A comprehensive examination of small-bowel capsule endoscopy in Spanish centers to meet European Society of Gastrointestinal Endoscopy standards

1. Gómez Villagrá, Míriam ¹
2. Prieto de Frías, César ⁶
3. Martinez-Acitores de la Mata, Diego ⁹
4. Alonso-Sierra, Maite ⁶
5. Alonso-Lazaro, Noelia ²
6. Caballero, Noemí ¹⁶
7. Sanchez Ceballos, Francisco ⁴
8. Compañy, Luis ⁵
9. Egea Valenzuela, Juan ¹³
10. Esteban, Pilar ¹⁸
11. Farráis, Sergio ¹⁹
12. Fernández-Urién, Ignacio ⁶
13. Galvez, Consuelo ¹⁷
14. García, Almudena ¹⁰
15. García Lledó, Javier ⁷
16. González Suárez, Begoña ⁸
17. Jiménez-García, Victoria-Alejandra ¹¹
18. Lujan-Sanchís, Marisol ¹⁵
19. Mateos Muñoz, Beatriz ²¹
20. Romero-Mascarell, Cristina ¹²
21. San Juan Acosta, Mileidis ¹⁴
22. Valdivielso Cortázar, Eduardo ³
23. Giordano, Antonio ⁸²⁰
24. Carretero, Cristina ⁶

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DOI: 10.1055/A-2252-8946 PMID: 38481597 WoS: WOS:001181109400007 GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Endoscopy International Open

Resumen

Background and study aims In 2019, the European Society of Gastrointestinal Endoscopy (ESGE) created a working group to develop technical and quality standards for small-bowel capsule endoscopy (SBCE) to improve the daily practice of endoscopy services. They developed 10 quality parameters, which have yet to be tested in a real-life setting. Our study aimed to evaluate the accomplishment of the quality standards in SBCE established by the ESGE in several Spanish centers. Materials and methods An online survey of 11 multiple-choice questions related to the ESGE performance measures was sent to Spanish centers with experience in SBCE. In order to participate and obtain reliable data, at least 100 questionnaires had to be answered per center because that is the minimum number established by ESGE. Results 20 centers participated in the study, compiling 2049 SBCEs for the analysis. Only one of 10 performance measures (cecal visualization) reached the minimum standard established by the ESGE. In five of 10 performance measures (Indication, lesion detection rate, terminology, and retention rate) the minimum standard was nearly achieved. Conclusions Our study is the first multicenter study regarding SBCE quality performance measures in a real setting. Our results show that the minimum standard is hardly reached in most procedures, which calls into question their clinical applicability in real life. We suggest performing similar studies in other countries to evaluate whether there is a need for quality improvement programs or a need to reevaluate the minimum and target values published so far.

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