Telephone Callback Is Unnecessary After Outpatient Endoscopy

Chen, Yang K.; Godil, Aslam; Thompson, Shirley A.; Foliente, Roy A.; Adams, Nancy C.; Kappel, Patricia A.

doi:10.1097/00004836-199806000-00027

Cited by 2 publications

(2 citation statements)

References 14 publications

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“…Interventions such as supplementing patients with written discharge instructions (ie, a computer-generated endoscopy report that summarizes the results and plans for follow-up) were shown to be helpful for recall and compliance with care, obviating the need for a telephone call 24 hours after EGD. [28][29][30][31][32] Endoscopy practices should have established protocols in place to ensure adequate communication of EGD findings and how results are relayed to their patients.…”

Section: What Methods Have Been Shown To Improve Postprocedural Egd Q...mentioning

confidence: 99%

Interventions to improve the performance of upper GI endoscopy quality indicators

Bazerbachi¹,

Panganamamula²,

Nieto³

et al. 2022

Gastrointestinal Endoscopy

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Section: What Methods Have Been Shown To Improve Postprocedural Egd Q...mentioning

confidence: 99%

Interventions to improve the performance of upper GI endoscopy quality indicators

Bazerbachi¹,

Panganamamula²,

Nieto³

et al. 2022

Gastrointestinal Endoscopy

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“…As interest in the patient-centred care model shifts attention to patient satisfaction and comfort (7,8), information regarding the incidence of minor adverse events (MAEs), which do not result in hospitalization but cause significant discomfort, becomes important. To date, the few studies that have addressed MAEs after colonoscopy have reported rates that vary from 16.6% to 40.7% (9)(10)(11)(12)(13)(14)(15). These studies were heterogeneous in terms of the definitions of MAEs and the time points for their evaluation.…”

Section: Le Taux D'événements Indésirables Mineurs Et D'utilisation Dmentioning

confidence: 99%

Rates of Minor Adverse Events and Health Resource Utilization Postcolonoscopy

Azalgara

Sewitch

Joseph

et al. 2014

Canadian Journal of Gastroenterology and Hepatology

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BACKGROUND: Little is known about minor adverse events (MAEs) following outpatient colonoscopies and associated health care resource utilization.OBJECTIVE: To estimate the rates of incident MAE at two, 14 and 30 days postcolonoscopy, and associated health care resource utilization. A secondary aim was to identify factors associated with cumulative 30-day MAE incidence.METHODS: A longitudinal cohort study was conducted among individuals undergoing an outpatient colonoscopy at the Montreal General Hospital (Montreal, Quebec). Before colonoscopy, consecutive individuals were enrolled and interviewed to obtain data regarding age, sex, comorbidities, use of antiplatelets/anticoagulants and previous symptoms. Endoscopy reports were reviewed for intracolonoscopy procedures (biopsy, polypectomy). Telephone or Internet follow-up was used to obtain data regarding MAEs (abdominal pain, bloating, diarrhea, constipation, nausea, vomiting, blood in the stools, rectal or anal pain, headaches, other) and health resource use (visits to emergency department, primary care doctor, gastroenterologist; consults with nurse, pharmacist or telephone hotline). Rates of incident MAEs and health resources utilization were estimated using Bayesian hierarchical modelling to account for patient clustering within physician practices.RESULTS: Of the 705 individuals approached, 420 (59.6%) were enrolled. Incident MAE rates at the two-, 14- and 30-day follow-ups were 17.3% (95% credible interval [CrI] 8.1% to 30%), 10.5% (95% CrI 2.9% to 23.7%) and 3.2% (95% CrI 0.01% to 19.8%), respectively. The 30-day rate of health resources utilization was 1.7%, with 0.95% of participants seeking the services of a physician. No predictors of the cumulative 30-day incidence of MAEs were identified.DISCUSSION: The incidence of MAEs was highest in the 48 h following colonoscopy and uncommon after two weeks, supporting the Canadian Association of Gastroenterology’s recommendation for assessment of late complications at 14 days. Predictors of new onset of MAEs were not identified, but wide CrIs did not rule out possible associations. Although <1% of participants reported consulting a physician for MAEs, this figure may represent a substantial number of visits given the increasing number of colonoscopies performed annually.CONCLUSION: Postcolonoscopy MAEs are common, occur mainly in the first two weeks postcolonoscopy and result in little use of health resources.

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Telephone Callback Is Unnecessary After Outpatient Endoscopy

Cited by 2 publications

References 14 publications

Interventions to improve the performance of upper GI endoscopy quality indicators

Interventions to improve the performance of upper GI endoscopy quality indicators

Rates of Minor Adverse Events and Health Resource Utilization Postcolonoscopy

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