An evaluation of patient attitudes to colonoscopy and the importance of endoscopist interaction and the endoscopy environment to satisfaction and value

McEntire, Jude; Sahota, Jagdeep; Hydes, Theresa; Trebble, T M

doi:10.3109/00365521.2012.758768

Cited by 33 publications

(52 citation statements)

References 28 publications

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“…Consistent with previous research on important aspects of colonoscopy, 27 the memory of pain is an important aspect of EGD that shapes patients’ overall perception of the procedure. These two aspects of EGD—feelings of respect/disrespect and pain—were most salient in shaping memories of the peak experience of EGD and therefore potentially impact future adherence behaviors.…”

Section: Discussionsupporting

confidence: 85%

Patient Experiences with Surveillance Endoscopy: A Qualitative Study

et al. 2014

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Background Prior studies examining patterns of esophagogastroduodenoscopy (EGD) surveillance in patients with Barrett’s Esophagus (BE) demonstrate variable adherence to practice guidelines. In prior studies, memories of endoscopic experiences shaped patients’ overall perceptions and subsequent adherence behaviors, but the specific elements of that experience are unclear. We therefore sought to identify elements of the EGD experience that frame patients’ memories and overall perceptions of surveillance. Methods We conducted structured in-depth, qualitative interviews with BE patients in a single regional medical center. We recruited patients with a range of severity of BE (non-dysplastic, low-grade and high-grade dysplasia) who recently completed an EGD. Data collection continued until we reached thematic saturation (n=20). We applied principles of framework analysis to identify emerging themes regarding patients’ salient EGD experiences. We validated our coding scheme through multidisciplinary consensus meetings comprised of clinician (gastroenterologist and internist) and non-clinician investigators (sociologist and public health expert). Results Patient experiences can be conceptualized within a temporal model of surveillance EGD: prior to endoscopy, during the endoscopy procedure, and after endoscopy. Within this model, the most memorable aspects of the EGD experience include physician-patient communication prior to EGD, wait time at the endoscopy center, interpersonal interactions at the time of the EGD, level of pain or discomfort with the procedure, level of trust in the physician following EGD, and gaining a sense of control over BE. Conclusions We identified six salient memories before, during, and after the procedure that shape patients’ perceptions of the EGD experience. We offer recommendations for measuring the patient experience of EGD using a composite of validated survey items. Future studies should test the relation of patient experience measures and adherence to surveillance EGD.

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Section: Discussionsupporting

confidence: 85%

Patient Experiences with Surveillance Endoscopy: A Qualitative Study

et al. 2014

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“…Visual analogue scale questionnaire (VAS) has been developed as an instrument to measure subjective characteristics believed to range across a continuum of values (e.g. pain, depression, health states, quality of life and worry), and is widely accepted for this aim being more easily analysable than discrete scales.…”

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confidence: 99%

“…In the specific field of invasive diagnostic procedures, patients' tolerance and satisfaction are increasingly studied with the purpose of ameliorating comfort, care and use of resources .…”

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confidence: 99%

A prospective observational study on tolerance and satisfaction to hepatic haemodynamic procedures

Casu

Berzigotti

Abraldes

et al. 2014

Liver International

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“…14 Nearly all patients value the technical skill of the operating endoscopist as a top priority, but there is a high amount of variability in expectations regarding management of discomfort, or even other items of importance such as privacy and same-sex endoscopist. 15 There exists a significant number of patients able to tolerate colonoscopy without the aid of any systemic sedation. [16][17][18] In previous studies, there has been some inconsistencies in the findings, such as the role and effect of gender, and prior use of certain medications such as benzodiazepines.…”

Section: Discussionmentioning

confidence: 99%

Patient characteristics associated with easy and poor tolerance of moderate sedation during endoscopy

et al. 2019

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Summary Background Appropriate levels of sedation are paramount for optimising patient comfort, safety and technical success during endoscopy. The goal of this cross‐sectional study was to identify factors associated with patient tolerance of moderate sedation during esophagogastroduodenoscopy (EGD) and colonoscopy. Methods Endoscopic procedures performed under moderate sedation from 2004 to 2018 at the NIH were reviewed. Patients were categorised as “poorly tolerated,” based on the assessment of the performing endoscopist, or “easily sedated,” based on low levels of sedation (fentanyl 50 mcg and midazolam ≤2 mg). Epidemiologic and anthropometric data, type of procedure, inpatient/outpatient status and benzodiazepine/opiate use were analysed and compared between the two sedation groups. Results Over a 14‐year period, 7590 endoscopies were assessed (4442 EGDs and 3148 Colonoscopies). A total of 359 patients met criteria for inclusion; 242 were categorised as “easy to sedate” (162 EGDs and 80 colonoscopies) and 118 as “difficult to sedate” (62 EGDs and 56 colonoscopies). For EGDs, younger age, African American race and nonscreening indication were associated with difficult sedation. For colonoscopies, young age, low/normal weight and White/African American race were all associated with more difficult sedation. Conclusions Patients who are female, young and have a lower BMI are more likely to poorly tolerate procedures with moderate sedation. Persons of Hispanic/Asian descent appear to tolerate moderate sedation significantly better than other races. Clinicians should be aware of these factors when determining the type of sedation that will optimise success of endoscopy.

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An evaluation of patient attitudes to colonoscopy and the importance of endoscopist interaction and the endoscopy environment to satisfaction and value

Cited by 33 publications

References 28 publications

Patient Experiences with Surveillance Endoscopy: A Qualitative Study

Patient Experiences with Surveillance Endoscopy: A Qualitative Study

A prospective observational study on tolerance and satisfaction to hepatic haemodynamic procedures

Patient characteristics associated with easy and poor tolerance of moderate sedation during endoscopy

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