Consenso Delphi sobre indicadores de calidad de endoscopia digestiva pediátrica de la Sociedad Latinoamericana de Gastroenterología, Hepatología y Nutrición Pediátrica.

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Title:	Consenso Delphi sobre indicadores de calidad de endoscopia digestiva pediátrica de la Sociedad Latinoamericana de Gastroenterología, Hepatología y Nutrición Pediátrica.
Alternate Title:	Delphi Consensus on Quality Indicators for Pediatric Digestive Endoscopy by the Latin American Society of Pediatric Gastroenterology, Hepatology, and Nutrition.
Authors:	Higuera, Michelle¹ michellehiguera@yahoo.com, Navarro, Dianora², Montijo-Barrios, Ericka³, Iglesias, Claudio⁴, Timossi, Carlos⁵, Vieira, Mario C.⁶, Lucero, Yalda⁷, Mejía, Milton⁸, Beatriz Contreras, Mónica⁹, Bittencourt, Paulo¹⁰, Beatriz Busoni, Verónica¹¹, Oviedo, César¹², Maruy, Aldo¹³, Sánchez, Claudia¹⁴, Rivera, Juan¹⁵, Cadena, José¹⁶, del Carmen González, Ileana¹⁷, Delgado, Laura¹⁸, Medina, Fernando¹⁹, Zablah, Roberto²⁰
Source:	Revista Colombiana de Gastroenterología. ene-mar2025, Vol. 41 Issue 1, p12-22. 11p.
Subjects:	DELPHI method, CRONBACH'S alpha, MEDICAL quality control, GASTROENTEROLOGISTS, QUALITY standards
Abstract (English):	Introduction: There is a global concern regarding the need to improve performance in endoscopic procedures, and Latin America is no exception. A highquality 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. [ABSTRACT FROM AUTHOR]
Abstract (Turkish):	Introducción: existe preocupación mundial sobre la necesidad de mejorar el desempeño en los procedimientos endoscópicos, y una situación similar de inquietud surge en Latinoamérica. Un estudio de calidad comprende una endoscopia bien indicada, diagnóstico y terapia adecuados, con menores riesgos. El consenso PEnQuIN, realizado por expertos de Norteamérica y Europa, estableció indicadores de calidad estándar endoscópica pediátrica en tres momentos: preprocedimiento, intraprocedimiento y posprocedimiento. El objetivo es elaborar un consenso de expertos sobre los indicadores de calidad de endoscopia digestiva pediátrica en Latinoamérica. Metodología: considerando la evidencia científica disponible, unos enunciados se definieron y sometieron a consenso con el método Delphi en tiempo real. Se finalizaron rondas hasta lograr un acuerdo del 80% de los integrantes y más de 0,8 en alfa de Cronbach. Los 24 gastroenterólogos pediatras se eligieron utilizando el cuestionario modificado similar al usado en las cortes de California. Resultados: de 44 enunciados iniciales, se alcanzó un consenso en 36, los cuales se establecieron como indicadores de calidad en endoscopia digestiva pediátrica. Un acuerdo unánime se logró en ocho indicadores. El alfa de Cronbach alcanzado en este cuestionario Delphi fue de 0,85. Se clasificaron en 13 indicaciones preprocedimiento, 20 indicaciones intraprocedimiento y 3 indicaciones posprocedimiento. Conclusiones: los indicadores de calidad redactados como Consenso Delphi pueden ser utilizados en cualquier unidad de endoscopia pediátrica, son de fácil aplicación y adecuados a las definiciones de calidad en salud y de endoscopia. Estos indicadores pueden medirse y, al emplearlos, se minimizan las diferencias de recursos humanos y materiales de los países. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Introduction: There is a global concern regarding the need to improve performance in endoscopic procedures, and Latin America is no exception. A highquality 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. [ABSTRACT FROM AUTHOR]
ISSN:	01209957
DOI:	10.22516/25007440.1291