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Best Practice & Research Clinical Gastroenterology最新文献

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How to measure quality in ERCP? ERCP中如何衡量质量？
IF 3.2 3区 医学
Best Practice & Research Clinical Gastroenterology Pub Date : 2025-06-01 DOI: 10.1016/j.bpg.2025.101999
Franco Ana Rita , Arvanitakis Marianna , Teles de Campos Sara
{"title":"How to measure quality in ERCP?","authors":"Franco Ana Rita ,&nbsp;Arvanitakis Marianna ,&nbsp;Teles de Campos Sara","doi":"10.1016/j.bpg.2025.101999","DOIUrl":"10.1016/j.bpg.2025.101999","url":null,"abstract":"<div><div>Endoscopic Retrograde Cholangiopancreatography (ERCP) is a technically complex and high-risk procedure for managing pancreaticobiliary diseases. The quality assessment in ERCP has evolved from relying solely on adverse events (AEs) rates to a more comprehensive approach incorporating structural, process, and outcome indicators.</div><div>Structural metrics include appropriate indications, informed consent, and procedural difficulty grading. Process metrics focus on bile duct cannulation, stone clearance, stent placement, and radiation exposure documentation. Outcome metrics assess AEs, such as post-ERCP pancreatitis and bleeding rates. Patient-reported outcome measures are valuable tools for capturing morbidity beyond traditional quality metrics.</div><div>Competency in ERCP requires structured training, continuous assessment, and mentored practice.</div><div>High-volume centres consistently demonstrate superior outcomes, reinforcing the need for centralisation and robust quality assurance programs.</div><div>Future advancements, including artificial intelligence and large-scale registries, promise to standardise practices and improve ERCP outcomes.</div><div>This review provides a comprehensive framework to measure and enhance quality in ERCP.</div></div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"76 ","pages":"Article 101999"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quality in endoscopy training 内窥镜检查培训的质量
IF 3.2 3区 医学
Best Practice & Research Clinical Gastroenterology Pub Date : 2025-06-01 DOI: 10.1016/j.bpg.2025.102024
John Anderson (Dr), Roland Valori (Dr)
{"title":"Quality in endoscopy training","authors":"John Anderson (Dr),&nbsp;Roland Valori (Dr)","doi":"10.1016/j.bpg.2025.102024","DOIUrl":"10.1016/j.bpg.2025.102024","url":null,"abstract":"<div><div>Over the last 50 years, endoscopy technology and its clinical application has improved enormously. Endoscopy now provides a wide variety of non-invasive treatments, and it prevents upper and lower gastrointestinal cancer. Performing high-quality endoscopy requires a complex blend of cognitive, technical and non-technical skills. For an individual to acquire these skills requires high-quality training. Unfortunately, the development of training has lagged the advances in technology, resulting in unwarranted variation in the effectiveness of the technology. This chapter argues that to enable a more uniform high-quality endoscopic service, the solution is to improve endoscopy training. It describes what constitutes high-quality training, how new methods of training will improve the traditional training pathway and what can be done to transform endoscopy training.</div></div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"76 ","pages":"Article 102024"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quality in screening colonoscopy 结肠镜筛查的质量
IF 3.2 3区 医学
Best Practice & Research Clinical Gastroenterology Pub Date : 2025-06-01 DOI: 10.1016/j.bpg.2025.102026
Aleksandra Sztogrin-Pluta , Nastazja Dagny Pilonis
{"title":"Quality in screening colonoscopy","authors":"Aleksandra Sztogrin-Pluta ,&nbsp;Nastazja Dagny Pilonis","doi":"10.1016/j.bpg.2025.102026","DOIUrl":"10.1016/j.bpg.2025.102026","url":null,"abstract":"<div><div>Over the past two decades, the importance of colonoscopy quality has gained increasing recognition. Variability in lesion detection rates among endoscopists and missed lesions have been identified as key contributors to post-colonoscopy colorectal cancer (post-colonoscopy CRC). This has driven the development of standardized quality indicators aimed at minimizing these gaps. Quality indicators are categorized into pre-procedural, intra-procedural, and post-procedural phases and encompass a range of technical, cognitive, and administrative factors. While different professional societies emphasize the importance of various indicators, they all include the most validated measures, such as bowel preparation quality, detection metrics, cecal intubation rate, complication rates, and appropriate surveillance recommendations. It is important not to evaluate these indicators in isolation, as they interact and influence each other, collectively determining the overall effectiveness of the procedure.</div><div>This review discusses the latest evidence on colonoscopy quality indicators, their impact on clinical outcomes, and practical strategies to enhance detection rates and procedural quality.</div></div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"76 ","pages":"Article 102026"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How to measure quality in capsule endoscopy 胶囊内窥镜检查质量如何衡量
