Improving quality of care in endoscopy of inflammatory bowel disease: can we do better?

Expert Rev Gastroenterol Hepatol. 2020 Sep;14(9):819-828. doi: 10.1080/17474124.2020.1780913. Epub 2020 Jun 22.

Abstract

Introduction: Endoscopy plays a key role in the management of inflammatory bowel disease (IBD). There is an increased need for quality assurance programs that evaluate the quality, safety and patient experiences of endoscopy, by assessing procedural and clinical outcomes.

Areas covered: This review aims to summarize the most important quality indicators of endoscopy in IBD patients and could serve as the basis to improve quality endoscopic procedures and patients' perception of endoscopy in the future. However, further studies and consensus reports are necessary to standardize the quality of care in the endoscopy unit of all IBD centers.

Expert commentary: Developing an understanding of the patient-reported perception is important for both clinicians and patients, as it facilitates patient engagement with their care. Moreover, implementing education in reporting is crucial f and the use of verifiable databases, generated from electronic reporting systems, should be encouraged rather than unverified self-reporting, to have greater validity for documenting and to formally evaluate endoscopic practice data with audits. The use of artificial intelligence may improve the quality of endoscopy, by increasing the adenoma detection rate and helping endoscopists in the challenging differentiation between inflammatory and neoplastic lesions.

Keywords: IBD; endoscopy; patients’ perception; quality assurance program; standard of care.

Publication types

  • Review

MeSH terms

  • Adenoma / diagnostic imaging*
  • Adenoma / surgery
  • Colonic Neoplasms / diagnostic imaging*
  • Colonic Neoplasms / surgery
  • Colonic Pouches
  • Colonoscopy / education
  • Colonoscopy / standards*
  • Health Personnel / education
  • Humans
  • Inflammatory Bowel Diseases / diagnostic imaging*
  • Medical Records / standards
  • Organizational Policy
  • Quality Assurance, Health Care
  • Quality Improvement*
  • Quality Indicators, Health Care*