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
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
07. März 2017 (online)

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.

 
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