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

Research output: Contribution to journalArticle

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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 14915 examinations and 12354 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.

Original languageEnglish (US)
Pages (from-to)639-646
Number of pages8
JournalEndoscopy
Volume42
Issue number8
DOIs
StatePublished - Aug 6 2010

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Colonoscopy
Patient Satisfaction
Outpatients
Odds Ratio
Endoscopy
Information Services
Documentation
Costs and Cost Analysis

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Seip, B., Bretthauer, M., Dahler, S., Friestad, J., Huppertz-Hauss, G., Høie, O., ... Hoff, G. (2010). Patient satisfaction with on-demand sedation for outpatient colonoscopy. Endoscopy, 42(8), 639-646. https://doi.org/10.1055/s-0030-1255612

Patient satisfaction with on-demand sedation for outpatient colonoscopy. / Seip, B.; Bretthauer, M.; Dahler, S.; Friestad, J.; Huppertz-Hauss, G.; Høie, O.; Kittang, E.; Nyhus, S.; Pallenschat, J.; Sandvei, P.; Stallemo, A.; Svendsen, M. V.; Hoff, G.

In: Endoscopy, Vol. 42, No. 8, 06.08.2010, p. 639-646.

Research output: Contribution to journalArticle

Seip, B, Bretthauer, M, Dahler, S, Friestad, J, Huppertz-Hauss, G, Høie, O, Kittang, E, Nyhus, S, Pallenschat, J, Sandvei, P, Stallemo, A, Svendsen, MV & Hoff, G 2010, 'Patient satisfaction with on-demand sedation for outpatient colonoscopy', Endoscopy, vol. 42, no. 8, pp. 639-646. https://doi.org/10.1055/s-0030-1255612
Seip B, Bretthauer M, Dahler S, Friestad J, Huppertz-Hauss G, Høie O et al. Patient satisfaction with on-demand sedation for outpatient colonoscopy. Endoscopy. 2010 Aug 6;42(8):639-646. https://doi.org/10.1055/s-0030-1255612
Seip, B. ; Bretthauer, M. ; Dahler, S. ; Friestad, J. ; Huppertz-Hauss, G. ; Høie, O. ; Kittang, E. ; Nyhus, S. ; Pallenschat, J. ; Sandvei, P. ; Stallemo, A. ; Svendsen, M. V. ; Hoff, G. / Patient satisfaction with on-demand sedation for outpatient colonoscopy. In: Endoscopy. 2010 ; Vol. 42, No. 8. pp. 639-646.
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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 14915 examinations and 12354 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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AU - Kittang, E.

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AU - Pallenschat, J.

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