Definition of competence standards for optical diagnosis of diminutive colorectal polyps: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement.

Autor:	Houwen BBSL; Department of Gastroenterology and Hepatology, Amsterdam University Medical Center, location AMC, University of Amsterdam, Amsterdam, The Netherlands., Hassan C; Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.; Endoscopy Unit, IRCCS Humanitas Clinical and Research Center, Rozzano, Milan, Italy., Coupé VMH; Department of Epidemiology and Data Science, Amsterdam University Medical Center, location VUmc, Amsterdam, The Netherlands., Greuter MJE; Department of Epidemiology and Data Science, Amsterdam University Medical Center, location VUmc, Amsterdam, The Netherlands., Hazewinkel Y; Department of Gastroenterology and Hepatology, Radboud University Medical Center, Radboud University, Nijmegen, The Netherlands., Vleugels JLA; Department of Gastroenterology and Hepatology, Amsterdam University Medical Center, location AMC, University of Amsterdam, Amsterdam, The Netherlands., Antonelli G; Department of Anatomical, Histological, Forensic Medicine and Orthopedics Sciences, 'Sapienza' University of Rome, Rome, Italy.; Gastroenterology and Digestive Endoscopy Unit, Ospedale dei Castelli Hospital, Ariccia, Rome, Italy., Bustamante-Balén M; Gastrointestinal Endoscopy Unit, Digestive Diseases Department, La Fe Polytechnic University Hospital, Valencia, Spain.; Gastrointestinal Endoscopy Research Group, La Fe Health Research Institute, Valencia, Spain., Coron E; Institut des Maladies de l'Appareil Digestif, Nantes, France., Cortas GA; Division of Gastroenterology, University of Balamand, Faculty of Medicine, St. George Hospital University Medical Center, Beirut, Lebanon., Dinis-Ribeiro M; Porto Comprehensive Cancer Center (Porto.CCC), Porto, Portugal.; RISE@CI-IPOP (Health Research Network), Porto, Portugal., Dobru DE; Gastroenterology Department, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, Targu Mures, Romania., East JE; Translational Gastroenterology Unit, Nuffield Department of Medicine, Experimental Medicine Division, John Radcliffe Hospital, University of Oxford, Oxford, UK.; Division of Gastroenterology and Hepatology, Mayo Clinic Healthcare, London., Iacucci M; Institute of Translational of Medicine, Institute of Immunology and Immunotherapy and NIHR Biomedical Research Centre, University of Birmingham and University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK., Jover R; Servicio de Medicina Digestiva, Hospital General Universitario de Alicante, Instituto de Investigación Sanitaria ISABIAL, Universidad Miguel Hernández, Alicante, Spain., Kuvaev R; Endoscopy Department, Yaroslavl Regional Cancer Hospital, Yaroslavl, Russian Federation.; Department of Gastroenterology, Faculty of Additional Professional Education, N.A. Pirogov Russian National Research Medical University, Moscow, Russian Federation., Neumann H; Department of Medicine I, University Medical Center Mainz, Mainz, Germany.; GastroZentrum, Lippe, Germany., Pellisé M; Department of Gastroenterology, Hospital Clínic de Barcelona, Barcelona, Spain.; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain., Puig I; Digestive Diseases Department, Althaia Xarxa Assistencial Universitària de Manresa, Manresa, Spain.; Department of Medicine, Facultat de Ciències de la Salut, Universitat de Vic-Universitat Central de Catalunya (UVic-UCC), Manresa, Spain., Rutter MD; Faculty of Medical Sciences, Newcastle University, Newcastle-upon-Tyne, UK.; University Hospital of North Tees , Stockton-on-Tees, UK., Saunders B; Department of Gastroenterology, St Mark's Hospital and Academic Institute, Harrow, UK., Tate DJ; Department of Gastroenterology and Hepatology, University of Ghent, Ghent, Belgium.; University Hospital Ghent, Ghent, Belgium., Mori Y; Clinical Effectiveness Research Group, Institute of Health and Society, University of Oslo, Oslo, Norway.; Section of Gastroenterology, Department of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.; Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan., Longcroft-Wheaton G; Portsmouth Hospitals University NHS Trust, Cosham, Portsmouth, UK., Bisschops R; Department of Gastroenterology and Hepatology, Catholic University of Leuven, (KUL), TARGID, University Hospital Leuven, Leuven, Belgium., Dekker E; Department of Gastroenterology and Hepatology, Amsterdam University Medical Center, location AMC, University of Amsterdam, Amsterdam, The Netherlands.
Jazyk:	angličtina
Zdroj:	Endoscopy [Endoscopy] 2022 Jan; Vol. 54 (1), pp. 88-99. Date of Electronic Publication: 2021 Dec 06.
