alex Dignass
19  Department of Medicine I, Agaplesion Markus Hospital, Goethe University, Frankfurt/Main, Germany
Mario Dinis-Ribeiro
 5  Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Portugal
20  Gastroenterology Department, Portuguese Oncology Institute of Porto, Portugal
› Author Affiliations


The European Society of Gastrointestinal Endoscopy (ESGE) has developed performance measures and established a framework for quality assessment for gastrointestinal endoscopy in Europe. Most national societies actively undertake initiatives to implement and explicitly endorse these quality indicators. Given this, ESGE proposes that, at a national level, strong leadership should exist to disseminate and implement quality parameters. Thus, understanding the potential barriers that may vary locally is of paramount importance. ESGE suggests that each national society should prioritize quality and standards of care in gastrointestinal endoscopy in their activities and should survey/understand which measures are a local priority to their members and make measuring quality intrinsic to daily endoscopy practice.

Publication History

Publication Date:
07 January 2021 (online)

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