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

被引:587
作者
Kaminski, Michal F. [1 ,2 ,3 ,4 ,5 ,6 ]
Thomas-Gibson, Siwan [7 ]
Bugajski, Marek [1 ,2 ,3 ,4 ]
Bretthauer, Michael [5 ,6 ,8 ]
Rees, Colin J. [9 ]
Dekker, Evelien [10 ]
Hoff, Geir [5 ,6 ,11 ,12 ]
Jover, Rodrigo [13 ]
Suchanek, Stepan [14 ]
Ferlitsch, Monika [15 ]
Anderson, John [16 ]
Roesch, Thomas [17 ]
Hultcranz, Rolf [18 ,19 ]
Racz, Istvan [20 ]
Kuipers, Ernst J. [21 ]
Garborg, Kjetil [5 ]
East, James E. [22 ]
Rupinski, Maciej [1 ,2 ,3 ,4 ]
Seip, Birgitte [23 ]
Bennett, Cathy [24 ]
Senore, Carlo [25 ]
Minozzi, Silvia [25 ]
Bisschops, Raf [26 ,27 ]
Domagk, Dirk [28 ]
Valori, Roland [29 ]
Spada, Cristiano [30 ]
Hassan, Cesare [31 ]
Dinis-Ribeiro, Mario [32 ,33 ]
Rutter, Matthew D. [34 ,35 ]
机构
[1] Med Ctr Postgrad Educ, Dept Gastroenterol Hepatol & Oncol, Warsaw, Poland
[2] Maria Sklodowska Curie Mem Canc Ctr, Dept Gastroenterol Oncol, Warsaw, Poland
[3] Maria Sklodowska Curie Mem Canc Ctr, Dept Canc Prevent, Warsaw, Poland
[4] Inst Oncol, Warsaw, Poland
[5] Univ Oslo, Inst Hlth & Soc, Dept Hlth Management & Hlth Econ, Oslo, Norway
[6] Oslo Univ Hosp, KG Jebsen Ctr Colorectal Canc Res, Dept Transplantat Med, Oslo, Norway
[7] Harrow & Imperial Coll, St Marks Hosp, Wolfson Unit Endoscopy, London, England
[8] Oslo Univ Hosp, Dept Transplantat Med, Oslo, Norway
[9] South Tyneside NHS Fdn Trust, S Tyneside, England
[10] Univ Amsterdam, Acad Med Ctr, Dept Gastroenterol & Hepatol, Amsterdam, Netherlands
[11] Telemark Hosp, Dept Res & Dev, Skien, Norway
[12] Canc Registry Norway, Oslo, Norway
[13] Hosp Gen Univ Alicante, Unidad Gastroenterol, Alicante, Spain
[14] Charles Univ Prague, Dept Internal Med, Fac Med 1, Mil Univ Hosp, Prague, Czech Republic
[15] Med Univ Vienna, Div Gastroenterol & Hepatol, Dept Med 3, Vienna, Austria
[16] Gloucestershire Hosp NHS Fdn Trust, Cheltenham Gen Hosp, Gloucestershire, England
[17] Univ Hosp Hamburg, Dept Interdisciplinary Endoscopy, Hamburg, Germany
[18] Karolinska Inst, Stockholm, Sweden
[19] Karolinska Univ Hosp, Stockholm, Sweden
[20] Petz Aladar Cty & Teaching Hosp, Dept Internal Med & Gastroenterol, Gyor, Hungary
[21] Erasmus MC Univ Med Ctr, Dept Gastroenterol & Hepatol, Rotterdam, Netherlands
[22] Univ Oxford, John Radcliffe Hosp, Translat Gastroenterol Unit, Oxford, England
[23] Vestfold Hosp Trust, Dept Gastroenterol, Tonsberg, Norway
[24] Coventry Univ, Fac Hlth & Life Sci, Ctr Technol Enabled Res, Coventry, W Midlands, England
[25] AOU Citta Salute & Sci, CPO Piemonte, Turin, Italy
[26] Univ Hosp Leuven, Dept Gastroenterol & Hepatol, Leuven, Belgium
[27] Katholieke Univ Leuven, Leuven, Belgium
[28] Josephs Hosp, Dept Internal Med, Warendorf, Germany
[29] Gloucestershire Hosp NHS Fdn Trust, Dept Gastroenterol, Gloucestershire, England
[30] Agostino Gemelli Univ Hosp, Digest Endoscopy Unit, Rome, Italy
[31] Nuovo Regina Margherita Hosp, Rome, Italy
[32] Univ Porto, Fac Med, Ctr Hlth Technol & Serv Res CINTESIS, Oporto, Portugal
[33] Inst Portugues Oncol Francisco Gentil, Serv Gastroenterol, Oporto, Portugal
[34] Univ Hosp North Tees, Dept Gastroenterol, Cleveland, England
[35] Univ Durham, Sch Med, Durham, England
关键词
ADENOMA DETECTION RATE; COLONOSCOPY WITHDRAWAL TIME; COLD FORCEPS POLYPECTOMY; PAIN RATING-SCALES; COLORECTAL-CANCER; BOWEL PREPARATION; SCREENING COLONOSCOPY; SNARE POLYPECTOMY; POLYP RETRIEVAL; DETECTION RATES;
D O I
10.1055/s-0043-103411
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
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 de-tection 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.
引用
收藏
页码:378 / 397
页数:20
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