DOI:	10.1055/a-1689-5130
Abstrakt:	BACKGROUND : The European Society of Gastrointestinal Endoscopy (ESGE) has developed a core curriculum for high quality optical diagnosis training for practice across Europe. The development of easy-to-measure competence standards for optical diagnosis can optimize clinical decision-making in endoscopy. This manuscript represents an official Position Statement of the ESGE aiming to define simple, safe, and easy-to-measure competence standards for endoscopists and artificial intelligence systems performing optical diagnosis of diminutive colorectal polyps (1 - 5 mm). METHODS : A panel of European experts in optical diagnosis participated in a modified Delphi process to reach consensus on Simple Optical Diagnosis Accuracy (SODA) competence standards for implementation of the optical diagnosis strategy for diminutive colorectal polyps. In order to assess the clinical benefits and harms of implementing optical diagnosis with different competence standards, a systematic literature search was performed. This was complemented with the results from a recently performed simulation study that provides guidance for setting alternative competence standards for optical diagnosis. Proposed competence standards were based on literature search and simulation study results. Competence standards were accepted if at least 80 % agreement was reached after a maximum of three voting rounds. RECOMMENDATION 1:  In order to implement the leave-in-situ strategy for diminutive colorectal lesions (1-5 mm), it is clinically acceptable if, during real-time colonoscopy, at least 90 % sensitivity and 80 % specificity is achieved for high confidence endoscopic characterization of colorectal neoplasia of 1-5 mm in the rectosigmoid. Histopathology is used as the gold standard.Level of agreement 95 %. RECOMMENDATION 2:  In order to implement the resect-and-discard strategy for diminutive colorectal lesions (1-5 mm), it is clinically acceptable if, during real-time colonoscopy, at least 80 % sensitivity and 80 % specificity is achieved for high confidence endoscopic characterization of colorectal neoplasia of 1-5 mm. Histopathology is used as the gold standard.Level of agreement 100 %. CONCLUSION : The developed SODA competence standards define diagnostic performance thresholds in relation to clinical consequences, for training and for use when auditing the optical diagnosis of diminutive colorectal polyps. Competing Interests: R. Bisschops has received research support from Cook and Medtronic, and financial support for symposium organization from Cook, Boston Scientific, Olympus, and Erbe (2009–2109), and speakers’ fees from Boston Scientific and Medtronic (2009–2019). E. Coron has received speakerʼs fees from Fujifilm (2018–2020). E. Dekker has received speaker’s fees from Roche (2018), Norgine (2019), Olympus and GI Supply (both 2019 to 2020), and Fujifilm (2020), and has provided consultancy to Fujifilm (2018), CPP-FAP (2019), GI Supply (2019 to 2020), Olympus (2020 to present), PAION and Ambu (both 2021); she received a research grant from Fujifilm (2017 to 2020) and her department has equipment on loan from Fujifilm (2017 to present) and Olympus (2021). M. Dinis-Ribeiro receives an educational grant from Olympus (2020 to present) and a research grant from Fujifilm (2020 to present); he is co-editor in-chief of Endoscopy. J.E. East has provided consultancy to, and holds share options in, Satisfai Health (2020 to present). C. Hassan has received research support from Fujifilm (2017 to present); his department has received support from Sonoscape. M. Iacucci receives research support from Pentax (2011 to present), Olympus (2017 to present) and Fujifilm (2018 to present). Y. Mori receives consultancy and speaker’s fees from Olympus (2018 to present) and has an ownership interest in Cybernet System Corp. (2020 to present). H. Neumann has provided consultancy to Fujifilm, Sonoscope, and Boston Scientific (all 2019 to 2020). M. Pellisé has received consultancy and speaker’s fees from Norgine Iberia (2015 to 2020), a consultancy fee from GI Supply (2019), speaker’s fees from Casen Recordati (2016 to 2019), Olympus (2018), and Jansen (2018), and research funding from Fujifilm Spain (2019), Fujifilm Europe (2020), and Casen Recordati (2020); her department has received loan material from Fujifilm Spain (2017 to present), a research grant from Olympus Europe (2005 to 2019), and loan material and a research grant from Fujifilm Europe (2020 to 2021); she is a Board member of ESGE and SEED, and is a co-editor of Endoscopy (2015 to 2021). I. Puig has provided advisory services to Fujifilm (2020 to present) and has equipment on loan from Olympus and Fujifilm (both 2019 to present). B. Saunders receives research funding from Olympus (2019 to present). D.J. Tate received an educational grant from Olympus (2018 to 2019). G. Antonelli, M. Bustamante-Balén, G. Cortas, V.M.H. Coupé, D.E. Dobru, M.J.E. Greuter, Y. Hazewinkel, B.B.S.L. Houwen, R. Jover, R. Kuvaev, G. Longcroft-Wheaton, M.D. Rutter, and J.L.A. Vleugels declare that they have no conflict of interest. (European Society of Gastrointestinal Endoscopy. All rights reserved.)
Databáze:	MEDLINE
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