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.