Endoscopy 2017; 49(04): 378-397
DOI: 10.1055/s-0043-103411
Guideline
© Georg Thieme Verlag KG Stuttgart · New York

Performance measures for lower gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative

Michal F. Kaminski
1  Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland
2  Department of Gastroenterological Oncology and Department of Cancer Prevention, The Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland
3  Department of Health Management and Health Economics, Institute of Health and Society, University of Oslo, and Department of Transplantation Medicine, KG Jebsen Center for Colorectal Cancer Research, Oslo University Hospital, Oslo, Norway
,
Siwan Thomas-Gibson
4  Wolfson Unit for Endoscopy, St. Mark’s Hospital, Harrow, and Imperial College, London, UK
,
Marek Bugajski
1  Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland
2  Department of Gastroenterological Oncology and Department of Cancer Prevention, The Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland
,
Michael Bretthauer
3  Department of Health Management and Health Economics, Institute of Health and Society, University of Oslo, and Department of Transplantation Medicine, KG Jebsen Center for Colorectal Cancer Research, Oslo University Hospital, Oslo, Norway
5  Department of Transplantation Medicine, Oslo University Hospital, Oslo, Norway
,
Colin J. Rees
6  South Tyneside NHS Foundation Trust, South Tyneside, United Kingdom
,
Evelien Dekker
7  Department of Gastroenterology and Hepatology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
,
Geir Hoff
3  Department of Health Management and Health Economics, Institute of Health and Society, University of Oslo, and Department of Transplantation Medicine, KG Jebsen Center for Colorectal Cancer Research, Oslo University Hospital, Oslo, Norway
8  Department of Research and Development, Telemark Hospital, Skien, Norway
9  Cancer Registry of Norway, Oslo, Norway
,
Rodrigo Jover
10  Unidad de Gastroenterologia, Hospital General Universitario de Alicante, Alicante, Spain
,
Stepan Suchanek
11  Department of Internal Medicine, First Faculty of Medicine, Charles University, Military University Hospital, Prague, Czech Republic
,
Monika Ferlitsch
12  Department of Medicine III, Division of Gastroenterology and Hepatology, Medical University of Vienna, Vienna, Austria
,
John Anderson
13  Gloucestershire Hospitals NHS Foundation Trust, Cheltenham General Hospital, Gloucestershire, UK
,
Thomas Roesch
14  Department of Interdisciplinary Endoscopy, University Hospital Hamburg-Eppendorf, Germany
,
Rolf Hultcranz
15  Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden
,
Istvan Racz
16  Department of Internal Medicine and Gastroenterology, Petz Aladar County and Teaching Hospital, Györ, Hungary
,
Ernst J. Kuipers
17  Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands
,
Kjetil Garborg
3  Department of Health Management and Health Economics, Institute of Health and Society, University of Oslo, and Department of Transplantation Medicine, KG Jebsen Center for Colorectal Cancer Research, Oslo University Hospital, Oslo, Norway
,
James E. East
18  Translational Gastroenterology Unit, John Radcliffe Hospital, University of Oxford, Oxford, UK
,
Maciej Rupinski
1  Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland
2  Department of Gastroenterological Oncology and Department of Cancer Prevention, The Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland
,
Birgitte Seip
19  Department of Gastroenterology, Vestfold Hospital Trust, Tønsberg, Norway
,
Cathy Bennett
20  Centre for Technology Enabled Research, Faculty of Health and Life Sciences, Coventry University, Coventry, UK
,
Carlo Senore
21  CPO Piemonte, AOU Città della Salute e della Scienza, Turin, Italy
,
Silvia Minozzi
21  CPO Piemonte, AOU Città della Salute e della Scienza, Turin, Italy
,
Raf Bisschops
22  Department of Gastroenterology and Hepatology, University Hospital Leuven and KU Leuven, Leuven, Belgium
,
Dirk Domagk
23  Department of Internal Medicine, Joseph’s Hospital, Warendorf, Germany
,
Roland Valori
24  Department of Gastroenterology, Gloucestershire Hospitals NHS Foundation Trust, Gloucestershire, UK
,
Cristiano Spada
25  Digestive Endoscopy Unit, Agostino Gemelli University Hospital, Rome, Italy
,
Cesare Hassan
26  Nuovo Regina Margherita Hospital, Rome, Italy
,
Mario Dinis-Ribeiro
27  Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Portugal
28  Servicio de Gastroenterologia, Instituto Portugues de Oncologia Francisco Gentil, Porto, Portugal
,
Matthew D. Rutter
29  Department of Gastroenterology, University Hospital of North Tees, Stockton-on-Tees, Cleveland, UK
30  School of Medicine, Durham University, UK
› Author Affiliations
Further Information

Publication History

Publication Date:
07 March 2017 (eFirst)

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.