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Grading the complexity of endoscopic procedures: results of an ASGE working party

Peter B Cotton1, Glenn Eisen, Joseph Romagnuolo

  • 1Digestive Disease Center, Medical University of South Carolina, Charleston, South Carolina 29425-2900, USA. cottonp@musc.edu

Gastrointestinal Endoscopy
|March 8, 2011
PubMed

Insights

A new grading system was developed to classify endoscopic procedure complexity. This system aims to complement existing frameworks for adverse events and risk factors in gastrointestinal endoscopy.

Area of Science:

  • Gastroenterology
  • Medical Procedure Analysis
  • Quality Improvement in Healthcare

Background:

  • The American Society for Gastrointestinal Endoscopy (ASGE) Quality Committee has proposed a new lexicon for adverse events and reviewed risk factors.
  • Procedure complexity is recognized as a significant factor influencing outcomes in gastrointestinal endoscopy.

Purpose of the Study:

  • To establish a standardized system for grading the complexity of endoscopic procedures.
  • To create a framework that complements existing ASGE initiatives on adverse events and risk factors.

Main Methods:

  • A Delphi-like voting process was used, with participants rating procedure complexity on a scale of 1 (easiest) to 4 (most difficult).
  • Community and academic gastroenterologists from the United States, Canada, and Britain participated in the voting.
  • Median scores from the votes were used to determine the consensus levels.

Main Results:

  • A consensus list was developed, categorizing various endoscopic procedures and contexts into complexity levels 1 through 4.
  • This list provides a structured approach to understanding and potentially mitigating risks associated with varying levels of endoscopic difficulty.

Conclusions:

  • The developed consensus list offers a foundation for further testing and refinement.
  • This system aims to enhance the understanding and management of endoscopic procedure complexity, supporting patient safety and quality care.
Abstract

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