Background and Aims
GI endoscopy (GIE) is widely performed, with 1 in 3 people requiring an endoscopic
procedure at some point. Patient experience of medical procedures is important, but,
to date, experience measures of GIE are derived from clinician opinion rather than
from patients themselves. In this meta-narrative review, the literature on methods
of assessing patient experience in GIE is reported.
Methods
ScienceDirect, MEDLINE, Web of Knowledge, Web of Science, CINAHL, and PsycINFO were
searched to November 2013 using meta-narrative standards. Search terms included those
related to endoscopic procedures, combined with those related to patient experience.
Results
A total of 3688 abstracts were identified and reviewed for relevance. A total of 3549
were excluded, leaving 139 for full-text review. We subsequently included 48 articles.
Three sub-groups of studies were identified—those developing original measures of
endoscopy-specific patient experience (27 articles), those modifying existing measures
(10 articles), and those testing existing measures for reliability or validity (11
articles). Most measures focused on pain, discomfort, anxiety, and embarrassment.
Three studies explored wider aspects of experience, including preparation, unit organization,
and endoscopist preference. Likert scales, visual analog scale scores, and questionnaires
were used most commonly. The Global Rating Scale was validated for use in 2 studies,
confirming that those domains cover all aspects of endoscopy experience. Other measures
were modified to assess endoscopic experience, such as the modified Group Health Association
of America survey (mGHAA-9) (modified by 5 studies).
Conclusions
No patient-derived and validated endoscopy-specific experience measures were found.
Patient-derived and validated experience measures should be developed and used to
model optimal healthcare delivery.
Abbreviations:
GIE (gastrointestinal endoscopy), GRS (Global Rating Scale), mGHAA-9 (modified Group Health Association of America), NHS (National Health Service), PREM (patient reported experience measure), PROM (patient reported outcome measure)To read this article in full you will need to make a payment
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References
DH Knowledge and Intelligence Team. Further analysis of HES endoscopy data. London: 2010. Available at: webarchive.nationalarchives.gov.uk/20130107105354/http://www.dh.gov.uk/en/publicationssandstatistics/statistics/performancedataandstatistics/index.htm. Accessed March 9, 2015.
- Burden of gastrointestinal disease in the United States: 2012 update.Gastroenterology. 2012; 143: 1179-1187
- Quality in colonoscopy: European perspectives and practice.Expert Rev Gastroenterol Hepatol. 2014; 8: 29-47
- Anticipating implementation of colorectal cancer screening in the Netherlands: a nation wide survey on endoscopy supply and demand.BMC Cancer. 2012; 12: 46
- Patient comfort and quality in colonoscopy.W J Gastroenterol. 2013; 19: 2355-2361
Global Rating Scale. Available at: http://www.globalratingscale.com. Accessed February 12, 2013.
Royal College of Physicians JAG Office. Global Rating Scale and Knowledge Management System. 2011. Available at: https://www.jagaccreditation.org/Content/Downloads/1%20%20About%20the%20GRS%20(21%20July%202011).pdf. Accessed December 2, 2013. Accessed December 2, 2013.
- Development and validation of a nurse-assessed patient comfort score for colonoscopy.Gastrointest Endosc. 2013; 77: 255-261
- An evaluation of patient attitudes to colonoscopy and the importance of endoscopist interaction and the endoscopy environment to satisfaction and value.Scand J Gastroenterol. 2013; 48: 366-373
- Patient satisfaction with the endoscopy experience and willingness to return in a central Canadian health region.Can J Gastroenterol. 2013; 27: 259-266
- How can patients' views of their care enhance quality improvement?.BMJ. 2009; 339: 202-205
- Routine use of patient reported outcome measuresin healthcare settings.BMJ. 2010; 340: 464-467
Department of Health. The NHS Outcomes Framework 2012/13. Department of Health, 2011 Contract No. 16886.
