{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T11:52:33Z","timestamp":1777549953875,"version":"3.51.4"},"reference-count":40,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endoscopy"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Background\u2002The European Society of Gastrointestinal Endoscopy (ESGE) has developed a core curriculum for high quality optical diagnosis training for practice across Europe. The development of easy-to-measure competence standards for optical diagnosis can optimize clinical decision-making in endoscopy. This manuscript represents an official Position Statement of the ESGE aiming to define simple, safe, and easy-to-measure competence standards for endoscopists and artificial intelligence systems performing optical diagnosis of diminutive colorectal polyps (1\u200a\u2013\u200a5\u200amm).<\/jats:p><jats:p>Methods\u2002A panel of European experts in optical diagnosis participated in a modified Delphi process to reach consensus on Simple Optical Diagnosis Accuracy (SODA) competence standards for implementation of the optical diagnosis strategy for diminutive colorectal polyps. In order to assess the clinical benefits and harms of implementing optical diagnosis with different competence standards, a systematic literature search was performed. This was complemented with the results from a recently performed simulation study that provides guidance for setting alternative competence standards for optical diagnosis. Proposed competence standards were based on literature search and simulation study results. Competence standards were accepted if at least 80\u200a% agreement was reached after a maximum of three voting rounds.<\/jats:p><jats:p>Recommendation 1\u2002In order to implement the leave-in-situ strategy for diminutive colorectal lesions (1\u20135\u200amm), it is clinically acceptable if, during real-time colonoscopy, at least 90\u200a% sensitivity and 80\u200a% specificity is achieved for high confidence endoscopic characterization of colorectal neoplasia of 1\u20135\u200amm in the rectosigmoid. Histopathology is used as the gold standard.<\/jats:p><jats:p>Level of agreement 95\u200a%.<\/jats:p><jats:p>Recommendation 2\u2002In order to implement the resect-and-discard strategy for diminutive colorectal lesions (1\u20135\u200amm), it is clinically acceptable if, during real-time colonoscopy, at least 80\u200a% sensitivity and 80\u200a% specificity is achieved for high confidence endoscopic characterization of colorectal neoplasia of 1\u20135\u200amm. Histopathology is used as the gold standard.<\/jats:p><jats:p>Level of agreement 100\u200a%.<\/jats:p><jats:p>Conclusion\u2002The developed SODA competence standards define diagnostic performance thresholds in relation to clinical consequences, for training and for use when auditing the optical diagnosis of diminutive colorectal polyps.<\/jats:p>","DOI":"10.1055\/a-1689-5130","type":"journal-article","created":{"date-parts":[[2021,12,7]],"date-time":"2021-12-07T00:09:53Z","timestamp":1638835793000},"page":"88-99","source":"Crossref","is-referenced-by-count":80,"title":["Definition of competence standards for optical diagnosis of diminutive colorectal polyps: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement"],"prefix":"10.1055","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1920-8947","authenticated-orcid":false,"given":"Britt B. S. L.","family":"Houwen","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Amsterdam University Medical Center, location AMC, University of Amsterdam, Amsterdam, The Netherlands"}]},{"given":"Cesare","family":"Hassan","sequence":"additional","affiliation":[{"name":"Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy"},{"name":"Endoscopy Unit, IRCCS Humanitas Clinical and Research Center, Rozzano, Milan, Italy"}]},{"given":"Veerle M. H.","family":"Coup\u00e9","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Data Science, Amsterdam University Medical Center, location VUmc, Amsterdam, The Netherlands"}]},{"given":"Marjolein J. E.","family":"Greuter","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Data Science, Amsterdam University Medical Center, location VUmc, Amsterdam, The Netherlands"}]},{"given":"Yark","family":"Hazewinkel","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Radboud University Medical Center, Radboud University, Nijmegen, The Netherlands"}]},{"given":"Jasper L. A.","family":"Vleugels","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Amsterdam