{"id":13684,"date":"2023-01-31T15:12:37","date_gmt":"2023-01-31T14:12:37","guid":{"rendered":"https:\/\/www.endoscopy-campus.com\/?post_type=ec-news&#038;p=13684"},"modified":"2023-01-31T15:12:39","modified_gmt":"2023-01-31T14:12:39","slug":"quality-indicators-for-eosinophilic-esophagitis-management","status":"publish","type":"ec-news","link":"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/quality-indicators-for-eosinophilic-esophagitis-management\/","title":{"rendered":"Quality Indicators for Eosinophilic Esophagitis Management"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Eosinophilic esophagitis (EoE) is a chronic condition increasingly encountered in clinical practice. The establishment of quality indicators (QIs) in EoE will lead to the standardization of practice and eventually improve patient outcomes.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In this study, literature review searches and society guidelines were used for the creation of QIs. A total of 29 statements were listed for ranking through a 3-round Delphi process by a panel of 9 experts in the field. During round 1, the experts individually ranked the statements, in round 2 the statements were discussed as a group, and then the statements were reranked in round 3.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Of the 29 statements, 9 (31%) were agreed upon as highly valid QIs, including statements on tissue sampling, endoscopic assessment, dilation, therapeutic maintenance, disease monitoring, and allergy testing (listed below):&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><em>In patients with esophageal dysphagia without a known etiology, a minimum of 6 biopsies from at least 2 esophageal levels should be obtained to assess for EoE.<\/em><\/li>\n\n\n\n<li><em>In all patients with food impaction, diagnostic biopsies should be obtained, if medically safe to do so, at the time of endoscopy.<\/em><\/li>\n\n\n\n<li><em>In patients with EoE starting an empiric elimination diet, allergy testing is not required to direct therapy.<\/em><\/li>\n\n\n\n<li><em>In patients with EoE with persistent symptoms despite histologic response, endoscopic dilation in patients with esophageal stricture should be performed.<\/em><\/li>\n\n\n\n<li><em>In patients with EoE requiring endoscopic dilation, all available dilation techniques are acceptable for use.<\/em><\/li>\n\n\n\n<li><em>In patients with EoE, biopsies should be obtained to assess histologic response after initiating treatment or with subsequent therapeutic changes.&nbsp;<\/em><\/li>\n\n\n\n<li><em>In patients with EoE undergoing endoscopy, the Eosinophilic Esophagitis Endoscopic Reference Score should be documented.<\/em><\/li>\n\n\n\n<li><em>In patients with EoE, maintenance therapy should be continued.&nbsp;<\/em><\/li>\n\n\n\n<li><em>In patients with EoE, routine clinical and endoscopic follow-up should continue after clinicopathologic remission is achieved.<\/em><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Eosinophilic esophagitis (EoE) is a chronic condition increasingly encountered in clinical practice. The establishment of quality indicators (QIs) in EoE will lead to the standardization of practice and eventually improve patient outcomes.&nbsp; In this study, literature review searches and society guidelines were used for the creation of QIs. A total of 29 statements were listed &#8230; <a title=\"Quality Indicators for Eosinophilic Esophagitis Management\" class=\"read-more\" href=\"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/quality-indicators-for-eosinophilic-esophagitis-management\/\" aria-label=\"Read more about Quality Indicators for Eosinophilic Esophagitis Management\">Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1791],"tags":[299,2129,2098,3595,3594],"class_list":["post-13684","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-esophagus","tag-eoe","tag-eosinophilic-esophagitis-2","tag-esophagus-2","tag-qi","tag-quality-indicators"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/13684","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=13684"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=13684"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=13684"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}