- Patient reported outcome measures could help transform healthcare.BMJ. 2013; 346: f167
Francis R. Report of the Mid Staffodrshire NHS Foundation Trust Public Enquiry—executive summary. 2013 February 2013. Report No. HC 947. The London Stationery Office.
- RAMESES publication standards: meta-narrative reviews.BMC Med. 2013; 11: 20
- Patient satisfaction with an informed consent process.Cancer Pract. 1997; 5: 162-167
- Assessment of patient satisfaction with endoscopy using an interactive voice response system.Gastroenterol Clin Biol. 2006; 30: 371-376
- The sedation increases the acceptance of repeat colonoscopies.Eur J Gastroenterol Hepatol. 2012; 24: 775-780
- Impact of an information video before colonoscopy on patient satisfaction and anxiety—a randomized trial.Endoscopy. 2007; 39: 710-714
- Effects of a single music therapy intervention on anxiety, discomfort, satisfaction, and compliance with screening guidelines in patients undergoing flexible sigmoidoscopy.Gastroenterol Nurs. 2000; 23: 148-156
- Listening to the customer: implementing a patient satisfaction measurement system.Gastroenterol Nurs. 1994; 17: 110-115
- Patient satisfaction with the colonoscopy procedure: endoscopists overestimate the importance of adverse physical symptoms.Frontline Gastroenterol. 2012; 3: 130-136
- Rethinking patient satisfaction: patient experiences of an open access flexible sigmoidoscopy service.Soc Sci Med. 2000; 50: 53-62
- Continuous evaluation of patient satisfaction in endoscopy centres.Scand J Gastroenterol. 2002; 37: 850-855
- Patient satisfaction scores for endoscopic procedures: impact of a survey-collection method.Gastrointest Endosc. 2007; 65: 775-781
- Development and psychometric testing of the colonoscopy embarrassment scale.West J Nurs Res. 2012; 34: 548-564
- Acceptance of flexible sigmoidoscopy and colonoscopy for screening and surveillance in colorectal cancer prevention.J Med Screen. 2005; 12: 89-95
- Impact of colonoscopy on quality of life.Eur J Gastroenterol Hepatol. 2012; 24: 781-786
- Patients willing to try colonoscopy without sedation: associated clinical factors and results of a randomized controlled trial.Gastrointest Endosc. 1999; 49: 554-559
- Patient satisfaction with screening flexible sigmoidoscopy.Arch Int Med. 2000; 160: 1790-1796
- Acceptability of flexible sigmoidoscopy screening in older adults in the United Kingdom.J Med Screen. 2000; 7: 38-45
- Development and validation of the Patient and Clinician Sedation Satisfaction Index for colonoscopy and upper endoscopy.Clin Gastroenterol Hepatol. 2009; 7: 156-162
- Audit of sedated versus unsedated gastroscopy: Do patients notice a difference?.J Qual Clin Pract. 2001; 21: 26-29
- Factors influencing patient satisfaction with GI endoscopy.Gastrointest Endosc. 2000; 53: 703-710
- Patient satisfaction with endoscopy measurement and assessment.Dig Dis. 2008; 26: 75-79
- Effects of patients’ anxiety, previous pain experience and non-drug interventions on the pain experience during colonoscopy.J Clin Nurs. 2009; 18: 1937-1944
- Medication-free colonoscopy—factors related to pain and its assessment.J Adv Nurs. 2009; 65: 2597-2607
- Endoscopy teams' judment of discomfort among patients undergoing colonoscopy—How bad was it really?.Swiss Med Wk. 2012; 142: w13726
- Nurse endoscopists perform colonoscopies according to the international standard and with high patient satisfaction.Endoscopy. 2012; 44: 1127-1132
- Impact of video information before unsedated upper gastrointestinal endoscopy on patient satisfaction and anxiety: a prospective randomized trial.Prz Gastroenterol. 2013; 8: 44-49
