What question did this study set out to answer?

Examine the differences in endoscopy practices related to upper gastrointestinal cancer rates among providers.

April 5, 2026Open Access

Differences in Endoscopy Characteristics Between Providers With the Highest and Lowest Post Endoscopy Upper Gastrointestinal Cancer Rates in England

UKUmair Kamran FEFelicity EvisonUniversity Hospitals Birmingham NHS Foundation Trust EMEva J. A. Morris

Key Points

Examine the differences in endoscopy practices related to upper gastrointestinal cancer rates among providers.
Analysis of training sessions for endoscopists
Comparison of endoscopist volumes
Assessment of sedation use in procedures
Evaluation of biopsy rates during endoscopy
Analysis of endoscopy session intensity
Providers with lower cancer rates had better training and higher endoscopy volumes.
Use of intravenous sedation was more common among lower cancer rate providers.
Fewer biopsies were performed by providers with lower cancer rates.
Lower intensity endoscopy sessions correlated with reduced cancer outcomes.

Abstract

Training sessions, more endoscopists with minimum annual endoscopy volumes > 100, more intravenous sedation, less biopsies and lower intensity endoscopy sessions were associated with the lowest PEUGIC rate providers. These findings may help guide efforts to reduce PEUGIC and improve endoscopy quality in the future.

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