IF 3.2 3区 医学
Best Practice & Research Clinical Gastroenterology Pub Date : 2025-06-01 DOI: 10.1016/j.bpg.2025.102012
Daniele Salvi , Stefania Piccirelli , Maria Parmigiani , Paola Cesaro , Cristiano Spada
{"title":"How to measure quality in capsule endoscopy","authors":"Daniele Salvi ,&nbsp;Stefania Piccirelli ,&nbsp;Maria Parmigiani ,&nbsp;Paola Cesaro ,&nbsp;Cristiano Spada","doi":"10.1016/j.bpg.2025.102012","DOIUrl":"10.1016/j.bpg.2025.102012","url":null,"abstract":"<div><div>Small bowel capsule endoscopy (SBCE) is widely regarded as the gold standard for the diagnosis of small bowel disorders, offering a minimally invasive and highly accurate diagnostic method. To improve diagnostic precision, international societies have established guidelines and quality initiatives; however, real-world implementation remains inconsistent, with numerous centers failing to meet the recommended benchmarks. Key challenges include variability in bowel preparation, the management of identified pathology, and adherence to recommended timelines, particularly following overt bleeding. Achieving high-quality SBCE is essential for improving clinical outcomes and ensuring the reliability of procedural benchmarks. Future research should focus on exploring the potential role of artificial intelligence in improving the quality of capsule endoscopy, evaluating the training requirements for clinicians and trainees, optimizing strategies to increase completion rates, and standardizing bowel preparation protocols across clinical settings.</div></div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"76 ","pages":"Article 102012"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quality in EUS: for many but not for all EUS的质量：适用于许多人，但不是所有人
IF 3.2 3区 医学
Best Practice & Research Clinical Gastroenterology Pub Date : 2025-06-01 DOI: 10.1016/j.bpg.2025.102010
Pietro Fusaroli, Emilija Rakichevikj, Andrea Lisotti
{"title":"Quality in EUS: for many but not for all","authors":"Pietro Fusaroli,&nbsp;Emilija Rakichevikj,&nbsp;Andrea Lisotti","doi":"10.1016/j.bpg.2025.102010","DOIUrl":"10.1016/j.bpg.2025.102010","url":null,"abstract":"","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"76 ","pages":"Article 102010"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How to measure quality in device-assisted enteroscopy 如何测量器械辅助肠镜检查的质量
IF 3.2 3区 医学
Best Practice & Research Clinical Gastroenterology Pub Date : 2025-06-01 DOI: 10.1016/j.bpg.2025.102011
Pablo Cortegoso Valdivia , Emanuele Rondonotti , Marco Pennazio
{"title":"How to measure quality in device-assisted enteroscopy","authors":"Pablo Cortegoso Valdivia ,&nbsp;Emanuele Rondonotti ,&nbsp;Marco Pennazio","doi":"10.1016/j.bpg.2025.102011","DOIUrl":"10.1016/j.bpg.2025.102011","url":null,"abstract":"<div><div>Device-assisted enteroscopy (DAE) is an advanced endoscopic technique for diagnosing and treating small-bowel diseases, typically performed in specialized tertiary centers. However, real-world data reveal considerable variability in performance among centers, due to differences in expertise, protocols, and available resources. As with other endoscopic procedures, systematically assessing clinical outcomes and benchmarking performance metrics against quality indicators is essential for ensuring standardized care, optimizing procedural effectiveness, and improving patient outcomes. Consequently, international scientific societies have established quality indicators for DAE. This review outlines the current quality indicators for DAE and critically examines their relevance in daily clinical practice, addressing the challenges of maintaining consistent, high-quality care.</div></div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"76 ","pages":"Article 102011"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient experience as a quality marker in gastrointestinal endoscopy 患者经验作为胃肠道内窥镜检查的质量指标
IF 3.2 3区 医学
Best Practice & Research Clinical Gastroenterology Pub Date : 2025-06-01 DOI: 10.1016/j.bpg.2025.102029
L.J. Neilson , C.J. Rees
