Patient-reported adverse events after colonoscopy in Norway

Geir Hoff; Thomas de Lange; Michael Bretthauer; Magne Buset; Stein Dahler; Fred-Arne Halvorsen; Jörg Michael Halwe; Mathis Heibert; Ole Høie; Øystein Kjellevold; Volker Moritz; Per Sandvei; Birgitte Seip; Lars Aabakken; Øyvind Holme

doi:10.1055/s-0043-105265

Endoscopy, Inhaltsverzeichnis

Endoscopy 2017; 49(08): 745-753
DOI: 10.1055/s-0043-105265

Original article

Patient-reported adverse events after colonoscopy in Norway

Geir Hoff

¹Department of Medicine, Telemark Hospital, Skien, Norway

²Cancer Registry of Norway, Oslo, Norway

³Department of Health Management and Health Economics, Institute of Health and Society, University of Oslo, Oslo, Norway

,

Thomas de Lange

²Cancer Registry of Norway, Oslo, Norway

⁴Department of Medicine, Vestre Viken Hospital, Bærum, Norway

,

Michael Bretthauer

³Department of Health Management and Health Economics, Institute of Health and Society, University of Oslo, Oslo, Norway

⁵Department of Medicine, Sørlandet Hospital Kristiansand, Kristiansand, Norway

⁶Department of Transplantation Medicine and KG Jebsen Center for Colorectal Cancer Research, Oslo University Hospital, Oslo, Norway

,

Magne Buset

⁷Department of Medicine, University Hospital of North Norway, Harstad, Norway

,

Stein Dahler

⁸Department of Medicine, Telemark Hospital Notodden, Notodden, Norway

,

Fred-Arne Halvorsen

⁹Department of Medicine, Vestre Viken Hospital Drammen, Drammen, Norway

,

Jörg Michael Halwe

¹⁰Department of Medicine, Stord Hospital, Stord, Norway

,

Mathis Heibert

¹¹Department of Medicine, Namsos Hospital, Namsos, Norway

,

Ole Høie

¹²Department of Medicine, Sørlandet Hospital Arendal, Arendal, Norway

,

Øystein Kjellevold

¹³Department of Medicine, Telemark Hospital Kragerø, Kragerø, Norway

,

Volker Moritz

¹Department of Medicine, Telemark Hospital, Skien, Norway

,

Per Sandvei

¹⁴Department of Medicine, Østfold Hospital, Kalnes, Norway

,

Birgitte Seip

¹⁵Department of Medicine, Vestfold Hospital, Tønsberg, Norway

,

Lars Aabakken

¹⁶Department of Medicine, Oslo University Hospital, Oslo, Norway

¹⁷Faculty of Medicine, University of Oslo, Oslo, Norway

,

Øyvind Holme

³Department of Health Management and Health Economics, Institute of Health and Society, University of Oslo, Oslo, Norway

⁵Department of Medicine, Sørlandet Hospital Kristiansand, Kristiansand, Norway

› Institutsangaben

Abstract

Background and aims Patient-reported outcome measures are increasingly important in healthcare. European guidelines have recommended inclusion of patient feedback to capture adverse events due to colonoscopy, but this is rarely implemented.

Methods The Norwegian Quality Assurance network for endoscopy (Gastronet) collects patient-reported outcome for colonoscopies. Free-text comments on patient reports from January to December 2015 were characterized as positive or negative. All negative free-text comments were scrutinized for information that might suggest colonoscopy-related adverse events. We identified severe adverse events with and without admission to hospital.

Results We included 16 552 outpatient colonoscopies performed at 21 hospitals. A total of 11 248 procedures (68 %) were accompanied by a patient feedback report, of which 2628 (23 %) had free-text comments (2196 [20 %] characterized as positive and 432 [3.8 %] as negative). These negative free texts on patient reports revealed 15 post-colonoscopy hospital admissions due to adverse events that had not been registered in the colonoscopy report. This increased the number of hospital admissions caused by adverse events from 3 (0.03 %) to 18 (0.16 %). In addition, there were 14 patient reports of severe events without hospital admission. Therefore, a total of 29 severe adverse events reported by patients were missed by conventional documentation in the colonoscopy form.

Conclusion It is feasible to implement patient feedback as routine reporting to capture the full picture of colonoscopy-related adverse events. Some patients experience significant complications that are not recorded through any registries. Patient feedback forms should be tailored to capture adverse events after colonoscopy that are otherwise not easily disclosed.

Volltext

Referenzen

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