Fig. 1
Flowchart of the Delphi process
Table 1
Results of the first and second round of the Delphi survey
|
Efficacy/endpoints: mean score |
Safety/side effects/behaviour: mean score | ||
|---|---|---|---|
|
Knowledge | |||
|
Adequate identification of endoscopic image |
3.6 |
Knowledge of own boundaries |
2.4 |
|
Basic colonoscopy technique |
4.2 |
Knowledge of material and options for polypectomy |
4.2 |
|
Knowledge of complications and registration |
4.9 |
Knowledge of the burden for patients |
4.4 |
|
Use of ADR as marker of performance |
5.8 |
Understanding and solving loops |
4.4 |
|
Knowledge of anatomy |
8 |
Knowledge of calmly withdrawing the scope |
6.6 |
|
Use of CO2 insufflation |
7.9 | ||
|
Skills | |||
|
Cecal intubation rate |
4.2 |
Skills and hand-eye coordination |
3.1 |
|
Polyp detection and removal |
7.8 |
Rotation and straightening of the scope |
4.7 |
|
Competency in intervention techniques |
8 |
Patience and precision |
6.1 |
|
Duration of the procedure and withdrawal time |
8.6 |
Endoscopy with clear view |
6.1 |
|
Proper assessment of mucosa |
9 |
Small, gentle movements |
6.1 |
|
Anticipation and tip control |
7.1 | ||
|
Minimizing insufflation |
7.9 | ||
|
Proper position for intervention |
8.8 | ||
|
Feeling of equipment |
8.9 | ||
|
Adequate and ergonomic placing of equipment |
9.6 | ||
|
Localizing optimal pressure points and effects |
9.6 | ||
|
Scope positioning by changing patients position |
9.9 | ||
|
Experience of patients |
10 | ||
|
Use of opioids |
10 | ||
Table 2
Final results of Delphi survey
|
Efficacy/endpoints |
Safety/side effects/behaviour |
|---|---|
|
Knowledge | |
|
Adequate identification of endoscopic image |
Knowledge of own boundaries |
|
Basic colonoscopy technique |
Knowledge of material and options for polypectomy |
|
Knowledge of complications and registration |
Understanding and solving loops |
|
Skills | |
|
Cecal intubation rate |
Skills and hand-eye coordination |
|
Polyp detection and removal |
Patience and precision |
|
Competency in intervention techniques |
Small, gentle movements |
|
Assessment of mucosa |
Minimizing insufflation |
|
Proper position for intervention | |
|
Feeling of equipment | |