Koggel Lieke Maria, van Berlo Jole P E, Indemans Fleur A, Schrauwen Ruud W M, Lantinga Marten A, Siersema Peter D
Gastroenterology and Hepatology, Radboudumc, Nijmegen, Netherlands.
Gastroenterology and Hepatology, Maasziekenhuis Pantein, Boxmeer, Netherlands.
Endosc Int Open. 2025 Mar 14;13:a25260240. doi: 10.1055/a-2526-0240. eCollection 2025.
The European Society of Gastrointestinal Endoscopy (ESGE) and British Society of Gastroenterology (BSG) formulated performance measures to improve the detection rate for upper gastrointestinal (UGI) endoscopy. We aimed to assess adherence to and impact of training on adherence to performance measures for UGI endoscopy.
In this multicenter, prospective, cohort study, endoscopists at three centers underwent 1-hour face-to-face training based on ESGE and BSG procedure performance measures (≥ 7-minute inspection time; photodocumentation of ≥ 10 anatomical landmarks + abnormalities; standardized terminology; biopsy protocols). A self-developed quality assessment score was used to assess diagnostic UGI endoscopies before (control group) and after (intervention group) training. The primary endpoint was improvement in overall quality score (percentage of the maximum score).
Of 1,733 consecutive UGI endoscopies, 570 were eligible for inclusion (mean patient age 60 years [standard deviation 15]; male 47%): 285 in the control group and 285 in the intervention group. Overall quality score increased from 60% before to 67% after the training intervention (difference 7%, 95% confidence interval [CI] 5-10, < 0.001). Male patients (3.2%, 95% CI 0.7-5.7), alarming features (-3.1%, 95% CI -5.6 to -0.5), and endoscopist age (-0.4% increment per year, 95% CI -0.8 to -0.1) were associated with higher quality scores.
Adherence to the ESGE and BSG procedure performance measures for UGI endoscopy persistently increased after a 1-hour face-to-face training intervention, suggesting that a simple training intervention tool can improve the quality of UGI endoscopy and potentially could prevent missed lesions.
欧洲胃肠内镜学会（ESGE）和英国胃肠病学会（BSG）制定了性能指标，以提高上消化道（UGI）内镜检查的检出率。我们旨在评估对UGI内镜检查性能指标的依从性以及培训对依从性的影响。
在这项多中心、前瞻性队列研究中，三个中心的内镜医师接受了基于ESGE和BSG操作性能指标（检查时间≥7分钟；拍摄≥10个解剖标志+异常的照片记录；标准化术语；活检方案）的1小时面对面培训。使用自行开发的质量评估分数来评估培训前（对照组）和培训后（干预组）的诊断性UGI内镜检查。主要终点是总体质量分数的提高（最高分数的百分比）。
在1733例连续的UGI内镜检查中，570例符合纳入标准（患者平均年龄60岁[标准差15]；男性占47%）：对照组285例，干预组285例。培训干预后，总体质量分数从之前的60%提高到67%（差异7%，95%置信区间[CI]5-10，<0.001）。男性患者（3.2%，95%CI 0.7-5.7）、警示特征（-3.1%，95%CI -5.6至-0.5）和内镜医师年龄（每年增加-0.4%，95%CI -0.8至-0.1）与更高的质量分数相关。
在1小时的面对面培训干预后，对ESGE和BSG的UGI内镜检查操作性能指标的依从性持续提高，这表明一个简单的培训干预工具可以提高UGI内镜检查的质量，并有可能预防漏诊病变。
