TY - JOUR T1 - Evaluation of long-term adherence to oesophagogastroduodenoscopy quality indicators JO - Gastroenterología y Hepatología (English Edition) T2 - AU - Alcaraz Serrat,José Andrés AU - Córdova,Henry AU - Moreira,Leticia AU - Pocurull,Anna AU - Ureña,Romina AU - Delgado-Guillena,Pedro G. AU - Garcés-Durán,Rodrigo AU - Sendino,Oriol AU - García-Rodríguez,Ana AU - González-Suárez,Begoña AU - Araujo,Isis K. AU - Ginès,Àngels AU - Llach,Josep AU - Fernández-Esparrach,Gloria SN - 24443824 M3 - 10.1016/j.gastre.2020.11.001 DO - 10.1016/j.gastre.2020.11.001 UR - https://www.elsevier.es/en-revista-gastroenterologia-hepatologia-english-edition--382-articulo-evaluation-long-term-adherence-oesophagogastroduodenoscopy-quality-S244438242030184X AB - IntroductionIn a previous study we demonstrated that a simple training programme improved quality indicators of Oesophagogastroduodenoscopy (OGD) achieving the recommended benchmarks. However, the long-term effect of this intervention is unknown. The aim of this study was to assess the quality of OGDs performed 3 years after of having completed a training programme. Material and methodsA comparative study of 2 cohorts was designed as follows: Group A included OGDs performed in 2016 promptly after a training programme and Group B with OGDs performed from January to March 2019, this group was also divided into 2 subgroups: subgroup B1 of Endoscopists who had participated in the previous training programme and subgroup B2 of Endoscopists who had not. The intra-procedure quality indicators proposed by ASGE-ACG were used. ResultsA total of 1236 OGDs were analysed, 600 from Group A and 636 from Group B (439 subgroup B1 and 197 subgroup B2). The number of complete examinations was lower in Group B (566 [94.3%] vs. 551 [86.6%]; P < .001). A significant decrease was observed in nearly all quality indicators and they did not reach the recommended benchmarks: retroflexion in the stomach (96% vs. 81%; P < .001); Seattle biopsy protocol (86% vs. 50%; P = .03), description of the upper GI bleeding lesion (100% vs. 62%; P < .01), sufficient intestinal biopsy specimens (at least 4) in suspected coeliac disease (92.5% vs. 18%; P < .001), photo documentation of the lesion (94% vs. 90%; P < .05). Regarding the overall assessment of the procedure (including correct performance and adequate photo documentation), a significant decrease was also observed (90.5% vs. 62%; P < .001). There were no differences between subgroups B1 and B2. ConclusionsThe improvement observed in 2016 after a training programme did not prevail after 3 years. In order to keep the quality of OGDs above the recommended benchmarks, it is necessary to implement continuous training programmes. ER -