Delphi Consensus on Quality Indicators for Pediatric Digestive Endoscopy by the Latin American Society of Pediatric Gastroenterology, Hepatology, and Nutrition

Authors

DOI:

https://doi.org/10.22516/25007440.1291

Keywords:

Healthcare quality management, endoscopy, Consensus, quality indicators health care

Abstract

Introduction: There is a global concern regarding the need to improve performance in endoscopic procedures, and Latin America is no exception. A high-quality endoscopic study requires appropriate indications, accurate diagnosis and therapy, and minimal risks. The PEnQuIN consensus, developed by experts from North America and Europe, established standard quality indicators for pediatric endoscopy across three phases: pre-procedure, intra-procedure, and post-procedure. This study aims to develop a consensus among experts on quality indicators for pediatric digestive endoscopy in Latin America.

Methodology: Based on the available scientific evidence, statements were defined and subjected to real-time Delphi consensus rounds. The process continued until an agreement of at least 80% was reached among participants, with a Cronbach’s alpha exceeding 0.8. The panel comprised 24 pediatric gastroenterologists selected using a modified questionnaire similar to that employed in the California cohort studies.

Results: Of the 44 initial statements, consensus was reached on 36, which were established as quality indicators for pediatric digestive endoscopy. Eight indicators achieved unanimous agreement. The Cronbach’s alpha for this Delphi questionnaire was 0.85. The indicators were categorized into 13 pre-procedure measures, 20 intra-procedure measures, and 3 post-procedure measures.

Conclusions: The quality indicators developed through the Delphi Consensus are applicable to any pediatric endoscopy unit. They are easy to implement and align with established healthcare quality and endoscopy standards. These indicators can be measured and, when applied, help reduce disparities in human and material resources among countries.

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Author Biographies

Michelle Melissa Higuera Carrillo, Universidad Nacional de Colombia

Pediatric gastroenterologist. Assistant Professor, Department of Pediatrics, School of Medicine, Universidad Nacional de Colombia. School of Medicine, Department of Pediatrics, Universidad El Bosque. Director of the Postgraduate Program of Pediatric Gastroenterology, Universidad El Bosque. Bogotá, Colombia.

Dianora Navarro Aponte, Hospital Dr. Miguel Pérez Carreño, IVSS

Gastroenterólogo Pediatra y Nutrición Infantil. Endoscopia Digestiva. Coordinadora de postgrado, Unidad de Gastroenterología y Nutrición Pediátrica, Hospital Dr. Miguel Pérez Carreño, IVSS. Caracas, Venezuela. 

Ericka Montijo Barrios, Instituto Nacional de pediatría

Pediatric Gastroenterology and Nutrition. Therapeutic digestive endoscopy. Adjunct postgraduate professor, Department of Pediatrics, School of Medicine, Universidad Nacional Autónoma de México. National Institute of Pediatrics. Mexico City, Mexico.

Claudio Angel Iglesias , Centro Hospitalario Pereira Rossell

Pediatric Gastroenterologist. Adjunct Professor, Department of Pediatrics, School of Medicine, Universidad de la República. Chief of the Pediatric Gastroenterology and Digestive Endoscopy Service, Centro Hospitalario Pereira Rossell. Montevideo, Uruguay.

Carlos Timossi , Miramar MedCom

Doctor en Ciencias Biomédicas. Director de Investigación y Desarrollo, Miramar MedCom. Ciudad de México, México.

Mario C Vieira , Hospital Pequeño Príncipe

            Pediatric Gastroenterologist. Chief of the Pediatric Gastroenterology and Digestive Endoscopy Service, Hospital Pequeño Príncipe. Curitiba, Brasil.

Yalda Lucero Alvarez, Universidad de Chile

Gastroenterólogo Pediatra y cirugía infantil. Profesora Asociada, Depto de Pediatría y cirugía infantil Norte, Facultad de Medicina, Universidad de Chile. Unidad de gastroenterología pediátrica, Clínica Alemana de Santiago. Santiago, Chile.

Milton Mejia , Centro gastroenterología pediatrica

Specialist in Pediatric Gastroenterology and Nutrition. Pediatric Gastroenterologist, Center for Pediatric Gastroenterology, Endoscopy and Nutrition. Managua, Nicaragua.

Monica Beatriz Contreras, Hospital Nacional de pediayría SAMIC Prof. DR. J.P. Garrahan

Médico pediatra, gastroenterólogo pediatra y especialista en administración hospitalaria. Jefe de clínica médica, servicio de gastroenterología, Hospital Nacional de Pediatría SAMIC Prof. Dr J.P.Garrahan. Directora de la especialidad de Gastroenterología Pediátrica, Universidad de Buenos Aires(UBA). Buenos Aires, Argentina.

