A survey-based analysis on endoscopic quality indicators compliance among Spanish endoscopists

Fernández-Urién, Ignacio; Argüelles-Arias, Federico; Alonso-Aguirre, Pedro; Júdez, Javier; Bermejo, Begoña

doi:10.17235/reed.2016.4705/2016

Cited by 3 publications

(2 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To our knowledge, this is the first survey on adherence of endoscopists to ESGE quality performance measures for upper and lower GI endoscopy. Three surveys carried out in Spain ( 27 ), Italy ( 28 ), and across Europe ( 21 ) assessed the quality of lower GI endoscopy but were based on the 2012 ESGE position statement including only some of the most recent colonoscopy quality criteria. Furthermore, our survey provided a comprehensive questionnaire including performance measures of almost all pre-, intra-, and post-procedure quality domains for both upper and lower GI endoscopy.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2022

View full text Add to dashboard Cite

BackgroundThe quality of gastrointestinal (GI) endoscopy has been recently identified as a major priority being associated with many outcomes and patient's experience.ObjectiveTo assess adherence of endoscopists to the European Society of Gastrointestinal Endoscopy (ESGE) quality performance measures for upper and lower GI endoscopy in Italy.MethodsAll 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.ResultsA 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.ConclusionThe 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.

show abstract

Section: Discussionmentioning

confidence: 99%

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

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Endoscopic procedure is an essential contribution for detecting gastric cancer at initial states (Fernández-Urien et al, 2017). Cancer in Spain remains one of the causes with the highest incidence, prevalence and mortality.…”

Section: Introductionmentioning

confidence: 99%

Visualization of mucosa by gastroscopy evaluation using pre-preparation procedure with simethicone

Ortega-Moya¹,

Martínez-Cabrera²,

Guzmán³

et al. 2022

J Pharm Pharmacogn Res

View full text Add to dashboard Cite

Context: A solution of simethicone administrated orally before the scan endoscopy procedure is recommended as a good means to reduce the bubbles interference. Aims: To evaluate the reliability, reproducibility and effectiveness of simethicone pre-treatment before endoscopic exploration of patients not diagnosed with malignant digestive pathologies. Methods: The study was organized in two stages. Time zero was a retrospective reanalysis of data from 58 randomized patients (age 15-90 years) who had been evaluated by endoscopy without simethicone (Control group), and 66 patients (Simethicone group) who were recruited and received 62 mL of a simethicone pre-preparation drink, 30 min before examination. The second stage, using procedure with simethicone, was continued and after 6 months at the beginning, 88 subjects were randomized. Stability in the results was demonstrated with simethicone. Statistical analysis was performed using SPSS v.21. Results: Analysis of comorbidities were represented with the highest prevalence being high blood pressure, diabetes mellitus, long-term depression, obesity and hypothyroidism. Results demonstrated similarity among endoscopist and between analysts within the same group (examination time, images resolved and with the best quality, by mucosal areas). However, these variables were different between groups, such that valuation quality was improved with simethicone, even 6 months after the initial evaluation. Conclusions: Use of simethicone as a pre-preparation drink 30 min before the endoscopy evaluation improves the quality of images and reduces the time of operation.

show abstract

A descriptive monitoring study of a non-anesthetist sedation quality program

et al. 2018

View full text Add to dashboard Cite

A survey-based analysis on endoscopic quality indicators compliance among Spanish endoscopists

Cited by 3 publications

References 39 publications

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

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

Visualization of mucosa by gastroscopy evaluation using pre-preparation procedure with simethicone

A descriptive monitoring study of a non-anesthetist sedation quality program

Contact Info

Product

Resources

About