Upper endoscopy procedures (UEP, esophagogastroduodenoscopy [EGDS] and retrograde endoscopic retrograde cholangiography [ERCP]) are an established standard of care in pediatric gastroenterology. The Pediatric endoscopy quality improvement network (PEnQuIN) recently published its pediatric-specific endoscopy quality guidelines. This study, initiated by the Italian Society of Pediatric Gastroenterology, Hepatology and Nutrition (SIGENP), aims to evaluate the adherence of Italian Pediatric Endoscopy Centers to these established quality standards. Conducted between April 2019 and March 2021, this nationwide study utilized a smartphone app-based approach. Data encompassing pediatric endoscopy facilities, patient profiles, endoscopy indications, 17 procedure-related PEnQuIN indicators, and a GHAA-9m patient satisfaction questionnaire were systematically collected. A comprehensive analysis of 3582 procedures from 24 PECs revealed that 2654 (76%) were UEP. The majority of centers (75%) involved more than one operator, with 9 PEC incorporating adult endoscopists, responsible for 5% of UEPs. Overall, adherence to quality standards was good; however, areas of improvement include sub-optimal reporting of sedation details, adherence to disease-specific guidelines, and patient satisfaction questionnaire completeness (56%). The complication rate aligned with literature standards (1%), and patient satisfaction was generally high. A noteworthy observation was a 30% decrease monthly reporting rate and a shift in disease-specific patterns following the COVID-19 outbreak. Pediatric UEP practices in Italy adhere well to established quality standards. Emphasizing the adoption of disease-specific guidelines is crucial for optimizing resources, enhancing diagnostic accuracy, and minimizing unnecessary procedures. Prioritizing patient satisfaction is important for immediate enhancements in practice as well as for future research endeavors.

中文翻译：

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移动健康技术在儿科食管胃十二指肠镜检查质量指标评估中的应用：意大利儿科胃肠病学、肝病学和营养学会国家计划的结果

上消化道内窥镜检查程序（UEP、食管胃十二指肠镜检查 [EGDS] 和逆行内窥镜逆行胆管造影 [ERCP]）是儿科胃肠病学的既定护理标准。儿科内窥镜质量改进网络 (PEnQuIN) 最近发布了儿科特定内窥镜质量指南。这项研究由意大利儿科胃肠病学、肝病学和营养学会 (SIGENP) 发起，旨在评估意大利儿科内窥镜中心对这些既定质量标准的遵守情况。这项全国性研究于 2019 年 4 月至 2021 年 3 月期间进行，采用了基于智能手机应用程序的方法。系统收集了包括儿科内窥镜设施、患者概况、内窥镜检查适应症、17 项手术相关 PEnQuIN 指标以及 GHAA-9m 患者满意度调查问卷在内的数据。对 24 个 PEC 的 3582 例手术的综合分析显示，其中 2654 例（76%）属于 UEP。大多数中心 (75%) 涉及不止一名操作员，其中 9 个 PEC 配备了成人内窥镜医师，占 UEP 的 5%。总体而言，对质量标准的遵守情况良好；然而，需要改进的领域包括镇静详细信息的次优报告、对特定疾病指南的遵守以及患者满意度调查问卷的完整性（56%）。并发症发生率与文献标准一致（1%），患者满意度普遍较高。值得注意的观察结果是，COVID-19 爆发后，月度报告率下降了 30%，并且疾病特定模式发生了转变。意大利的儿科 UEP 实践严格遵守既定的质量标准。强调采用针对具体疾病的指南对于优化资源、提高诊断准确性和尽量减少不必要的程序至关重要。优先考虑患者满意度对于立即增强实践以及未来的研究工作非常重要。