Performance measures for small-bowel endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative

Abstract

The European Society of Gastrointestinal Endoscopy (ESGE) together with the United European Gastroenterology (UEG) recently developed a short list of performance measures for small-bowel endoscopy (i. e. small-bowel capsule endoscopy and device-assisted enteroscopy) with the final goal of providing endoscopy services across Europe with a tool for quality improvement. Six key performance measures for both small-bowel capsule endoscopy and for device-assisted enteroscopy were selected for inclusion, with the intention being that practice at both a service and endoscopist level should be evaluated against them. Other performance measures were considered to be less relevant, based on an assessment of their overall importance, scientific acceptability, and feasibility. Unlike lower and upper gastrointestinal endoscopy, where performance measures had already been identified, this is the first time that small-bowel endoscopy quality measures have been proposed.

Conflict of interest statement

S. Adler gives teaching seminars in capsule endoscopy sponsored by Medtronic (2015 to present). C. Bennett owns and works for Systematic Research Ltd., and received a consultancy fee from ESGE to provide scientific, technical, and methodological expertise for the present project (2014 – 2018). R. Bisschops has received: speaker’s fees from Covidien (2009 – 2014) and Fujifilm (2013); speaker’s fee and hands-on training sponsorship from Olympus Europe (2013 – 2014); speaker’s fee and research support from Pentax Europe; and an editorial fee from Georg Thieme Verlag as co-editor of Endoscopy. M. Bretthauer receives fees for being a member of the Norwegian government CRC screening advisory group (2012 to present) and receives funds from the American College of Physicians for editorial work for Annals of Internal Medicine. E. Despott has received honoraria from Fujifilm and Olympus (2017 – 2019) and academic and research funding from Fujifilm, Olympus, and Pentax Medical (2017 – 2019). M. Dinis-Ribeiro receives funds from Georg Thieme Verlag for editorial work for Endoscopy. I. Fernández-Urién receives consultancy fees from Given Imaging, Covidien, and Medtronic (2010 – 2018). M. Kaminski receives speakers and teaching fees and travel support from Olympus Erbe. M. Keuchel has received speaker fees from Medtronic and Olympus (2002 – 2019), Given Imaging study support (2010 – 2013), and DGVS – guideline quality in endoscopy (2012 – 2015). M. McAlindon receives consultancy fees from Medtronic (2016 – 2019) and receives research support from Ankon Ltd. and Intromedic Ltd. (2017 – 2019). D. McNamara was a member of the Colon Expert Group at the Medtronic session in Tarquinia. J.-C. Saurin has provided consultancy for Intromedic Capsovision Medtronic (2014 – 2018). C. Senore’s department received PillCAM2 Colon devices from Medtronic to conduct a comparative study (2014 – 2017); along with C. Belissario and S. Minozzi, he also received consultancy fees from ESGE to provide methodological expertise (PICOs evaluation, literature searches, and evidence summaries) for the present project (2014 – 2017). S. Panter has received support for Ad boards from Medtronic (from 2010), for a capsule course from Diagmed (from 2005), and for training guideline development from the JAG training working group (from 2010). He was also a member of the Colon Expert Group at the Medtronic session in Tarquinia. C. Spada receives consultancy fees from Medtronic (2016 to present), and speakers and teaching fees and travel support from Olympus (2018 – 2019). R. Valori is a director of AnderVal Ltd., a company providing endoscopy skills training (2015 to present). B. D. Cash, D. Domagk, C. Hassan, H. Ivekovic, C. J. Rees, and M. Rutter have no competing interests.

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