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RECORDING OF EUROPEAN SOCIETY OF GASTROINTESTINAL ENDOSCOPY (ESGE) PERFORMANCE MEASURES: OBSERVATIONS FROM THE EUROPEAN COLONOSCOPY QUALITY INVESTIGATION (ECQI) QUESTIONNAIRE
18 March 2019 (online)
To investigate how selected ESGE performance measures are assessed in current clinical practice, using online questionnaires.
The development of the online practitioner and institution questionnaires, by the European Colonoscopy Quality Investigation (ECQI) Group, has been previously described in posters presented at UEGW, 2015 and 2016. Data collection is an ongoing process: we analysed data collected between 2/6/16 and 30/4/18.
We received 91 completed practitioner questionnaires and 52 completed institution forms from 12 European countries.
The ESGE recommends that adenoma detection rate (ADR) should be used as a measure of adequate inspection at screening or diagnostic colonoscopy in patients aged ≥50 years. ADR was reported as routinely recorded by only 34% of practitioners and in 29% of institutions. Polyp detection rate (PDR) was routinely recorded by 47% of practitioners and in 42% of institutions. The responses also showed that caecal intubation rate (CIR) was reported as routinely recorded by 64% of practitioners and in 62% of institutions.
Furthermore, the collected responses showed that scale-based bowel cleansing quality was reported as routinely recorded in 56% of institutions while 76% of practitioners reported routinely using a cleansing scale. The proportion of practitioners reporting routinely recording polyp removal rate was 44%, polyp retrieval rate 37%, and retraction time 60%. 77% of practitioners routinely used a polyp classification scale, and 54% routinely placed tattoos following polyp removal based on guidelines.
Patient satisfaction was recorded in 25% of institutions, during-procedure complications were reported to be routinely recorded in 83%, but post-procedure complications by only 56%. 69% of institutions reported that quality guidelines were routinely followed.
Data collected by ECQI, thus far, indicate that many performance measures recommended by the ESGE are not currently being recorded in real-life practice.