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Patient-Reported Experience Measures for Colonoscopy : A Systematic Review and Meta-Ethnography

Rosvall, Annica ; Gershater, Magdalena Annersten ; Kumlien, Christine ; Toth, Ervin LU and Axelsson, Malin (2022) In Diagnostics 12(2).
Abstract

Patient experience is defined as a major quality indicator that should be routinely measured during and after a colonoscopy, according to current ESGE guidelines. 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. Therefore, the aim was to develop a conceptual model describing how patients experience a colonoscopy, and to compare the model against colonoscopy-specific PREMs. A systematic search for qualitative research published up to December 2021 in PubMed, Cochrane, CINAHL, and PsycINFO was conducted. After screening and quality assessment, data from 13 studies were synthesised... (More)

Patient experience is defined as a major quality indicator that should be routinely measured during and after a colonoscopy, according to current ESGE guidelines. 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. Therefore, the aim was to develop a conceptual model describing how patients experience a colonoscopy, and to compare the model against colonoscopy-specific PREMs. A systematic search for qualitative research published up to December 2021 in PubMed, Cochrane, CINAHL, and PsycINFO was conducted. After screening and quality assessment, data from 13 studies were synthesised using meta-ethnography. Similarities and differences between the model and colonoscopy-specific PREMs were identified. A model consisting of five concepts describes how patients experience undergoing a colonoscopy: health motivation, discomfort, information, a caring relationship, and understanding. 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. These findings suggest that new PREMs for colonoscopy should be developed, since none of the existing colonoscopy-specific PREMs fully cover patients’ experiences.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Colonoscopy, Endoscopy, Item–concept mapping, Meta-ethnography, Patient experience, Patient-reported experience measures, Quality measurements, Review, Triangulation
in
Diagnostics
volume
12
issue
2
article number
242
publisher
MDPI AG
external identifiers
  • pmid:35204332
  • scopus:85123070930
ISSN
2075-4418
DOI
10.3390/diagnostics12020242
language
English
LU publication?
yes
id
5d44b0a1-f851-4124-94ae-55d0444f1c2a
date added to LUP
2022-03-18 15:18:21
date last changed
2024-04-18 06:33:02
@article{5d44b0a1-f851-4124-94ae-55d0444f1c2a,
  abstract     = {{<p>Patient experience is defined as a major quality indicator that should be routinely measured during and after a colonoscopy, according to current ESGE guidelines. 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. Therefore, the aim was to develop a conceptual model describing how patients experience a colonoscopy, and to compare the model against colonoscopy-specific PREMs. A systematic search for qualitative research published up to December 2021 in PubMed, Cochrane, CINAHL, and PsycINFO was conducted. After screening and quality assessment, data from 13 studies were synthesised using meta-ethnography. Similarities and differences between the model and colonoscopy-specific PREMs were identified. A model consisting of five concepts describes how patients experience undergoing a colonoscopy: health motivation, discomfort, information, a caring relationship, and understanding. 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. These findings suggest that new PREMs for colonoscopy should be developed, since none of the existing colonoscopy-specific PREMs fully cover patients’ experiences.</p>}},
  author       = {{Rosvall, Annica and Gershater, Magdalena Annersten and Kumlien, Christine and Toth, Ervin and Axelsson, Malin}},
  issn         = {{2075-4418}},
  keywords     = {{Colonoscopy; Endoscopy; Item–concept mapping; Meta-ethnography; Patient experience; Patient-reported experience measures; Quality measurements; Review; Triangulation}},
  language     = {{eng}},
  number       = {{2}},
  publisher    = {{MDPI AG}},
  series       = {{Diagnostics}},
  title        = {{Patient-Reported Experience Measures for Colonoscopy : A Systematic Review and Meta-Ethnography}},
  url          = {{http://dx.doi.org/10.3390/diagnostics12020242}},
  doi          = {{10.3390/diagnostics12020242}},
  volume       = {{12}},
  year         = {{2022}},
}