The ECQI Group is an independent group of colonoscopy experts, academics and thought leaders from Europe with the aim of improving quality in colonoscopy.


The group governs its own actions and membership. The group is responsible for:

  • its outputs including materials, documents and presentations
  • making requests for support from external sources
  • the evaluation of and decision making on issues related to the future activity and status of the group

Data audit

The audit is the first project of the ECQI Group. The audit aims to allow healthcare professionals across Europe to record data about their institution (hospital), their own practice, and against individual colonoscopy procedures. The data submitted is held centrally by a data management company (Pharmatelligence) allowing consolidation and analysis across countries.

The ECQI Group will form its own management structure, including roles and responsibilities for individual members.


Philosophy

  • Complement the initiatives of other groups to drive quality standards in colonoscopy and collaborate with all
  • Facilitate the measurement of clinical practice quality in colonoscopy
  • Enable individuals and institutions to measure their quality against others in order to improve
  • Discuss, identify and analyse how to facilitate improvement
  • Be widely and freely available to those who wish to participate, including those countries seeking to improve their standards

Collaboration

Since 2015, improving the quality of colonoscopies performed in Sweden has been the main focus of the Endoscopy Committee of the Swedish Gastroenterology Society (SGF). In accordance with information on the objectives and work of the European Colonoscopy Quality Investigation (ECQI) Group, at the most recent meeting on 15 February 2017, a unanimous decision was made to provide full support for the ECQI Group's continued work, and the decision was approved by the SGF on 14 March 2017.

The results of the ECQI will be included in the Endoscopy Committee's report at the SGF's future annual meetings.

The SGF looks forward to successful collaboration with the ECQI group in improving the quality of colonoscopies in Sweden.

Dr Gabriele Wurm Johansson, PhD
Chairman of the Endoscopy Committee of the SGF
Chief Physician, Endoscopy Clinic Skåne University Hospital, Malmö


General News

  • News from Professor Dr. Jürgen F. Riemann, Chairman Emeritus of the European Colonoscopy Quality Investigation Group (ECQI Group) on the LebensBlicke Foundation, Germany.

  • LebensBlicke Foundation logo

    The LebensBlicke Foundation, formed in 1998, was the first German institution for the prevention of colorectal cancer (CRC). In 2002, its first major success was the implementation of a German National CRC Screening Program including FOBT and total colonoscopy. The Foundation is supported by a nationwide network of more than 200 regional representatives and co-ordinators for regional medical education and public information. Independently, numerous public events across various media focused on different topics of CRC screening. Subsequently, this led to the invitation for Professor Dr. Jürgen F. Riemann to become the speaker of a working group on further development of CRC screening in the German National Cancer Plan. The outcome of the working group is a nationwide invitation program for CRC screening with FIT for German residents from 50 years of age.

    The LebensBlicke Foundation is recognised as one of the leading organisations for promoting colon cancer prevention in Germany. For more than 20 years it has been represented at major congresses such as the German Cancer Society, German Societies of Internal Medicine and Gastroenterology and numerous regional gastroenterological societies.

    The LebensBlicke Foundation is a co-operation partner with health insurance companies, political organizations and several medical specialist companies. Many celebrities, sports personalities and politicians are supporters of the Foundation and add endorsement to CRC screening. More information can be found at www.lebensblicke.de

  • For the April 2019 ECQI newsletter, click here

  • ECQI findings were presented at ESGE Days 2019, Prague.

  • For the December 2018 ECQI newsletter, click here

  • ECQI awarded poster of excellence at UEG Week 2018, Vienna.10

  • Response to the Letter to the Editor in the United European Gastroenterology Journal on the ECQI initiative:1

  • "Such initiatives as ECQI database are absolutely one of the ways to go, as they allow for such monitoring."

    "Your findings clearly show fields in need of quality improvement, however the more important aspect is dissemination among collegues the idea of quality monitoring."

    "Your results clearly show that we need to strive for (a) widespread adoption of key performance measures and (b) development of quality improvement interventions. The ECQI platform can help reaching these goals."

