Performance measures for ERCP and endoscopic ultrasound: A European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative

Dirk Domagk, Kofi W. Oppong, Lars Aabakken, Laszlo Czakó, Tibor Gyökeres, Gianpiero Manes, Peter Meier, Jan Werner Poley, Thierry Ponchon, Andrea Tringali, Cristina Bellisario, Silvia Minozzi, Carlo Senore, Cathy Bennett, Michael Bretthauer, Cesare Hassan, Michal F. Kaminski, Mario Dinis-Ribeiro, Colin J. Rees, Cristiano SpadaRoland Valori, Raf Bisschops, Matthew D. Rutter

Research output: Contribution to journalReview article

9 Citations (Scopus)

Abstract

The European Society of Gastrointestinal Endoscopy and United European Gastroenterology present a short list of key performance measures for endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP). We recommend that endoscopy services across Europe adopt the following seven key and one minor performance measures for EUS and ERCP, for measurement and evaluation in daily practice at center and endoscopist level: 1 Adequate antibiotic prophylaxis before ERCP (key performance measure, at least 90%); 2 Antibiotic prophylaxis before EUS-guided puncture of cystic lesions (key performance measure, at least 95%); 3 Bile duct cannulation rate (key performance measure, at least 90%); 4 Tissue sampling during EUS (key performance measure, at least 85%); 5 Appropriate stent placement in patients with biliary obstruction below the hilum (key performance measure, at least 95%); 6 Bile duct stone extraction (key performance measure, at least 90%); 7 Post-ERCP pancreatitis (key performance measure, less than 10%). 8 Adequate documentation of EUS landmarks (minor performance measure, at least 90%). This present list of quality performance measures for ERCP and EUS recommended by ESGE should not be considered to be exhaustive: it might be extended in future to address further clinical and scientific issues.

Original languageEnglish
Pages (from-to)1116-1127
Number of pages12
JournalEndoscopy
Volume50
Issue number11
DOIs
Publication statusPublished - 2018

ASJC Scopus subject areas

  • Gastroenterology

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    Domagk, D., Oppong, K. W., Aabakken, L., Czakó, L., Gyökeres, T., Manes, G., Meier, P., Poley, J. W., Ponchon, T., Tringali, A., Bellisario, C., Minozzi, S., Senore, C., Bennett, C., Bretthauer, M., Hassan, C., Kaminski, M. F., Dinis-Ribeiro, M., Rees, C. J., ... Rutter, M. D. (2018). Performance measures for ERCP and endoscopic ultrasound: A European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative. Endoscopy, 50(11), 1116-1127. https://doi.org/10.1055/a-0749-8767