University Medical Center, location AMC, University of Amsterdam, Amsterdam, The Netherlands"}]},{"given":"Giulio","family":"Antonelli","sequence":"additional","affiliation":[{"name":"Department of Anatomical, Histological, Forensic Medicine and Orthopedics Sciences, \u201cSapienza\u201d University of Rome, Rome, Italy"},{"name":"Gastroenterology and Digestive Endoscopy Unit, Ospedale dei Castelli Hospital, Ariccia, Rome, Italy"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2019-0158","authenticated-orcid":false,"given":"Marco","family":"Bustamante-Bal\u00e9n","sequence":"additional","affiliation":[{"name":"Gastrointestinal Endoscopy Unit, Digestive Diseases Department, La Fe Polytechnic University Hospital, Valencia, Spain"},{"name":"Gastrointestinal Endoscopy Research Group, La Fe Health Research Institute, Valencia, Spain"}]},{"given":"Emmanuel","family":"Coron","sequence":"additional","affiliation":[{"name":"Institut des Maladies de l'Appareil Digestif, Nantes, France"}]},{"given":"George A.","family":"Cortas","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, University of Balamand, Faculty of Medicine, St. George Hospital University Medical Center, Beirut, Lebanon"}]},{"given":"Mario","family":"Dinis-Ribeiro","sequence":"additional","affiliation":[{"name":"Porto Comprehensive Cancer Center (Porto.CCC), Porto, Portugal"},{"name":"RISE@CI-IPOP (Health Research Network), Porto, Portugal"}]},{"given":"Daniela E.","family":"Dobru","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, Targu Mures, Romania"}]},{"given":"James E.","family":"East","sequence":"additional","affiliation":[{"name":"Translational Gastroenterology Unit, Nuffield Department of Medicine, Experimental Medicine Division, John Radcliffe Hospital, University of Oxford, Oxford, UK"},{"name":"Division of Gastroenterology and Hepatology, Mayo Clinic Healthcare, London"}]},{"given":"Marietta","family":"Iacucci","sequence":"additional","affiliation":[{"name":"Institute of Translational of Medicine, Institute of Immunology and Immunotherapy and NIHR Biomedical Research Centre, University of Birmingham and University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK"}]},{"given":"Rodrigo","family":"Jover","sequence":"additional","affiliation":[{"name":"Servicio de Medicina Digestiva, Hospital General Universitario de Alicante, Instituto de Investigaci\u00f3n Sanitaria ISABIAL, Universidad Miguel Hern\u00e1ndez, Alicante, Spain"}]},{"given":"Roman","family":"Kuvaev","sequence":"additional","affiliation":[{"name":"Endoscopy Department, Yaroslavl Regional Cancer Hospital, Yaroslavl, Russian Federation"},{"name":"Department of Gastroenterology, Faculty of Additional Professional Education, N.A. Pirogov Russian National Research Medical University, Moscow, Russian Federation"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7433-405X","authenticated-orcid":false,"given":"Helmut","family":"Neumann","sequence":"additional","affiliation":[{"name":"Department of Medicine I, University Medical Center Mainz, Mainz, Germany"},{"name":"GastroZentrum, Lippe, Germany"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9739-4998","authenticated-orcid":false,"given":"Maria","family":"Pellis\u00e9","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hospital Cl\u00ednic de Barcelona, Barcelona, Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Enfermedades Hep\u00e1ticas y Digestivas (CIBERehd), Institut d'Investigacions Biom\u00e8diques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9059-8602","authenticated-orcid":false,"given":"Ignasi","family":"Puig","sequence":"additional","affiliation":[{"name":"Digestive Diseases Department, Althaia Xarxa Assistencial Universit\u00e0ria de Manresa, Manresa, Spain"},{"name":"Department of Medicine, Facultat de Ci\u00e8ncies de la Salut, Universitat de Vic-Universitat Central de Catalunya (UVic-UCC), Manresa, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9507-0295","authenticated-orcid":false,"given":"Matthew D.","family":"Rutter","sequence":"additional","affiliation":[{"name":"Faculty of Medical Sciences, Newcastle University, Newcastle-upon-Tyne, UK"},{"name":"University Hospital of North Tees , Stockton-on-Tees, UK"}]},{"given":"Brian","family":"Saunders","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, St Mark's Hospital and Academic Institute, Harrow, UK"}]},{"given":"David 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