Rondonotti Emanuele, Spada Cristiano, Cadoni Sergio, Cannizzaro Renato, Calabrese Carlo, de Franchis Roberto, Elli Luca, Girelli Carlo Maria, Hassan Cesare, Marmo Riccardo, Riccioni Maria Elena, Oliva Salvatore, Scarpulla Giuseppe, Soncini Marco, Vecchi Maurizio, Pennazio Marco
Unità Operativa Complessa di Gastroenterologia, Ospedale Valduce, Como, Italy.
Unità Operativa di Endoscopia Digestiva, Università Cattolica, Rome, Italy.
Endosc Int Open. 2021 Feb;9(2):E122-E129. doi: 10.1055/a-1319-0742. Epub 2021 Jan 25.
The European Society of Gastrointestinal Endoscopy (ESGE) recently issued a quality performance measures document for small bowel capsule endoscopy (SBCE). The aim of this nationwide survey was to explore SBCE practice with ESGE quality measures as a benchmark. A dedicated per-center semi-quantitative questionnaire based on ESGE performance measures for SBCE was created by a group of SBCE experts. One-hundred-eighty-one centers were invited to participate and were asked to calculate performance measures for SBCE performed in 2018. Data were compared with 10 ESGE quality standards for both key and minor performance measures. Ninety-one centers (50.3 %) participated in the data collection. Overall in the last 5 years (2014-2018), 26,615 SBCEs were performed, 5917 of which were done in 2018. Eighty percent or more of the participating centers reached the minimum standard established by the ESGE Small Bowel Working Group (ESBWG) for four performance measures (indications for SBCE, complete small bowel evaluation, diagnostic yield and retention rate). Conversely, compliance with six minimum standards established by ESBWG concerning adequate bowel preparation, patient selection, timing of SBCE in overt bleeding, appropriate reporting, reading protocols and referral to device-assisted enteroscopy was met by only 15.5 %, 10.9 %, 31.1 %, 67.7 %, 53.4 %, and 32.2 % of centers, respectively. The present survey shows significant variability across SBCE centers; only four (4/10: 40 %) SBCE procedural minimum standards were met by a relevant proportion of the centers ( ≥ 80 %). Our data should help in identifying target areas for quality improvement programs in SBCE.
欧洲胃肠内镜学会（ESGE）最近发布了一份关于小肠胶囊内镜检查（SBCE）的质量绩效评估文件。这项全国性调查的目的是以ESGE质量指标为基准，探索SBCE的实际应用情况。一组SBCE专家根据ESGE对SBCE的绩效评估制定了一份专门的、针对每个中心的半定量问卷。邀请了181个中心参与，并要求他们计算2018年进行的SBCE的绩效指标。将数据与ESGE针对关键和次要绩效指标的10项质量标准进行了比较。91个中心（50.3%）参与了数据收集。在过去5年（2014 - 2018年）中，总共进行了26615例SBCE，其中2018年进行了5917例。80%或更多的参与中心在四项绩效指标（SBCE的适应症、小肠完整评估、诊断率和滞留率）上达到了ESGE小肠工作组（ESBWG）设定的最低标准。相反，ESBWG制定的关于充分肠道准备、患者选择、显性出血时SBCE的时机、适当报告、阅片方案以及转诊至器械辅助小肠镜检查的六项最低标准，分别只有15.5%、10.9%、31.1%、67.7%、53.4%和32.2%的中心达到。本次调查显示，各SBCE中心之间存在显著差异；只有四项（4/10：40%）SBCE操作最低标准有相当比例（≥80%）的中心达到。我们的数据应有助于确定SBCE质量改进计划的目标领域。