    Michal F. Kaminski, Marek Bugajski, Raf Bisschops

    View letter

  • For the May 2018 ECQI newsletter, click here

  • ECQI in print: our letter to the editor has been published in the United European Gastroenterology Journal. First published April 13, 2018.2 View full article

  • ECQI abstracts were accepted for oral presentations at the European Society of Gastrointestinal Endoscopy (ESGE) Days, held in Budapest, April 2018.3,4

  • The latest performance measures are available;5 the ECQI questionnaire is currently being refined and the new version will be available in 2018.

  • Dr. David Greenwald from the US Gastrointestinal Quality Improvement Consortium, Ltd. (GIQuIC) was the guest speaker at the annual ECQI meeting in Barcelona in 2017. View full article


Timeline

October 2013

ECQI Group inaugural meeting to discuss quality in colonoscopy. The ECQI Group recommended a clinical practice level questionnaire be devised to enable colonoscopists to evaluate their own current practice. The group agreed to capture the current state of practice in colonoscopy.

June 2014

The questionnaire, being the ECQI Group first project, was developed with consideration of the ESGE quality standards.6

September 2014

Online questionnaire validated by the ECQI Group.

November 2014

Phase I Pilot; data collected over 1-week; 313 patient procedures recorded.

December 2014

Online questionnaire refinement via a collaborative iteration process.

May 2015

Phase 2 pilot; 1,548 patient procedures recorded. Online questionnaire refinement via a collaborative iteration process.

October 2015

Online questionnaire finalisation.

An abstract and poster have been presented at UEGW 2015 to explain the objectives and nature of the project.7

June 2016

Online questionnaire open to any HCP for recording of data. Quality in screening colonoscopy: position statement of the European Society of Gastrointestinal Endoscopy (ESGE).

October 2016

Abstract and poster at UEGW 2016 on the pilot data, 1,548 procedures.8

October 2017

Abstract and poster at UEGW 2017: Analysed data collected between June 2016 and April 2017 on 2,094 procedures.9


1. Kaminski MF, Bugajski M, Bisschops R. Adoption of colonoscopy quality measures across Europe by Riemann et al. United European Gastroenterol J. 2018;6:1108 – 1108. First Published August 10, 2018. doi.org/10.1177/2050640618794380

2. Riemann JF, Agrawal A, Amaro P, et al. Adoption of colonoscopy quality measures across Europe: the European Colonoscopy Quality Investigation (ECQI) Group experience. United European Gastroenterol J. First published April 13, 2018. doi.org/10.1177/2050640618769706

3. Patai Á, Toth E, Agrawal A, et al. Assessment of colonoscopy quality in clinical practice. Endoscopy 2018;50(04):S51. DOI: 10.1055/s-0038-1637179

4. ECQI Swedish participants, Toth E , Agrawal A, et al. Assessment of colonoscopy quality in clinical practice. Endoscopy 2018. Endoscopy 2018;50(04):S64. DOI: 10.1055/s-0038-1637217

5. Kaminski MF, Thomas-Gibson S, Bugajski M, Bretthauer M, et al. Performance measures for lower gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) quality improvement initiative. United European Gastroenterol J. 2017 Apr;5(3):309-334.

6. Rembacken B, Hassan C, Riemann JF, Chilton A, et al. Quality in screening colonoscopy: position statement of the European Society of Gastrointestinal Endoscopy (ESGE). Endoscopy 2012; 44: 957-968.

7. Riemann JF, Demedts I, Agrawal A, Jover R, et al. ECQI Group: Improving standards in colonoscopy through a practice level audit tool. Poster session presented at: 23rd UEG Week; 2015 Oct 24-28: Barcelona.

8. Jover R, Agrawal A, Amaro P, Brink L, et al. Pilot results of the ECQI self-assessment questionnaire to evaluate quality in colonoscopy in Europe. Poster session presented at: 24th UEG Week: 2016 Oct 15-19: Vienna.

9. Toth E, Jover R, Spada C, Agrawal A, et al. Assessment of colonoscopy in clinical practice compared with European Society of Gastroenterology Endoscopy performance indicators. Poster session presented at UEG Week 2017 Oct 28-Nov 1: Barcelona.

10. Amaro P, Spada C, Agrawal A, Brink L, et al. Factors influencing achievement of adequate bowel preparation: analysis of the European Colonoscopy Quality Investigation Group (ECQI) procedure questionnaire. Poster champ session presented at UEG Week 2018 Oct 20-24: Vienna.