- Patient-reported outcomes following flexible sigmoidoscopy screening for colorectal cancer in a demonstration screening programme in the UK.J Med Screen. 2012; 19: 171-176
- Factors influencing patient satisfaction when undergoing endoscopic procedures.Gastrointest endosc. 2009; 69: 831-891
- Development and validation of an instrument to measure satisfaction of participants at breast screening programmes.Eur J Cancer. 1991; 27: 827-831
- Evaluation of patient satisfaction in gastrointestinal endoscopy.Eur J Gastroenterol Hepatol. 2007; 19: 896-900
- Intraprocedural evaluation of comfort for sedated outpatient upper endoscopy and colonoscopy: the La Crosse (WI) Intra-endoscopy Sedation Comfort Score.Gastroenterol Nurs. 2011; 34: 296-302
- Development of an instrument to assess and predict satisfaction and poor tolerance among patients undergoing endoscopic procedures.Dig Dis Sci. 2005; 50: 1860-1871
- Sensitivity of pain rating scales in an endoscopy trial.Clin J Pain. 2005; 21: 292-296
- Providing an endoscopy report to patients after a procedure: a low-cost intervention with high returns.Gastrointest Endosc. 2008; 67: 103-111
- Patient acceptability and psychologic consequences of CT colonography compared with those of colonoscopy: results from a multicenter randomized controlled trial of symptomatic patients.Radiology. 2012; 263: 723-731
- Benchmarking patient experiences in colonoscopy using the Global Rating Scale.Endoscopy. 2012; 44: 462-472
- Validation of the Global Rating Scale for endoscopy.Scott Med J. 2013; 58: 20-21
- The Global Rating Scale in clinical practice: a comprehensive quality assurance program for endoscopy departments.Dig Liver Dis. 2012; 44: 919-924
- Evaluating customer satisfaction with colonoscopy.Endoscopy. 1994; 26: 342-346
- Administration of olive oil followed by a low volume of polyethylene glycol-electrolyte lavage solution improves patient satisfaction with right-side colonic cleansing over administration of the conventional volume of polyethylene glycol-electrolyte lavage solution for colonoscopy preparation.Gastrointest Endosc. 2009; 70: 515-521
- Evaluation of patient satisfaction of an outpatient colonoscopy service in an Asian tertiary care hospital.Gastroenterol Res Pract. 2012; 2012: 561893
- Trait anxiety and coping style as predictors of pre-operative anxiety.Brit J Clin Psychol. 1989; 28: 89-90
- Utility of Web-based assessment of patient satisfaction with endoscopy.Am J Gastroenterol. 2003; 98: 1016-1021
- Development and implementation of a comprehensive quality assurance program at a community endoscopy facility.Can J Gastroenterol. 2011; 25: 547-554
- Patient satisfaction after endoscopic retrograde cholangiopancreatography for biliary stones: a prospective multicenter study in Lombardy.J Gastroenterol Hepatol. 2009; 24: 1510-1515
- Patient satisfaction with lower gastrointestinal endoscopy: doctors, nurse and nonmedical endoscopists.Colorect Dis. 2010; 12: 1033-1038
- Determinants of patient satisfaction survey in a gastrointestinal endoscopy service.Clin Gov. 2009; 14: 86-97
- The effect of high qualtiy assurance measures in bowel cancer screening on patient satisfaction of colonoscopy.J Gastrointest Liver Dis. 2012; 21: 251-258
Article info
Publication history
Accepted:
November 25,
2014
Received:
May 1,
2014
Footnotes
DISCLOSURE: S. Dunn received funding for a research post from Aquilant Endoscopy. S. Panter received an unrestricted educational grant, speaker fees, and honoraria from Aquilant Endoscopy. C. Rees received unrestricted educational grants from Aquilant Endoscopy, Cook Medical Products, and Olympus Endoscopy. All other authors disclosed no financial relationships relevant to this article.
Identification
Copyright
© 2015 Published by Elsevier Inc.
