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Published on: October 16, 2013
Promoting Research that Supports High-Quality Gastrointestinal Endoscopy in Children
Lisa B Mahoney1, Catharine M Walsh2, Jenifer R Lightdale3
1Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, 300 Longwood Ave, Boston, MA, 02115, USA.
Insights
Defining quality metrics for pediatric gastrointestinal endoscopy is crucial. Recent guidelines highlight the need for more research to link quality indicators to patient outcomes in pediatric endoscopy.
Area of Science:
- Pediatric Gastroenterology
- Endoscopic Quality Improvement
Background:
- Quality of care is essential for pediatric gastrointestinal endoscopy.
- Measuring quality ensures safe and effective procedures for children.
Purpose of the Study:
- To discuss quality metrics for pediatric gastrointestinal endoscopy.
- To identify areas requiring further research in this field.
Main Methods:
- Review of recently defined pediatric-specific standards and indicators.
- Discussion of high-yield research topics for pediatric endoscopists.
Main Results:
- The international Pediatric Endoscopy Quality Improvement Network (PEnQuIN) has defined new quality guidelines.
- Current guidelines emphasize the need for more evidence linking indicators to clinical outcomes.
Conclusions:
- Further research is essential to validate pediatric endoscopy quality indicators.
- Promoting best practices requires expanding the evidence base for quality metrics.
Purpose Of Review:
Defining and measuring the quality of endoscopic care is a key component of performing gastrointestinal endoscopy in children. The purpose of this review is to discuss quality metrics for pediatric gastrointestinal endoscopy and identify where additional research is needed.
Recent Findings:
Pediatric-specific standards and indicators were recently defined by the international Pediatric Endoscopy Quality Improvement Network (PEnQuIN) working group through a rigorous guideline consensus process. Although the aim of these guidelines is to facilitate best practices for safe and high-quality gastrointestinal endoscopy in children, they highlight the pressing need to expand upon the body of evidence supporting these standards and indicators as predictors of clinically relevant outcomes. In this review, we propose and discuss ideas for several high-yield research topics to engage pediatric endoscopists and promote best practices in pediatric endoscopy.
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