Paulo Fernando Bittencourt Lisboa, Sociedad Brasileira de Endoscopia e Endoscopia Digestiva

M.D. and Ph.D. in Pediatrics, Universidad Federal de Minas Gerais. Specialist in Pediatrics, Brazilian Society of Pediatrics. Specialist in Endoscopy, Brazilian Society of Endoscopy and Digestive Endoscopy. Endoscopist, Hospital Felicio Rocho, Hospital Infantil João Paulo II de la Fundação Hospitalar do Estado de Minas Gerais, Instituto Alfa, Hospital das Clínicas, Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil.

Veronica Beatriz Busoni, Hospital Italiano de Buenos Aires, Argentina

Pediatric Gastroenterologist. Chief of Pediatric Gastroenterology and Hepatology Service, Hospital Italiano de Buenos Aires. Buenos Aires, Argentina.

Cesar Oviedo , Axxis Hospital

Pediatric Gastroenterologist. Attending Physician, Axxis Hospital. Quito, Ecuador.

Aldo Maruy Saito, Universidad Peruana Cayetano Heredia

Pediatric Gastroenterologist. Assistant Physician, Hospital Nacional Cayetano Heredia, Department of Pediatrics, School of Medicine, Universidad Peruana Cayetano Heredia. Lima, Peru.

Claudia Sanchez, Abbott Nutrición / Colciencias

Pediatric Gastroenterologist. Senior Manager of Medical Affairs, Researcher at Abbott Nutrition/Colciencias, Gastroenterology and Nutrition in Pediatrics Research Group, Universidad Nacional de Colombia. Bogotá, Colombia.

Juan Rivera, Universidad Nacional Mayor de San Marcos

Pediatric Gastroenterologist. Assistant Physician, Gastroenterology Service, Professor, National Institute of Child Health, Department of Pediatrics, School of Medicine, Universidad Nacional Mayor de San Marcos. Lima, Peru.

Jose Cadena, Instituto Nacional de Pediatría

Pediatric Gastroenterologist, Gastroenterology and Nutrition Service, Digestive Endoscopy Unit, National Institute of Pediatrics. Mexico City, Mexico.

Ileana del Carmen Gonzalez Natale, Hospital de Niños “José Manuel De Los Ríos"

Pediatric Gastroenterologist, Certification Program in Teaching. Chief of Gastroenterology Service, Hospital de Niños “José Manuel De Los Ríos”. Director and teaching assistant, postgraduate course in Pediatric Gastroenterology, Universidad Central de Venezuela, Hospital de Clínicas Caracas. Caracas, Venezuela.

Laura Delgado, Centro Hospitalario Pereira Rossell Montevideo

Pediatric Gastroenterologist. Pediatric Gastroenterologist and Digestive Endoscopist, Centro Hospitalario Pereira Rossell, Hospital Italiano CEDIPE. Montevideo, Uruguay.

Fernando Medina, Unidad de Gastroenterología Nutrición y Endoscopia Pediátrica (UGANEP)

Pediatric Gastroenterologist, Pediatric Gastroenterology, Nutrition and Endoscopy Unit (UGANEP). Bucaramanga, Colombia.

Roberto Zablah, Hospital de Niños Benjamín Bloom San Salvador

Pediatric Gastroenterologist. Chief of the Gastroenterology and Digestive Endoscopy Service, Hospital de Niños Benjamín Bloom. San Salvador, El Salvador.

Celina Guzman, Hospital Internacional La Católica

Pediatric Gastroenterologist. Chief of the Gastroenterology and Digestive Endoscopy Service, Hospital de Niños Benjamín Bloom. San Salvador, El Salvador.

Josefina Monserrat Cazares Méndez, Star Médica, Hospital infantil privado

Department of Pediatrics, School of Medicine, Universidad Nacional Autónoma de México, National Institute of Pediatrics. Star Médica, private children’s hospital. Mexico City, Mexico.

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Figure 1. Delphi Consensus Process on Pediatric Digestive Endoscopy Quality Indicators of the Latin American Society of Pediatric Gastroenterology, Hepatology, and Nutrition (LASPGHAN) The image is the property of the authors.

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Published

2025-04-12

How to Cite

Higuera Carrillo, M. M., Navarro Aponte, D., Montijo Barrios, E., Iglesias , C. A., Timossi , C., Vieira , M. C., … Cazares Méndez, J. M. (2025). Delphi Consensus on Quality Indicators for Pediatric Digestive Endoscopy by the Latin American Society of Pediatric Gastroenterology, Hepatology, and Nutrition. Revista Colombiana De Gastroenterología, 40(1), 12–22. https://doi.org/10.22516/25007440.1291

Issue

Vol. 40 No. 1 (2025): Enero - Marzo

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Originals articles

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