Quality indicators for esophagogastroduodenoscopy: A comparative study of outcomes after an improvement programme in a tertiary hospital

Córdova, Henry; Sánchez-Montes, Cristina; Delgado-Guillena, Pedro; Morales, Victor; Sendino, Oriol; González-Suárez, Begoña; Cárdenas, Andrés; Pellisé, María; Araujo, Isis K.; Ginés, Àngels; Llach, Josep; Fernández‐Esparrach, Glòria

doi:10.1016/j.gastre.2017.10.012

Cited by 11 publications

(11 citation statements)

References 27 publications

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“…An automated online tool facilitating a uniform database for collection of quality indicators would be ideal but setting this up is hampered by different healthcare systems and a broad variation in endoscopy documentation systems. Until this is feasible, teaching and dedicated training, which were demonstrated to be effective [16], must be supported to raise further awareness of the need for accurate assessment of inflammatory and preneoplastic changes of the stomach.…”

Section: Discussionmentioning

confidence: 99%

“…Clinical practice shows that adherence to these recommendations for biopsy sampling is low and depends, among other factors such as local resources, on the expertise as well as personal interests of the investigator [16]. The clinical care setting also plays a role since academic centres are more likely to perform better with regards to guideline adherence [17].…”

Section: Introductionmentioning

confidence: 99%

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Biopsy Sampling in Upper Gastrointestinal Endoscopy: A Survey from 10 Tertiary Referral Centres Across Europe

Bornschein

Tran-Nguyen

Fernández‐Esparrach³

et al. 2020

Dig Dis

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Background: Guidelines give robust recommendations on which biopsies should be taken when there is endoscopic suggestion of gastric inflammation. Adherence to these guidelines often seems arbitrary. This study aimed to give an overview on current practice in tertiary referral centres across Europe. Methods: Data were collected at 10 tertiary referral centres. Demographic data, the indication for each procedure, endoscopic findings, and the number and sampling site of biopsies were recorded. Findings were compared between centres, and factors influencing the decision to take biopsies were explored. Results: Biopsies were taken in 56.6% of 9,425 procedures, with significant variation between centres (p < 0.001). Gastric biopsies were taken in 43.8% of all procedures. Sampling location varied with the procedure indication (p < 0.001) without consistent pattern across the centres. Fewer biopsies were taken in centres which routinely applied the updated Sydney classification for gastritis assessment (46.0%), compared to centres where this was done only upon request (75.3%, p < 0.001). This was the same for centres stratifying patients according to the OLGA system (51.8 vs. 73.0%, p < 0.001). More biopsies were taken in centres following the MAPS guidelines on stomach surveillance (68.1 vs. 37.1%, p < 0.001). Biopsy sampling was more likely in younger patients in 8 centres (p < 0.05), but this was not true for the whole cohort (p = 0.537). The percentage of procedures with biopsies correlated directly with additional costs charged in case of biopsies (r = 0.709, p = 0.022). Conclusion: Adherence to guideline recommendations for biopsy sampling at gastroscopy was inconsistent across the participating centres. Our data suggest that centre-specific policies are applied instead.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Biopsy Sampling in Upper Gastrointestinal Endoscopy: A Survey from 10 Tertiary Referral Centres Across Europe

Bornschein

Tran-Nguyen

Fernández‐Esparrach³

et al. 2020

Dig Dis

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“…These types of initiatives raise awareness among endoscopists that simple measures that do not cost anything can improve the quality of endoscopy. Most recently, two interesting reports from Spain and Portugal showed a significant improvement in upper GI endoscopy performance following simple quality improvement interventions [17,18]. They showed a statistically significant improvement in the use of photodocumentation, use of adequate standardized endoscopic terminology, and the application of correct biopsy protocols.…”

Section: Disseminate the Performance Measures Through Your National Smentioning

confidence: 99%

Overcoming the barriers to dissemination and implementation of quality measures for gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and United European Gastroenterology (UEG) position statement

et al. 2021

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The European Society of Gastrointestinal Endoscopy (ESGE) has developed performance measures and established a framework for quality assessment for gastrointestinal endoscopy in Europe. Most national societies actively undertake initiatives to implement and explicitly endorse these quality indicators. Given this, ESGE proposes that, at a national level, strong leadership should exist to disseminate and implement quality parameters. Thus, understanding the potential barriers that may vary locally is of paramount importance. ESGE suggests that each national society should prioritize quality and standards of care in gastrointestinal endoscopy in their activities and should survey/understand which measures are a local priority to their members and make measuring quality intrinsic to daily endoscopy practice.

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“…These types of initiatives raise awareness among endoscopists that simple measures that do not cost anything can improve the quality of endoscopy. Most recently, two interesting reports from Spain and Portugal showed a significant improvement in upper gastrointestinal endoscopy performance following simple quality improvement interventions 17,18 . They showed a statistically significant improvement in the use of photodocumentation, the use of adequate standardised endoscopic terminology and the application of correct biopsy protocols.…”

Section: How To Overcome These Barriersmentioning

confidence: 99%

Overcoming the barriers to dissemination and implementation of quality measures for gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and United European Gastroenterology (UEG) position statement

et al. 2021

View full text Add to dashboard Cite

The European Society of Gastrointestinal Endoscopy (ESGE) has developed performance measures and established a framework for quality assessment for gastrointestinal endoscopy in Europe. Most national societies actively undertake initiatives to implement and explicitly endorse these quality indicators. Given this, the ESGE proposes that, at a national level, strong leadership should exist to disseminate and implement quality parameters. Thus, understanding the potential barriers that may vary locally is of paramount importance. The ESGE suggests that each national society should prioritise quality and standards of care in gastrointestinal endoscopy in their activities and should survey/understand which measures are a local priority to their members and make measuring quality intrinsic to daily endoscopy practice.

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Quality indicators for esophagogastroduodenoscopy: A comparative study of outcomes after an improvement programme in a tertiary hospital

Cited by 11 publications

References 27 publications

Biopsy Sampling in Upper Gastrointestinal Endoscopy: A Survey from 10 Tertiary Referral Centres Across Europe

Biopsy Sampling in Upper Gastrointestinal Endoscopy: A Survey from 10 Tertiary Referral Centres Across Europe

Overcoming the barriers to dissemination and implementation of quality measures for gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and United European Gastroenterology (UEG) position statement

Overcoming the barriers to dissemination and implementation of quality measures for gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and United European Gastroenterology (UEG) position statement

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