Performance measures for small-bowel endoscopy: A European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative.

Digestive Endoscopy Unit and Gastroenterology, Fondazione Poliambulanza, Brescia, Italy. Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli - IRCCS, Rome, Italy. TAGG Research Centre, Department of Clinical Medicine, Tallaght Hospital, Trinity College Dublin, Ireland. Royal Free Unit for Endoscopy, The Royal Free Hospital and UCL Institute for Liver and Digestive Health, London, UK. Division of Gastroenterology, Shaare Zedek Medical Center, Jerusalem, Israel. Department of Gastroenterology, Hepatology, and Nutrition, UT Health Science Center at Houston/Memorial Hermann, Houston, TX, USA. McGovern Medical School, Department of Internal Medicine, Houston, TX, USA. Department of Gastroenterology, Navarra Hospital Complex, Pamplona, Spain. Department of Gastroenterology and Hepatology, University Hospital Centre, Zagreb, Croatia. Clinic for Internal Medicine, Bethesda Krankenhaus Bergedorf, Hamburg, Germany. Academic Department of Gastroenterology and Hepatology, Sheffield Teaching Hospitals NHS Trust, Sheffield, UK. Gastroenterology and Endoscopy Unit, Hospices Civils de Lyon, Hôpital E. Herriot, Lyon, France. Department of Gastroenterology, South Tyneside NHS Foundation Trust, South Shields, UK. CPO Piemonte, AOU Città della Salute e della Scienza, Turin, Italy. Office of Research and Innovation, Royal College of Surgeons in Ireland Coláiste Ríoga na Máinleá in Éirinn, Dublin, Ireland. Clinical Effectiveness Research Group, University of Oslo and Oslo University Hospital, Oslo, Norway. Servicio de Gastroenterologia, Instituto Portugues de Oncologia Francisco Gentil, Porto, Portugal. Department of Medicine I, Josephs-Hospital Warendorf, Academic Teaching Hospital, University of Muenster, Warendorf, Germany. Endoscopy Unit, Nuovo Regina Margherita Hospital, Rome, Italy. Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland. Department of Gastroenterological Oncology and Department of Cancer Prevention, The Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland. Department of Health Management and Health Economics, University of Oslo, Oslo, Norway. Northern Institute for Cancer Research, Newcastle University, Newcastle, UK. Department of Gastroenterology, Gloucestershire Hospitals NHS Foundation Trust, Gloucestershire, UK. Department of Gastroenterology and Hepatology. University Hospital Leuven, Leuven, Belgium. Department of Gastroenterology, University Hospital of North Tees, Stockton-on-Tees, Cleveland, UK.

United European gastroenterology journal. 2019;(5):614-641

Abstract

The European Society of Gastrointestinal Endoscopy (ESGE) together with the United European Gastroenterology (UEG) recently developed a short list of performance measures for small-bowel endoscopy (i.e. small-bowel capsule endoscopy and device-assisted enteroscopy) with the final goal of providing endoscopy services across Europe with a tool for quality improvement. Six key performance measures both for small-bowel capsule endoscopy and for device-assisted enteroscopy were selected for inclusion, with the intention being that practice at both a service and endoscopist level should be evaluated against them. Other performance measures were considered to be less relevant, based on an assessment of their overall importance, scientific acceptability, and feasibility. Unlike lower and upper gastrointestinal endoscopy, for which performance measures had already been identified, this is the first time small-bowel endoscopy quality measures have been proposed.

Methodological quality

Publication Type : Review

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