Patient satisfaction with colonoscopy is important for quality assurance.
This may be affected by various factors, including patient characteristics, physician training level, and procedural or organizational features
Dr Eckardt and colleagues from Massachusetts, USA analyzed how these factors influenced patient satisfaction and pain in an outpatient training setting.
|Trainee involvement formed 49% of procedures|
The team enrolled consecutive patients for open access colonoscopy in a prospective, single-blinded, controlled study.
The team's primary and secondary outcomes were satisfaction and pain scores with and without trainee participation.
A multivariate analysis was designed to achieve an 80% power with an alpha value of 0.05.
The team enrolled 368 patients.
The research team found that satisfaction with the procedure was high.
The team noted that in the multivariate analysis, only waiting time in the endoscopy suite was significantly associated with lower satisfaction scores.
Satisfaction was unaffected by patient factors, such as gender, American Society of Anesthesiologists' score, and anxiety.
The team found that higher pain scores were associated with higher anxiety levels, female gender, longer procedure, and lower sedation levels.
Trainee involvement formed 49% of procedures, but did not adversely affect satisfaction or pain scores.
Dr Eckardt's team concluded, "Patient satisfaction with open access colonoscopy using sedation appears to depend primarily on organizational factors."
"In contrast, pain is associated with patient characteristics, such as female gender, anxiety, and procedural factors, such as lower sedation, and longer procedure."
"Trainee participation did not affect satisfaction or pain scores, a finding which may help to reassure patients undergoing open access colonoscopy with trainee participation."