Summary of key performance indicators (KPIs) for the management of LNPCPs
| Domain | KPI | Minimum standard | Aspirational standard |
|---|---|---|---|
| Optimal decision-making | Surgery rate for LNPCPs | No current standard defined | |
| Endoscopic skill | Recurrence/residual polyp at 12 months in endoscopically managed LNPCPs | <10% | <5% |
| Safety | Perforation rate—EMR of LNPCPs | <2% | <0.5% |
| Perforation rate—ESD of LNPCPs | No current standard defined | ||
| Post-procedure bleeding rate—EMR of LNPCPs | <5% | No current standard defined | |
| Post-procedure bleeding rate—ESD of LNPCPs | No current standard defined | ||
| Timeliness | Time from diagnosis to referral for definitive therapy | <4 Weeks (28 days) (record % compliance with this timeline; no current standard defined) | |
| Time from referral to definitive therapy | <8 Weeks (56 days) (record % compliance with this timeline; no current standard defined) | ||
| Volume of procedures | Number of LNPCP procedures per endoscopist per year | No current standard defined |
EMR, endoscopic mucosal resection; ESD, endoscopic submucosal dissection; LNPCPs, large non-pedunculated colorectal polyps.