The Italian JAG: endoscopy quality measurement spreads?

We have spent most of the last 10 years in obsessing about how to increase our adenoma detection rate (ADR) as primary surrogate for desired improvement in the quality of endoscopy. Few would doubt that we have succeeded! Scientific societies produced convincing documents defining the ADR and explaining how it should be achieved [1]. The endoscopy community promptly responded, steadily increasing its level of ADR, assuring a higher degree of clinical and professional standard at the same time population programs for colorectal cancer (CRC) screening were implemented in our European countries. Is that all there is?

Publication History

Article published online:
23 March 2020

• References

• 1 Kaminski MF, Thomas-Gibson S, Bugajski M. et al. Performance measures for lower gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative. Endoscopy 2017; 49: 378-397
• 2 Beilenhoff U, Biering H, Blum R. et al. Prevention of multidrug-resistant infections from contaminated duodenoscopes: Position Statement of the European Society of Gastrointestinal Endoscopy (ESGE) and European Society of Gastroenterology Nurses and Associates (ESGENA). Endoscopy 2017; 49: 1098-1106
• Spinzi Giancarlo, Milano Angelo, Brosolo Piero. et al. The Italian Society for Digestive Endoscopy (SIED) accreditation and quality improving project based on international standards. Endosc Int Open 2020; 8: E338-E345
• 4 Siau K, Anderson JT, Valori R. et al. Certification of UK gastrointestinal endoscopists and variations between trainee specialties: results from the JETS e-portfolio. Endosc Int Open 2019; 7: E551-E560