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.

Cancer Registry of Norway Oslo Norway

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

Centre for Technology Enabled Research Coventry University Coventry UK

CPO Piemonte AOU Città della Salute e della Scienza Turin Italy

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 and Hepatology University of Amsterdam Amsterdam The Netherlands

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 UK

Department of Gastroenterology Vestfold Hospital Trust Tønsberg Norway

Department of Health Management and Health Economics University of Oslo Oslo Norway

Department of Interdisciplinary Endoscopy University Hospital Hamburg Eppendorf Hamburg Germany

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 Internal Medicine Military University Hospital Prague Czech Republic

Department of Medicine 3 Medical University of Vienna Vienna Austria

Department of Research and Development Telemark Hospital Skien Norway

Department of Transplantation Medicine Oslo University Hospital Oslo Norway

Departments of Gastroenterological Oncology and Cancer Prevention The Maria Sklodowska Curie Memorial Cancer Center and Institute of Oncology Warsaw Poland

Digestive Endoscopy Unit Agostino Gemelli University Hospital Rome Italy

Gloucestershire Hospitals NHS Foundation Trust Cheltenham General Hospital Cheltenham UK

Karolinska Institute and Karolinska University Hospital Stockholm Sweden

Nuovo Regina Margherita Hospital Rome Italy

School of Medicine Durham University Durham UK

Servicio de Gastroenterologia Instituto Portugues de Oncologia Francisco Gentil Porto Portugal

South Tyneside NHS Foundation Trust South Tyneside UK

Translational Gastroenterology Unit John Radcliffe Hospital 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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