Quality indicators and patient satisfaction in colonoscopy

Fernández-Landa, María José; Aginagalde, Adrián Hugo; Bujanda, Luís; Idígoras, Isabel; Bilbao, Isabel; Portillo, Isabel; Jover, Rodrigo

doi:10.1016/j.gastre.2019.02.012

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…Conversely, the factors related to the endoscopic setting such as the interval between the end of the preparation and the time of colonoscopy, the adoption of a split regimen and the written instructions were properly observed. In our population there was a high percentage of patients’ comorbidities, such as diabetes, previous abdominal or pelvic surgery, and a large usage of medications, such as antihypertensive and anxiolytics/neuroleptics usage, all recognized risk factors that enable to influence the rate of bowel cleansing [21, 24, 25]. Moreover, the percentage of patients who had taken <75% of the bowel preparation was relatively high (12% of overall patients), possibly affecting our rate of bowel preparation.…”

Section: Discussionmentioning

confidence: 99%

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One-Day versus Three-Day Low-Residue Diet and Bowel Preparation Quality before Colonoscopy: A Multicenter, Randomized, Controlled Trial

Scaglione¹,

Oliviero²,

Labianca³

et al. 2023

Dig Dis

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Background One-day low residue diet (LRD) is recommended before colonoscopy, but only three single center trials compared the 1-day vs 3-days LRD. The aim of this multicenter study was to compare the impact of a 3-days vs 1-day LRD on its ability to adequately and successfully prepare the bowel of outpatients that require a colonoscopy. The outpatients' tolerance and adherence to the LRD were also considered. Methods Consecutive outpatients were randomized to 1-day vs 3-days LRD at three open-access Endoscopy units. The primary endpoint consisted of the proportion of patients with a satisfactory degree of bowel cleanliness (Score 2-3 on the Boston Bowel Preparation Scale (BBPS) in each segment). Secondary endpoints were patients’tolerance and adherence to the prescribed diet evaluated by a standardized questionnaire. Results 289 patients were included in the study (1-day LRD arm=143, 3-days LRD arm=146). BBPS≥2 was not significantly different in the two dietary regimens in any of the three colonic segments (71%vs72%, p=0.9). The percentage of patients with incomplete preparation was similar in the two arms (9%vs9%; p=1.0). No significant differences were found among colonoscopy findings in terms of abnormalities (81%vs84%, p=0.8). Both groups scored similarly in overall tolerance to LRD (48%vs49%, p=1.0) and also in whether they would haveadopted a different dietary regimen(p=0.3). Conclusion Our multicenter randomized study confirmed that optimal bowel cleansing is reached through a 1-day LRD.

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Section: Discussionmentioning

confidence: 99%

“…The systematic assessment of patients’ experience of colonoscopy takes into account several factors and is a quality indicator included in the international colonoscopy guidelines [18, 25, 31]. The patient’s satisfaction represents a fundamental factor for the implementation of quality and effectiveness of service delivery.…”

Section: Discussionmentioning

confidence: 99%

One-Day versus Three-Day Low-Residue Diet and Bowel Preparation Quality before Colonoscopy: A Multicenter, Randomized, Controlled Trial

Scaglione¹,

Oliviero²,

Labianca³

et al. 2023

Dig Dis

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Kolonoskopi Uygulanan Hastaların Memnuniyet Durumlarının Belirlenmesi

Özkan

Ünver

Topçu

et al. 2020

Mehmet Akif Ersoy Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi

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Bu araştırmanın amacı kolonoskopi uygulanan hastaların işlem sürecinden memnuniyet durumlarını belirlemektir. Tanımlayıcı tipteki araştırma bir üniversitesi hastanesinin (Edirne, Türkiye) kolonoskopi ünitesinde 01 Mart 2019-30 Temmuz 2019 tarihleri arasında kolonoskopi uygulanan 129 hastanın katılımıyla gerçekleştirildi. Çalışma öncesinde etik kurul izni ve hastalardan gönülllü olurları alınmıştır. Veri toplamada "Kolonoskopi Memnuniyet Anketi" kullanıldı. Ankette puan aralığı 0-10 idi. Veriler SPSS 22.0 bilgisayar programı ile Ki-Kare ve Spearman korelasyon analizi kullanılarak analiz edildi. Hastaların yaş ortalamalarının 54,5±15,9 yıl, %55,8'inin (n=72) erkek, %61,2'sinin (n=79) ilköğretim mezunu olduğu belirlendi. Hastaların genel memnuniyet puan ortalamaları 6,7±1,7 olarak bulundu. Cinsiyetin, kolonoskopi yapılma zamanının ve deneyiminin genel memnuniyet puan ortalamalarının etkilediği belirlendi (p<0.05). Çalışmada kolonoskopi uygulanan hastaların süreçten genel olarak memnun oldukları belirlenmiştir. Kolonoskopi uygulanacak hastalarda hasta memnuniyetinin arttırılması için hasta bakımında özellikle ilk kez kolonoskopi uygulanacak hastaların süreç hakkında daha özenli bilgilendirilmelerini, hasta bakımında özellikle tolere edilebilirliği daha iyi olan bağırsak hazırlığı uygulamalarının tercih edilmesini ve işlem günü ünitede bekleme sürelerinin kısaltılmasını önermekteyiz.

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Painless colonoscopy: fact or fiction?

Sinonquel,

Jans,

Bisschops

2024

Clin Endosc

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Although colonoscopy is a routinely performed procedure, it is not devoid of challenges, such as the potential for perforation and considerable patient discomfort, leading to patients postponing the procedure with several healthcare risks. This review delves into preprocedural and procedural solutions, and emerging technologies aimed at addressing the drawbacks of colonoscopies. Insufflation and sedation techniques, together with various other methods, have been explored to increase patient satisfaction, and thereby, the quality of endoscopy. Recent advances in this field include the prevention of loop formation, encompassing the use of variable-stiffness endoscopes, computer-guided scopes, magnetic endoscopic imaging, robotics, and capsule endoscopy. An autonomous endoscope that relies on self-propulsion to completely avoid looping is a potentially groundbreaking technology for the next generation of endoscopes. Nevertheless, critical techniques need to be refined to ensure the development of effective and efficient endoscopes.

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Quality indicators and patient satisfaction in colonoscopy

Cited by 3 publications

References 19 publications

One-Day versus Three-Day Low-Residue Diet and Bowel Preparation Quality before Colonoscopy: A Multicenter, Randomized, Controlled Trial

One-Day versus Three-Day Low-Residue Diet and Bowel Preparation Quality before Colonoscopy: A Multicenter, Randomized, Controlled Trial

Kolonoskopi Uygulanan Hastaların Memnuniyet Durumlarının Belirlenmesi

Painless colonoscopy: fact or fiction?

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