Background
Working parties of the American Society for Gastrointestinal Endoscopy (ASGE) Quality
Committee recently published a proposed new lexicon for adverse events and a separate
extensive review of risk factors. The complexity of procedures also affects outcomes.
Objective
To establish a system for grading the complexity of endoscopic procedures.
Design
Voting on levels 1 (easiest) to 4 (most difficult) on a list of possible procedures
and contexts.
Setting
Community and academic gastroenterologists in the United States, Canada, and Britain.
Main Outcome Measurements
Median scores of votes cast.
Results
Consensus list of levels 1 through 4 contexts and procedures.
Limitations
Eminence rather than evidence based.
Conclusions
A consensus list was developed for comments and testing to complement the proposed
lexicons for adverse events and risk factors.
Abbreviation:
ASGE (American Society for Gastrointestinal Endoscopy)To read this article in full you will need to make a payment
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References
- A lexicon for endoscopic adverse events: report of an ASGE workshop.Gastrointest Endosc. 2010; 71: 446-454
- Grading ERCPs by degree of difficulty: a new concept to produce more meaningful outcome data.Gastrointest Endosc. 2000; 51: 535-539
- Income and outcome metrics for the objective evaluation of ERCP and alternative methods.Gastrointest Endosc. 2002; 56: S283-S290
- Analyzing ERCP practice by a modified degree of difficulty scale: a multicenter database analysis.Am J Gastroenterol. 2000; 95: 2480-2481
- Objective evaluation of ERCP procedures: a simple grading scale for evaluating technical difficulty.Postgrad Med J. 2003; 79: 467-470
Romagnuolo J, Cotton PB, Eisen G, et al. Identifying and reporting risk factors for adverse events in endoscopy. Part I: cardiopulmonary events. Gastrointest Endosc (in press).
Romagnuolo J, Cotton PB, Eisen G, et al. Identifying and reporting risk factors for adverse events in endoscopy. Part II: noncardiopulmonary events. Gastrointest Endosc (in press).
- How many times have you done this procedure, doctor?.Am J Gastroenterol. 2002; 97: 522-523
Available at: www.GIQuIC.com. Accessed December, 2010.
Article Info
Publication History
Published online: March 07, 2011
Received in revised form:
December 29,
2010
Received:
November 5,
2010
Footnotes
DISCLOSURE: All authors disclosed no financial relationships relevant to this publication.
See CME section; p. 1015
If you would like to chat with an author of this article, you may contact Dr. Cotton at [email protected] .
Identification
Copyright
© 2011 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.
