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. 2022 Apr 6:9:868449.
doi: 10.3389/fmed.2022.868449. eCollection 2022.

Adherence to European Society of Gastrointestinal Endoscopy Quality Performance Measures for Upper and Lower Gastrointestinal Endoscopy: A Nationwide Survey From the Italian Society of Digestive Endoscopy

Rocco Maurizio Zagari  1   2 , Leonardo Frazzoni  1 , Lorenzo Fuccio  1   2 , Helga Bertani  3 , Stefano Francesco Crinò  4 , Andrea Magarotto  5 , Elton Dajti  1   2 , Andrea Tringali  6 , Paola Da Massa Carrara  7 , Gianpaolo Cengia  8 , Enrico Ciliberto  9 , Rita Conigliaro  10 , Bastianello Germanà  11 , Antonietta Lamazza  12 , Antonio Pisani  13 , Giancarlo Spinzi  14 , Maurizio Capelli  15 , Franco Bazzoli  1   2 , Luigi Pasquale  16
Affiliations

Adherence to European Society of Gastrointestinal Endoscopy Quality Performance Measures for Upper and Lower Gastrointestinal Endoscopy: A Nationwide Survey From the Italian Society of Digestive Endoscopy

Rocco Maurizio Zagari et al. Front Med (Lausanne). .

Erratum in

Abstract

Background: The quality of gastrointestinal (GI) endoscopy has been recently identified as a major priority being associated with many outcomes and patient's experience.

Objective: To assess adherence of endoscopists to the European Society of Gastrointestinal Endoscopy (ESGE) quality performance measures for upper and lower GI endoscopy in Italy.

Methods: All endoscopist members of the Italian Society of Digestive Endoscopy (SIED) were invited from October 2018 to December 2018 to participate to a self-administered questionnaire-based survey. The questionnaire included questions on demographics and professional characteristics, and the recent ESGE quality performance measures for upper and lower GI endoscopy.

Results: A total of 392 endoscopists participated in the study. Only a minority (18.2%) of participants recorded the duration of esophagogastroduodenoscopy (EGD) and 51% provided accurate photo documentation in the minimum standard of 90% of cases. Almost all endoscopists correctly used Prague and Los Angeles classifications (87.8% and 98.2%, respectively), as well as Seattle and Management of precancerous conditions and lesions in the stomach (MAPS) biopsy protocols (86.5% and 91.4%, respectively). However, only 52.8% of participants monitored complications after therapeutic EGD, and 40.8% recorded patients with a diagnosis of Barrett's esophagus (BE). With regard to colonoscopy, almost all endoscopists (93.9%) used the Boston Bowel Preparation Scale for measuring bowel preparation quality and reported a cecal intubation rate ≥90%. However, about a quarter (26.2%) of participants reported an adenoma detection rate of <25%, only 52.8% applied an appropriate polypectomy technique, 48% monitored complications after the procedure, and 12.4% measured patient's experience.

Conclusion: The adherence of endoscopists to ESGE performance measures for GI endoscopy is sub-optimal in Italy. There is a need to disseminate and implement performance measures and endorse educational and scientific interventions on the quality of endoscopy.

Keywords: ESGE; endoscopy; guidelines; performance measure; quality.

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Conflict of interest statement

AT is a consultant for Boston Scientific and Olympus. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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