FULFILMENT ANALYSIS OF QUALITY STANDARDS, STABLISHED BY THE EUROPEAN SOCIETY OF GASTROINTESTINAL ENDOSCOPY, IN SMALL-BOWEL CAPSULE ENDOSCOPY IN SPANISH CENTERS

Aims In 2019 the working group of the European Society of Gastrointestinal Endoscopy(ESGE) was reunited with the objective of developing technical and quality standards for small- bowel endoscopy, in order to improve the daily practice in the endoscopy services.

The aim is to evaluate the accomplishment of the quality standards in small-bowel endoscopy (SBCE) stablished by the ESGE, in several Spanish centers.

Methods An online questionnaire was sent to different centers in our country with experienced gastroenterologists in SBCE. It consisted of ten items, in relation with the ESGE quality performance measures. In order to take part of the study, at least 100 questionnaires should be uploaded

Results:

Table 1

KEY PERFORMANCE MESAURES (Minimum/Target standard)	REAL VALUE	KEY PERFORMANCE MESAURES (Minimum/Target standard)	REAL VALUE
Indication for SBCE (≥95%)	91.2%	Appropriate referral to DAE (≥75 /≥90%)	47.2%
Cecal visualization (≥80 /95%)	88%	Capsule retention (<2%)	2.6%
Lesion detection rate (≥50%)	47.9%	MINOR PERFORMANCE MESAURE (Minimum/Target standard)	REAL VALUE
Timing in GI bleeding (≥90%)	75.3%	Patient selection (≥95%)	48.6%

Twenty centers collaborated, answering a total of 2049 questionnaires.

Overall, the minimum standard was only reached in the domain named “Completeness of the procedure”, 88% of the SBCEs analyzed reached the cecum ([Table 1]). A second analysis showed an heterogenous rate of centers achieving the standards of SBCE performance measures. In fact, the minimum standard was only reached by at least 50% of the participant centers in two key performance measures and two minor performance measures.

Conclusions This is the first Spanish multicentric study that analyses the achievement of performance measures in SBCE. Our results do not reach the standards in the majority of the performance measures although an elevated number of procedures were included.

We recommend to each center to have an internal evaluation in order to identify the quality areas that can be improved, before a change in the standards is suggested

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Artikel online veröffentlicht:
14. April 2022