Endoscopy 2019; 51(04): S134
DOI: 10.1055/s-0039-1681565
ESGE Days 2019 ePoster podium presentations
Friday, April 5, 2019 10:30 – 11:00: Quality 1 ePoster Podium 7
Georg Thieme Verlag KG Stuttgart · New York

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

E Toth
1   Skåne University Hospital, Lund University, Malmö, Sweden
,
A Agrawal
2   Doncaster Royal Infirmary, Doncaster, United Kingdom
,
P Amaro
3   Coimbra University Hospital, Coimbra, Portugal
,
L Brink
4   Herlev Hospital, Herlev, Denmark
,
W Fischbach
5   Gastroenterologie und Innere Medizin, Aschaffenburg, Germany
,
M Hünger
6   Private Practice for Internal Medicine, Würzburg, Germany
,
R Jover
7   Hospital General Universitario de Alicante, Alicante, Spain
,
U Kinnunen
8   Tampere University Hospital, Tampere, Finland
,
A Koulaouzidis
9   The Royal Infirmary of Edinburgh, Edinburgh, United Kingdom
,
A Ono
10   Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
,
Á Patai
11   Markusovszky University Teaching Hospital, Szombathely, Hungary
,
S Pecere
12   Fondazione Policlinico Universitario A. Gemelli IRCCS, Digestive Endoscopy Unit, Rome, Italy
13   Università Cattolica del Sacro Cuore, Centre for Endoscopic Research Therapeutics and Training – CERTT, Rome, Italy
,
L Petruzziello
12   Fondazione Policlinico Universitario A. Gemelli IRCCS, Digestive Endoscopy Unit, Rome, Italy
13   Università Cattolica del Sacro Cuore, Centre for Endoscopic Research Therapeutics and Training – CERTT, Rome, Italy
,
JF Riemann
14   Director em. Klinikum Ludwigshafen, Chairman, LebensBlicke Foundation for the Prevention of Colorectal Cancer, Ludwigshafen, Germany
,
B Amlani
15   Norgine, Harefield, Middlesex, United Kingdom
,
C Spada
16   Fondazione Poliambulanza, Brescia, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

Also available at
 

Aims:

To investigate how selected ESGE performance measures are assessed in current clinical practice, using online questionnaires.

Methods:

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.

Results:

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.

Conclusions:

Data collected by ECQI, thus far, indicate that many performance measures recommended by the ESGE are not currently being recorded in real-life practice.