Keating E, Leyden J, O'Connor DB, Lahiff C. Unlocking quality in endoscopic mucosal resection. World J Gastrointest Endosc 2023; 15(5): 338-353 [PMID: 37274555 DOI: 10.4253/wjge.v15.i5.338]
Corresponding Author of This Article
Eoin Keating, MBChB, MRCPI, Doctor, Department of Gastroenterology, Mater Misericordiae University Hospital, Eccles Street, Dublin 7, Ireland. eoinkeating@mater.ie
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. May 16, 2023; 15(5): 338-353 Published online May 16, 2023. doi: 10.4253/wjge.v15.i5.338
Unlocking quality in endoscopic mucosal resection
Eoin Keating, Jan Leyden, Donal B O'Connor, Conor Lahiff
Eoin Keating, Jan Leyden, Conor Lahiff, Department of Gastroenterology, Mater Misericordiae University Hospital, Dublin 7, Ireland
Eoin Keating, Jan Leyden, Conor Lahiff, School of Medicine, University College Dublin, Dublin 4, Ireland
Donal B O'Connor, Department of Surgery, Tallaght University Hospital, Dublin 24, Ireland
Donal B O'Connor, School of Medicine, Trinity College Dublin, Dublin 2, Ireland
Author contributions: Keating E designed and drafted the original manuscript and reviewed all subsequent and final drafts; Leyden J and O’Connor D reviewed the draft and final manuscripts; Lahiff C designed and reviewed the original manuscript; all subsequent drafts, including the final draft.
Conflict-of-interest statement: The authors declare no conflict of interests for this review article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Eoin Keating, MBChB, MRCPI, Doctor, Department of Gastroenterology, Mater Misericordiae University Hospital, Eccles Street, Dublin 7, Ireland. eoinkeating@mater.ie
Received: December 28, 2022 Peer-review started: December 28, 2022 First decision: February 8, 2023 Revised: February 24, 2023 Accepted: April 12, 2023 Article in press: April 12, 2023 Published online: May 16, 2023 Processing time: 138 Days and 22 Hours
Abstract
A review of the development of the key performance metrics of endoscopic mucosal resection (EMR), learning from the experience of the establishment of widespread colonoscopy quality measurements. Potential future performance markers for both colonoscopy and EMR are also evaluated to ensure continued high quality performance is maintained with a focus service framework and predictors of patient outcome.
Core Tip: Colonoscopy quality and key performance indicators (KPIs) are a mainstay of endoscopy practice. Adherence to colonoscopy KPIs is important for trainees and consultant endoscopists and is closely linked to patient outcomes. High quality colonoscopy often yields complex polyps, the management of which is now primarily endoscopic. Endoscopic resection of complex polyps thus requires similar scrutiny to diagnostic colonoscopy, to ensure consistent standards are applied. In this review, we discuss existing colonoscopy quality indicators, evaluate some potential new markers and the evidence base for KPIs in the management of complex polyps.