{"title":"Patient experience as a quality marker in gastrointestinal endoscopy","authors":"L.J. Neilson ,&nbsp;C.J. Rees","doi":"10.1016/j.bpg.2025.102029","DOIUrl":"10.1016/j.bpg.2025.102029","url":null,"abstract":"<div><div>Patient experience is now recognised as an important aspect of gastrointestinal endoscopy quality. Until recently, procedural comfort was used as the main marker of patient experience, however patient experience is much broader and starts from the moment of referral to the point of receiving procedure results. In order to fully assess and improve patient experience, there is a need for patient-reported experience measures, designed with patient input allowing prioritisation of the elements that matter to patients.</div><div>This review defines patient experience in upper and lower Gastrointestinal (GI) endoscopy. It explores the main aspects of GI endoscopy patient experience, in addition to outlining approaches and available tools to measure experience. Consideration is given to how patient experience measures may be used as quality markers.</div></div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"76 ","pages":"Article 102029"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How to measure quality in upper GI endoscopy 如何测量上消化道内镜检查质量
IF 3.2 3区 医学
Best Practice & Research Clinical Gastroenterology Pub Date : 2025-06-01 DOI: 10.1016/j.bpg.2025.102025
Marcin Romańczyk , Zuzanna Felińska , Władysław Januszewicz
{"title":"How to measure quality in upper GI endoscopy","authors":"Marcin Romańczyk ,&nbsp;Zuzanna Felińska ,&nbsp;Władysław Januszewicz","doi":"10.1016/j.bpg.2025.102025","DOIUrl":"10.1016/j.bpg.2025.102025","url":null,"abstract":"<div><div>Esophagogastroduodenoscopy (EGD) is used in the diagnosis of neoplastic and non-neoplastic diseases. The rate of missed cancers remains high and exceeds 8 % for esophageal and gastric cancer. Several quality indicators have been identified to enhance the detection capability and decrease the neoplasia miss rate. Recently, the cleanliness of the mucosa has been identified as one such indicator. To achieve better visibility, premedication with N-acetylcysteine and simethicone should be considered. Advanced imaging modalities, such as virtual chromoendoscopy, may be helpful in the diagnosis of neoplasia and precancerous conditions, such as esophageal squamous cell carcinoma, Barrett's esophagus, and gastric dysplasia. Biopsy protocols, such as the MAPS and Seattle protocols, are another quality indicator, as they aim to identify patients at risk of gastric cancer and Barrett's esophagus-related dysplasia, respectively. Adequate inspection may be reflected in the procedure time or the endoscope withdrawal time. Several indicators have been proposed to monitor operator performance. The endoscopist's biopsy rate, composite detection rate, and Vater's papilla photodocumentation can be useful tools for auditing an endoscopist's performance and any link to neoplasia detection or missed cancers. In addition, monitoring patients' experiences using validated questionnaires is a performance measure of the endoscopy unit along with recording adverse events after therapeutic procedures.</div></div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"76 ","pages":"Article 102025"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preface to issue ‘Quality in Endoscopy' 《内窥镜检查质量》前言
IF 3.2 3区 医学
Best Practice & Research Clinical Gastroenterology Pub Date : 2025-06-01 DOI: 10.1016/j.bpg.2025.102027
Jaroslaw Regula, Henriette Heinrich, Michal F. Kaminski
{"title":"Preface to issue ‘Quality in Endoscopy'","authors":"Jaroslaw Regula,&nbsp;Henriette Heinrich,&nbsp;Michal F. Kaminski","doi":"10.1016/j.bpg.2025.102027","DOIUrl":"10.1016/j.bpg.2025.102027","url":null,"abstract":"","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"76 ","pages":"Article 102027"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Non-technical skills in GI endoscopy as a unit quality measure 胃肠道内窥镜检查的非技术技能作为单位质量测量
IF 3.2 3区 医学
Best Practice & Research Clinical Gastroenterology Pub Date : 2025-06-01 DOI: 10.1016/j.bpg.2025.102007
Adam Haycock , Siwan Thomas-Gibson
{"title":"Non-technical skills in GI endoscopy as a unit quality measure","authors":"Adam Haycock ,&nbsp;Siwan Thomas-Gibson","doi":"10.1016/j.bpg.2025.102007","DOIUrl":"10.1016/j.bpg.2025.102007","url":null,"abstract":"<div><div>The quality of care in a gastrointestinal (GI) endoscopy unit is generally evaluated using metrics that primarily focus on the technical aspects of procedures such as diagnostic accuracy, complication rates, and the quality of bowel preparation. However, non-technical skills (NTS), which include cognitive, interpersonal, and social skills, have been increasingly recognized as crucial factors influencing patient outcomes and the efficiency of endoscopic procedures. This article explores the concept of NTS, reviews the evidence supporting their role as a quality assurance tool in medicine, discusses their impact in the context of gastrointestinal endoscopy, and examines how they can be used as a quality measure for GI endoscopy units.</div></div>","PeriodicalId":56031,"journal":{"name":"Best Practice & Research Clinical Gastroenterology","volume":"76 ","pages":"Article 102007"},"PeriodicalIF":3.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144518652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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