title: Performance measures for lower gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative.
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:1Rate of adequate bowel preparation (minimum standard 90 %);2Cecal intubation rate (minimum standard 90 %);3Adenoma detection rate (minimum standard 25 %);4Appropriate polypectomy technique (minimum standard 80 %);5Complication rate (minimum standard not set);6Patient experience (minimum standard not set);7Appropriate 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.
authors.affiliation: Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland.
authors.forename: Michal F
authors.initials: MF
authors.lastname: Kaminski
authors.affiliation: Wolfson Unit for Endoscopy, St. Mark's Hospital, Harrow, and Imperial College, London, UK.
authors.forename: Siwan
authors.initials: S
authors.lastname: Thomas-Gibson
authors.affiliation: Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland.
authors.forename: Marek
authors.initials: M
authors.lastname: Bugajski
authors.affiliation: 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.
authors.forename: Michael
authors.initials: M
authors.lastname: Bretthauer
authors.affiliation: South Tyneside NHS Foundation Trust, South Tyneside, United Kingdom.
authors.forename: Colin J
authors.initials: CJ
authors.lastname: Rees
authors.affiliation: Department of Gastroenterology and Hepatology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
authors.forename: Evelien
authors.initials: E
authors.lastname: Dekker
authors.affiliation: 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.
authors.forename: Geir
authors.initials: G
authors.lastname: Hoff
authors.affiliation: Unidad de Gastroenterologia, Hospital General Universitario de Alicante, Alicante, Spain.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Jover
authors.affiliation: Department of Internal Medicine, First Faculty of Medicine, Charles University, Military University Hospital, Prague, Czech Republic.
authors.forename: Stepan
authors.initials: S
authors.lastname: Suchanek
authors.affiliation: Department of Medicine III, Division of Gastroenterology and Hepatology, Medical University of Vienna, Vienna, Austria.
authors.forename: Monika
authors.initials: M
authors.lastname: Ferlitsch
authors.affiliation: Gloucestershire Hospitals NHS Foundation Trust, Cheltenham General Hospital, Gloucestershire, UK.
authors.forename: John
authors.initials: J
authors.lastname: Anderson
authors.affiliation: Department of Interdisciplinary Endoscopy, University Hospital Hamburg-Eppendorf, Germany.
authors.forename: Thomas
authors.initials: T
authors.lastname: Roesch
authors.affiliation: Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden.
authors.forename: Rolf
authors.initials: R
authors.lastname: Hultcranz
authors.affiliation: Department of Internal Medicine and Gastroenterology, Petz Aladar County and Teaching Hospital, Györ, Hungary.
authors.forename: Istvan
authors.initials: I
authors.lastname: Racz
authors.affiliation: Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
authors.forename: Ernst J
authors.initials: EJ
authors.lastname: Kuipers
authors.affiliation: 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.
authors.forename: Kjetil
authors.initials: K
authors.lastname: Garborg
authors.affiliation: Translational Gastroenterology Unit, John Radcliffe Hospital, University of Oxford, Oxford, UK.
authors.forename: James E
authors.initials: JE
authors.lastname: East
authors.affiliation: Department of Gastroenterology, Hepatology and Oncology, Medical Center for Postgraduate Education, Warsaw, Poland.
authors.forename: Maciej
authors.initials: M
authors.lastname: Rupinski
authors.affiliation: Department of Gastroenterology, Vestfold Hospital Trust, Tønsberg, Norway.
authors.forename: Birgitte
authors.initials: B
authors.lastname: Seip
authors.affiliation: Centre for Technology Enabled Research, Faculty of Health and Life Sciences, Coventry University, Coventry, UK.
authors.forename: Cathy
authors.initials: C
authors.lastname: Bennett
authors.affiliation: CPO Piemonte, AOU Città della Salute e della Scienza, Turin, Italy.
authors.forename: Carlo
authors.initials: C
authors.lastname: Senore
authors.affiliation: CPO Piemonte, AOU Città della Salute e della Scienza, Turin, Italy.
authors.forename: Silvia
authors.initials: S
authors.lastname: Minozzi
authors.affiliation: Department of Gastroenterology and Hepatology, University Hospital Leuven and KU Leuven, Leuven, Belgium.
authors.forename: Raf
authors.initials: R
authors.lastname: Bisschops
authors.affiliation: Department of Internal Medicine, Joseph's Hospital, Warendorf, Germany.
authors.forename: Dirk
authors.initials: D
authors.lastname: Domagk
authors.affiliation: Department of Gastroenterology, Gloucestershire Hospitals NHS Foundation Trust, Gloucestershire, UK.
authors.forename: Roland
authors.initials: R
authors.lastname: Valori
authors.affiliation: Digestive Endoscopy Unit, Agostino Gemelli University Hospital, Rome, Italy.
authors.forename: Cristiano
authors.initials: C
authors.lastname: Spada
authors.affiliation: Nuovo Regina Margherita Hospital, Rome, Italy.
authors.forename: Cesare
authors.initials: C
authors.lastname: Hassan
authors.affiliation: Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Portugal.
authors.forename: Mario
authors.initials: M
authors.lastname: Dinis-Ribeiro
authors.affiliation: Department of Gastroenterology, University Hospital of North Tees, Stockton-on-Tees, Cleveland, UK.
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Rutter
mesh_terms: D000236:Adenoma / Q000000981:diagnostic imaging*; D001071:Appointments and Schedules; D002400:Cathartics / Q000627:therapeutic use; D002432:Cecum; D003111:Colonic Polyps / Q000601:surgery; D003113:Colonoscopy / Q000009:adverse effects / Q000592:standards*; D015179:Colorectal Neoplasms / Q000000981:diagnostic imaging*; D006801:Humans; D007440:Intubation / Q000592:standards*; D017060:Patient Satisfaction; D018579:Patient Selection; D011159:Population Surveillance; D011183:Postoperative Complications / Q000209:etiology; D013997:Time Factors
chemical_list: D002400:Cathartics