Evidence map›Paper›PMID 35463020›Full record

ArticleFrontiers in medicine2022

Adherence to European Society of Gastrointestinal Endoscopy Quality Performance Measures for Upper and Lower Gastrointestinal Endoscopy: A Nationwide Survey From the Italian Society of Digestive Endoscopy.

Rocco Maurizio Zagari, Leonardo Frazzoni, Lorenzo Fuccio, Helga Bertani, Stefano Francesco Crinò, Andrea Magarotto, Elton Dajti, Andrea Tringali, Paola Da Massa Carrara, Gianpaolo Cengia and 9 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Frontiers in medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Quality indicators for upper GI endoscopy.Gastrointestinal endoscopy · 2025
    Guideline
  2. Review
  3. Article
  4. Article
  5. Quality Indicators for Upper GI Endoscopy.The American journal of gastroenterology · 2025
    Article
  6. Article
  7. Article
  8. Unlocking quality in endoscopic mucosal resection.World journal of gastrointestinal endoscopy · 2023
    Review
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 10 institutions in 1 country.

Rocco Maurizio ZagariGastroenterology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Leonardo FrazzoniGastroenterology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Lorenzo FuccioGastroenterology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Helga BertaniGastroenterology and Endoscopy Unit, Azienda Ospedaliera-Universitaria Policlinico di Modena, Modena, Italy.
Stefano Francesco CrinòGastroenterology and Digestive Endoscopy Unit, Pancreas Institute, University of Verona, Verona, Italy.
Andrea MagarottoDiagnostic and Therapeutic Endoscopy Unit, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
Elton DajtiGastroenterology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Andrea TringaliDigestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
Paola Da Massa CarraraDigestive Endoscopy Unit, S. Luca Hospital, Lucca, Italy.
Gianpaolo CengiaDigestive Endoscopy Unit, Manerbio Hospital, Manerbio, Italy.
Enrico CilibertoGastroenterology and Digestive Endoscopy Unit, S. Giovanni di Dio Hospital, Crotone, Italy.
Rita ConigliaroGastroenterology and Digestive Endoscopy Unit, Baggiovara University Hospital, Baggiovara, Italy.
Bastianello GermanàGastroenterology and Digestive Endoscopy Unit, S. Martino Hospital, Belluno, Italy.
Antonietta LamazzaDepartment of Surgery "Pietro Valdoni", University La Sapienza, Rome, Italy.
Antonio PisaniGastroenterology and Digestive Endoscopy Unit, National Institute of Gastroenterology "Saverio de Bellis", Research Hospital, Castellana Grotte, Bari, Italy.
Giancarlo SpinziGastroenterology and Endoscopy Department, Valduce Hospital, Como, Italy.
Maurizio CapelliKiwa Cermet Certification Body, Statistical Department, Bologna, Italy.
Franco BazzoliGastroenterology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Luigi PasqualeUOC Gastroenterologia ed Endoscopia Digestiva, Ospedale Frangipane, Avellino, Italy.
Azienda USL di Bologna · ITCTO Hospital · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITGastroenterology Hospital "Saverio de Bellis" · ITNuovo Ospedale San Giovanni di Dio · ITOspedale Valduce · ITPoliclinico di Modena · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Bologna · ITUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The quality of gastrointestinal (GI) endoscopy has been recently identified as a major priority being associated with many outcomes and patient's experience. Objective: To assess adherence of endoscopists to the European Society of Gastrointestinal Endoscopy (ESGE) quality performance measures for upper and lower GI endoscopy in Italy. Methods: All endoscopist members of the Italian Society of Digestive Endoscopy (SIED) were invited from October 2018 to December 2018 to participate to a self-administered questionnaire-based survey. The questionnaire included questions on demographics and professional characteristics, and the recent ESGE quality performance measures for upper and lower GI endoscopy. Results: A total of 392 endoscopists participated in the study. Only a minority (18.2%) of participants recorded the duration of esophagogastroduodenoscopy (EGD) and 51% provided accurate photo documentation in the minimum standard of 90% of cases. Almost all endoscopists correctly used Prague and Los Angeles classifications (87.8% and 98.2%, respectively), as well as Seattle and Management of precancerous conditions and lesions in the stomach (MAPS) biopsy protocols (86.5% and 91.4%, respectively). However, only 52.8% of participants monitored complications after therapeutic EGD, and 40.8% recorded patients with a diagnosis of Barrett's esophagus (BE). With regard to colonoscopy, almost all endoscopists (93.9%) used the Boston Bowel Preparation Scale for measuring bowel preparation quality and reported a cecal intubation rate ≥90%. However, about a quarter (26.2%) of participants reported an adenoma detection rate of <25%, only 52.8% applied an appropriate polypectomy technique, 48% monitored complications after the procedure, and 12.4% measured patient's experience. Conclusion: The adherence of endoscopists to ESGE performance measures for GI endoscopy is sub-optimal in Italy. There is a need to disseminate and implement performance measures and endorse educational and scientific interventions on the quality of endoscopy.

Indexed as

endoscopyESGEguidelinesperformance measurequality

Identifiers

PMID35463020
PMCPMC9018975
OpenAlexW4226237189

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.