11/18/2023 0 Comments After a colonoscopy findings![]() Several reviews have described patient experiences concerning barriers and facilitators surrounding colonoscopy and participation in CRC screening. However, questions have been raised whether existing instruments succeed in measuring how patients experience undergoing a colonoscopy, since descriptions of patient involvement during instrument development are missing and validation of them is sparse. In addition, a recent review identified instruments which aimed to measure patient-reported satisfaction and experiences regarding CRC screening, including tests, and relevant procedures such as colonoscopy. īrown and colleagues identified endoscopy-specific instruments which were developed and used in studies to evaluate how the patients experienced different endoscopic procedures. In addition, the guidelines recommend that the experiences should be reported by the patients themselves by answering questions that are relevant to them. Such an instrument can be used for continuous evaluation of quality improvement projects regarding colonoscopy or for research in the field. However, there is a need for patient-reported experience measures (PREMs) regarding patients’ experiences before, during, and after a colonoscopy procedure. Therefore, it is recommended that patient experiences should be measured routinely due to the importance of acceptance of the colonoscopy and the patient’s willingness to repeat the procedure. They are, hence, the experts of their own experiences and their perspective is an indicator of care quality. Clearly, the patients’ needs should be reflected in the care they receive and, moreover, patients should be seen as partners whose feedback can enhance the clinical performance and safety. Patients’ experiences can be defined as ‘to which extent patients are receiving care that is respectful of and responsive to individual patient preferences, needs and values’. Seven quality domains have been identified in the current guidelines for lower gastrointestinal endoscopy from the European Society of Gastrointestinal Endoscopy (ESGE) patient experiences being one of them. Even though patients may experience a colonoscopy as unpleasant, embarrassing, uncomfortable, and even painful, the acceptance of the procedure is crucial. The number of colonoscopies performed is mounting due to extended life expectancy together with increased incidence of CRC. These findings suggest that new PREMs for colonoscopy should be developed, since none of the existing colonoscopy-specific PREMs fully cover patients’ experiences.Ĭolonoscopy is considered a standard procedure for patients in need of diagnosis, treatment, surveillance, and/or colorectal cancer (CRC) screening. These concepts were compared with existing PREMs and the result shows that there is agreement between the model and existing PREMs for colonoscopy in some parts, while partial agreement or no agreement is present in others. A model consisting of five concepts describes how patients experience undergoing a colonoscopy: health motivation, discomfort, information, a caring relationship, and understanding. Similarities and differences between the model and colonoscopy-specific PREMs were identified. After screening and quality assessment, data from 13 studies were synthesised using meta-ethnography. A systematic search for qualitative research published up to December 2021 in PubMed, Cochrane, CINAHL, and PsycINFO was conducted. Therefore, the aim was to develop a conceptual model describing how patients experience a colonoscopy, and to compare the model against colonoscopy-specific PREMs. ![]() ![]() There is no standard approach measuring patient experience after the procedure and the comparative performance of the different colonoscopy-specific patient-reported experience measures (PREMs) is unclear. Patient experience is defined as a major quality indicator that should be routinely measured during and after a colonoscopy, according to current ESGE guidelines.
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