RECORDING OF EUROPEAN SOCIETY OF GASTROINTESTINAL ENDOSCOPY (ESGE) PERFORMANCE MEASURES: OBSERVATIONS FROM THE EUROPEAN COLONOSCOPY QUALITY INVESTIGATION (ECQI) QUESTIONNAIRE

Abstract Background In 2018, the European Society of Gastrointestinal Endoscopy (ESGE) and United European Gastroenterology (UEG) published quality performance measures for endoscopic retrograde cholangiopancreatography (ERCP). Since January 2016, all endoscopists in the Netherlands have been required to register all ERCP procedures in a nationwide quality registry. This study aimed to evaluate the procedural success rates of ERCP after the implementation of mandatory national registration and to compare these with the ESGE quality performance measures. Methods This study was conducted with data from a multicenter endoscopy database. Data from 2019 and 2020 were analyzed. The primary outcome was ERCP procedural outcome. ESGE performance measures that could be evaluated were the percentage of successful bile duct cannulations in patients with virgin papillary anatomy; successful stent placement for a biliary obstruction located below the liver hilum; and complete removal of bile duct stones (< 10 mm). Result In total, 5295 ERCPs performed in 11 centers were included for analysis. The overall procedural success rate was 89.1 %. Successful biliary cannulation in patients with a virgin papilla was 90.3 % in nonacademic and 92.4 % in academic centers. The rates of successful stent placement in patients with a biliary obstruction located below the liver hilum were 97.0 % in nonacademic and 98.2 % in academic centers, and of successful bile duct stone extraction were 97.9 % in both nonacademic and academic centers. Conclusions The quality of ERCPs performed met five of the six evaluated ESGE performance measures. The 95 % target for successful biliary cannulation in patients with virgin papillary anatomy in academic centers was not met. Mandatory registration provides valuable insight into ERCP performance rates.

Download Full-text

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

Endoscopy ◽

10.1055/a-0755-7515 ◽

2018 ◽

Vol 50 (12) ◽

pp. 1186-1204 ◽

Cited By ~ 8

Author(s):

Roland Valori ◽

George Cortas ◽

Thomas de Lange ◽

Omer Balfaqih ◽

Marjon de Pater ◽

...

Keyword(s):

Quality Improvement ◽

Performance Measures ◽

European Society ◽

Gastrointestinal Endoscopy ◽

Quality Improvement Initiative ◽

Advocacy Groups ◽

Patient Journey ◽

Professional Societies ◽

Adoption And Implementation ◽

Key Performance Measures

AbstractThe European Society of Gastrointestinal Endoscopy (ESGE) and United European Gastroenterology present a list of key performance measures for endoscopy services. We recommend that these performance measures be adopted by all endoscopy services across Europe. The measures include those related to the leadership, organization, and delivery of the service, as well as those associated with the patient journey. Each measure includes a recommendation for a minimum and target standard for endoscopy services to achieve. We recommend that all stakeholders in endoscopy take note of these ESGE endoscopy services performance measures to accelerate their adoption and implementation. Stakeholders include patients and their advocacy groups; service leaders; staff, including endoscopists; professional societies; payers; and regulators.

Download Full-text

The European Society of Gastrointestinal Endoscopy Quality Improvement Initiative: developing performance measures

Endoscopy ◽

10.1055/s-0035-1569580 ◽

2015 ◽

Vol 48 (01) ◽

pp. 81-89 ◽

Cited By ~ 4

Author(s):

Matthew Rutter ◽

Carlo Senore ◽

Raf Bisschops ◽

Dirk Domagk ◽

Roland Valori ◽

...

Keyword(s):

Quality Improvement ◽

Performance Measures ◽

European Society ◽

Gastrointestinal Endoscopy ◽

Quality Improvement Initiative

Download Full-text

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

Endoscopy ◽

10.1055/a-0889-9586 ◽

2019 ◽

Vol 51 (06) ◽

pp. 574-598 ◽

Cited By ~ 9

Author(s):

Cristiano Spada ◽

Deirdre McNamara ◽

Edward J. Despott ◽

Samuel Adler ◽

Brooks D. Cash ◽

...

Keyword(s):

Quality Improvement ◽

Small Bowel ◽

Performance Measures ◽

Capsule Endoscopy ◽

European Society ◽

Gastrointestinal Endoscopy ◽

Quality Improvement Initiative ◽

Upper Gastrointestinal Endoscopy ◽

Small Bowel Endoscopy ◽

First Time

AbstractThe 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 for both 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, where performance measures had already been identified, this is the first time that small-bowel endoscopy quality measures have been proposed.

Download Full-text