Patient satisfaction with on-demand sedation for outpatient colonoscopy

B. Seip; M. Bretthauer; S. Dahler; J. Friestad; G. Huppertz-Hauss; O. Høie; E. Kittang; S. Nyhus; J. Pallenschat; P. Sandvei; A. Stallemo; M. V. Svendsen; G. Hoff

doi:10.1055/s-0030-1255612

Endoscopy 2010; 42(8): 639-646
DOI: 10.1055/s-0030-1255612

Original article

Patient satisfaction with on-demand sedation for outpatient colonoscopy

B. Seip¹ , M. Bretthauer² , S. Dahler³ , J. Friestad⁴ , G. Huppertz-Hauss¹ , O. Høie⁵ , E. Kittang⁶ , S. Nyhus⁶ , J. Pallenschat⁵ , P. Sandvei⁷ , A. Stallemo⁵ , M. V. Svendsen⁸ , G. Hoff¹

¹Department of Medicine, Telemark Hospital, Skien, Norway
²Department of Medicine, Rikshospitalet, Oslo, Norway
³Department of Medicine, Blefjell Hospital, Notodden, Norway
⁴Department of Medicine, Ringerike Hospital, Hønefoss, Norway
⁵Department of Medicine, Sørlandet Hospital, Kristiansand, Norway
⁶Department of Medicine, Vestfold hospital, Larvik, Norway
⁷Department of Medicine, Østfold Hospital, Fredrikstad, Norway
⁸Department of Research and Development, Telemark Hospital, Skien, Norway

Abstract

Background and study aim: To reduce the costs of colonoscopy the feasibility of unsedated procedures has been explored. The aims of our study were to assess patient satisfaction with on-demand sedation and identify factors related to painful colonoscopy.

Patients and methods: The Norwegian Gastronet quality assurance documentation tools consist of endoscopy reports (completed on site) and a patient satisfaction questionnaire (completed by the patient on the day after colonoscopy). Data were collected from January 1 2004 to December 31 2006. Colonoscopies reported to be moderately or severely painful were defined as ”painful colonoscopy.”

Results: Nine endoscopy centers representing 86 endoscopists reported 14 915 examinations and 12 354 patient reports were returned (83 % response rate). Patient satisfaction with service and information given was greater than 95 % for all centers. Mean rate of painful colonoscopy was 34 % and mean sedation rate 34 %. Odds ratio (OR) for painful colonoscopy was 2.2 (P < 0.001) when sedation was given. The ORs for painful colonoscopy were similar for all but one center (no. 4) with OR 1.6 (P = 0.04), while the OR for giving sedation was higher for all but one center (no. 1) compared with the reference center (ORs 2.2 to 7.5, all P-values < 0.001).

Conclusion: A surprisingly high rate of painful colonoscopy was found. High sedation rates were not associated with low rates of painful colonoscopy. Recommending increased sedation rates as the only intervention to improve suboptimal performance might not lead to lower rates of painful colonoscopy.

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Referenzen

References

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B. SeipMD

Vestfold Hospital

PO Box 2168
3103 Toensberg
Norway

Fax: +47-35-005969

eMail: bseip@online.no

Zusatzmaterial

Appendix e1

Appendix e2