The European Society of Gastrointestinal Endoscopy and United European Gastroenterology present a short list of key performance measures for lower gastrointestinal endoscopy. We recommend that endoscopy services across Europe adopt the following seven key performance measures for lower gastrointestinal endoscopy for measurement and evaluation in daily practice at a center and endoscopist level: 1 Rate of adequate bowel preparation (minimum standard 90 %); 2 Cecal intubation rate (minimum standard 90 %); 3 Adenoma detection rate (minimum standard 25 %); 4 Appropriate polypectomy technique (minimum standard 80 %); 5 Complication rate (minimum standard not set); 6 Patient experience (minimum standard not set); 7 Appropriate post-polypectomy surveillance recommendations (minimum standard not set). Other identified performance measures have been listed as less relevant based on an assessment of their importance, scientific acceptability, feasibility, usability, and comparison to competing measures.

Center for Health Technology and Services Research Faculty of Medicine University of Porto Portugal

Centre for Technology Enabled Research Faculty of Health and Life Sciences Coventry University Coventry UK

CPO Piemonte AOU Città della Salute e della Scienza Turin Italy

Department of Gastroenterology and Hepatology Academic Medical Center University of Amsterdam Amsterdam The Netherlands

Department of Gastroenterology and Hepatology Erasmus MC University Medical Center Rotterdam The Netherlands

Department of Gastroenterology and Hepatology University Hospital Leuven and KU Leuven Leuven Belgium

Department of Gastroenterology Gloucestershire Hospitals NHS Foundation Trust Gloucestershire UK

Department of Gastroenterology Hepatology and Oncology Medical Center for Postgraduate Education Warsaw Poland

Department of Gastroenterology University Hospital of North Tees Stockton on Tees Cleveland UK

Department of Gastroenterology Vestfold Hospital Trust Tønsberg Norway

Department of Health Management and Health Economics Institute of Health and Society University of Oslo and Department of Transplantation Medicine KG Jebsen Center for Colorectal Cancer Research Oslo University Hospital Oslo Norway

Department of Interdisciplinary Endoscopy University Hospital Hamburg Eppendorf Germany

Department of Internal Medicine 1st Faculty of Medicine Charles University Military University Hospital Prague Czech Republic

Department of Internal Medicine and Gastroenterology Petz Aladar County and Teaching Hospital Györ Hungary

Department of Internal Medicine Joseph's Hospital Warendorf Germany

Department of Medicine 3 Division of Gastroenterology and Hepatology Medical University of Vienna Vienna Austria

Digestive Endoscopy Unit Agostino Gemelli University Hospital Rome Italy

Gloucestershire Hospitals NHS Foundation Trust Cheltenham General Hospital Gloucestershire UK

Karolinska Institute and Karolinska University Hospital Stockholm Sweden

Nuovo Regina Margherita Hospital Rome Italy

South Tyneside NHS Foundation Trust South Tyneside United Kingdom

Translational Gastroenterology Unit John Radcliffe Hospital University of Oxford Oxford UK

Unidad de Gastroenterologia Hospital General Universitario de Alicante Alicante Spain

Wolfson Unit for Endoscopy St Mark's Hospital Harrow and Imperial College London UK

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