Implementation of mandatory ERCP registration in The Netherlands and compliance with European Society of Gastrointestinal Endoscopy performance measures: a multicenter database study.

Endoscopy
Felix TheunissenTrans.IT foundation study group

Abstract

 In 2018, the European Society of Gastrointestinal Endoscopy (ESGE) and United European Gastroenterology (UEG) published quality performance measures for endoscopic retrograde cholangiopancreatography (ERCP). Since January 2016, all endoscopists in the Netherlands have been required to register all ERCP procedures in a nationwide quality registry. This study aimed to evaluate the procedural success rates of ERCP after the implementation of mandatory national registration and to compare these with the ESGE quality performance measures.  This study was conducted with data from a multicenter endoscopy database. Data from 2019 and 2020 were analyzed. The primary outcome was ERCP procedural outcome. ESGE performance measures that could be evaluated were the percentage of successful bile duct cannulations in patients with virgin papillary anatomy; successful stent placement for a biliary obstruction located below the liver hilum; and complete removal of bile duct stones (< 10 mm).  In total, 5295 ERCPs performed in 11 centers were included for analysis. The overall procedural success rate was 89.1 %. Successful biliary cannulation in patients with a virgin papilla was 90.3 % in nonacademic and 92.4 % in academic centers. The rates of...Continue Reading

References

May 11, 2000·Gastrointestinal Endoscopy·S M Schutz, R M Abbott
Jun 2, 2009·Gastrointestinal Endoscopy·Joshua B Colton, Colleen C Curran
Dec 12, 2012·The British Journal of Surgery·T GlomsakerUNKNOWN Norwegian Gastronet ERCP Group
Jan 15, 2014·Frontline Gastroenterology·Vivian E EkkelenkampRobert A de Man
Jan 16, 2015·Endoscopy·Vivian E EkkelenkampArjun D Koch

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