title: A survey-based analysis on endoscopic quality indicators compliance among Spanish endoscopists.
abstract: BACKGROUND
  Endoscopy plays a key role for the diagnosis and management of gastrointestinal disorders. Therefore, quality indicators have been widely proposed in order to optimize endoscopic practice. The aims of this study, promoted by the Spanish Society of Digestive Diseases (SEPD), were to assess the knowledge and compliance to endoscopy quality indicators among Spanish gastroenterologists.
  
  
  METHODS
  A 31-questionnaire survey was created based on the endoscopy quality indicators proposed by international guidelines. The survey was distributed among Spanish gastroenterologists who are members of the society. Using only fully completed surveys, a descriptive analysis was performed. Those factors related with a suboptimal quality performance were also investigated.
  
  
  RESULTS
  A total of 1,543 surveys were sent and 281 (18.2%) were received completed. Based on the answers obtained, the management of 14 (70%) out of 20 assessed quality indicators was poor: 5 (83.3%) out of 6 pre-procedure items, 7 (58.3%) out of 12 intra-procedure items and 2 (100%) out of 2 post-procedure items.
  
  
  CONCLUSIONS
  A significant proportion of Spanish endoscopists do not comply with main endoscopic quality indicators. Factors such as "young" age, public setting, no colorectal cancer screening program and low volume of procedures/week are related to a poorer management of the assessed quality indicators and should be the target for future formative activities.
authors.affiliation: Gastroenterology Department, Complejo Hospitalario de Navarra.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Fernández-Urien
authors.affiliation: Aparato Digestivo, Hospital Universitario Virgen Macarena. Sevilla. .
authors.forename: Federico
authors.initials: F
authors.lastname: Argüelles-Arias
authors.affiliation: Aparato Digestivo, CHU A Coruña, España.
authors.forename: Pedro A
authors.initials: PA
authors.lastname: Alonso-Aguirre
authors.affiliation: Gestión del Conocimiento, SEPD, España.
authors.forename: Javier
authors.initials: J
authors.lastname: Júdez
authors.affiliation: Complejo Hospitalario de Navarra.
authors.forename: Begoña
authors.initials: B
authors.lastname: Bermejo
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003113:Colonoscopy / Q000592:standards / Q000706:statistics & numerical data; D016099:Endoscopy, Gastrointestinal / Q000592:standards* / Q000706:statistics & numerical data*; D005260:Female; D017408:Guidelines as Topic; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D019984:Quality Indicators, Health Care; D013030:Spain