Consensus on Upper Gastrointestinal Endoscopy Key Performance Indicators to Reduce Post Endoscopy Upper Gastrointestinal Cancer Article Swipe
Umair Kamran
,
Toto Gronlund
,
Eva Morris
,
Matthew Brookes
,
Matthew D. Rutter
,
Mimi McCord
,
Nicola J. Adderley
,
Nigel Trudgill
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1002/ueg2.70001
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1002/ueg2.70001
Background Upper gastrointestinal (UGI) endoscopy lacks established key performance indicators. Up to three‐fold variation in post endoscopy upper gastrointestinal cancer rates has been observed among endoscopy providers in England, highlighting the need for standardisation of UGI endoscopy practices. Objective We aimed to achieve consensus on evidence‐based key performance indicators to reduce post endoscopy upper gastrointestinal cancer. Methods Modified nominal group technique was employed in two consensus workshops, with representation from clinicians, patients and relatives, moderated by James Lind Alliance facilitators. Potential indicators were identified from the umbrella systematic review, English provider post endoscopy upper gastrointestinal cancer rates, and differences in endoscopy practices from the National Endoscopy Database between providers with the highest (worst) and lowest (best) post endoscopy upper gastrointestinal cancer rates. KPIs were categorised as provider or endoscopist/procedure related and ranked as of major or minor importance. Minimum standards were proposed where possible. Results Participants included 14 clinicians (gastroenterologists and UGI surgeons), 3 nurse endoscopists, 2 UGI cancer nurse specialists, 14 patients, their relatives and representatives from patient support groups and four observers. Endoscopy provider related major key performance indicators and proposed standards included monitoring post endoscopy upper gastrointestinal cancer rates (minimum standard ≤ 7%); less intense endoscopy lists (maximum 10 ‘points’ per list [one point is equivalent to 15 min]); endoscopy provider accreditation (all providers); and premalignant condition surveillance on dedicated lists by endoscopists with adequate training (> 90% surveillance endoscopies). Endoscopist/procedure related major key performance indicators included: examination time ≥ 7 min; training in early UGI neoplasia recognition (all endoscopists); mucosal view quality recorded and cleansing agents used if not excellent (> 90% endoscopies); intravenous sedation offered to all appropriate patients; recommended number of biopsies from cancer associated or premalignant lesions (> 90% endoscopy where such lesions identified); and endoscopists' annual UGI endoscopy volume > 100 (all endoscopists). Conclusion This study offers a consensus on the key performance indicators and minimum standards that should be used to improve UGI endoscopy quality and reduce post endoscopy upper gastrointestinal cancer.
Related Topics
Concepts
Medicine
Endoscopy
Upper gastrointestinal endoscopy
Gastrointestinal cancer
Cancer
Colorectal cancer
Surgery
Internal medicine
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/ueg2.70001
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ueg2.70001
- OA Status
- hybrid
- References
- 34
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4412640684
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4412640684Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/ueg2.70001Digital Object Identifier
- Title
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Consensus on Upper Gastrointestinal Endoscopy Key Performance Indicators to Reduce Post Endoscopy Upper Gastrointestinal CancerWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-07-24Full publication date if available
- Authors
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Umair Kamran, Toto Gronlund, Eva Morris, Matthew Brookes, Matthew D. Rutter, Mimi McCord, Nicola J. Adderley, Nigel TrudgillList of authors in order
- Landing page
-
https://doi.org/10.1002/ueg2.70001Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ueg2.70001Direct link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ueg2.70001Direct OA link when available
- Concepts
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Medicine, Endoscopy, Upper gastrointestinal endoscopy, Gastrointestinal cancer, Cancer, Colorectal cancer, Surgery, Internal medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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34Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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