Colonoscopy Satisfaction and Safety Questionnaire based on patient experience (CSSQP): A valuable quality tool for all colonoscopies

Alicia Brotons; Carolina Mangas-Sanjuan; Joaquín Cubiella; Lucía Cid-Gómez; Pilar Díez-Redondo; Agustín Seoane; Sandra García-Mateo; Adolfo Suárez; David Nicolás-Pérez; Blanca Lumbreras; José Joaquín Mira; Javier Sola-Vera; Rodrigo Jover; QUALISCOPIA study investigators

doi:10.1016/j.gastrohep.2023.02.003

Colonoscopy Satisfaction and Safety Questionnaire based on patient experience (CSSQP): A valuable quality tool for all colonoscopies

Gastroenterol Hepatol. 2024 Jan;47(1):1-13. doi: 10.1016/j.gastrohep.2023.02.003. Epub 2023 Feb 23.

[Article in English, Spanish]

Affiliations

¹ Department of Gastroenterology, Hospital General Universitario de Elche, Elche, Spain; Department of Gastroenterology, Vega Baja Hospital of Orihuela, Spain. Electronic address: [email protected].
² Department of Gastroenterology, Hospital General Universitario de Alicante, Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), Universidad Miguel Hernández, Alicante, Spain.
³ Department of Gastroenterology, Complexo Hospitalario de Ourense, Instituto de Investigación Sanitaria Galicia Sur, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Ourense, Spain.
⁴ Department of Gastroenterology, Complexo Hospitalario Universitario de Vigo, Instituto de Investigación Biomédica, Xerencia Integrada de Vigo, Vigo, Spain.
⁵ Endoscopy Unit, Hospital Universitario Rio Hortega, Valladolid, Spain.
⁶ Department of Gastroenterology, Parc de Salut Mar, Hospital del Mar, Barcelona, Spain.
⁷ Department of Gastroenterology, Hospital Clínico Universitario Lozano Blesa, Aragon Health Research Institute, Zaragoza, Spain.
⁸ Department of Gastroenterology, Hospital Universitario Central de Asturias, Oviedo, Spain.
⁹ Department of Gastroenterology, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain.
¹⁰ Department of Public Health, Miguel Hernández University, Elche, Spain; CIBERESP, CIBER in Epidemiology and Public Health, Spain.
¹¹ Department of Health Psychology, Miguel Hernández University, Elche, Spain.
¹² Department of Gastroenterology, Hospital General Universitario de Elche, Elche, Spain.

PMID: 36841528
DOI: 10.1016/j.gastrohep.2023.02.003

Abstract

Introduction: The Colonoscopy Satisfaction and Safety Questionnaire based on Patient experience (CSSQP) was recently developed and validated within a Bowel Cancer Screening Program. We aimed to identify factor related to patient experience through the CSSQP, including all indications for colonoscopy. Indicators of satisfaction and perceived safety with colonoscopy were also assessed to compare the different centers.

Methods: Multicenter study in nine Spanish hospitals. Consecutive patients who had undergone a colonoscopy completed the CSSQP adding a novel item on bowel preparation. Factors related to patient experiences and data from non-respondents were analyzed.

Results: Of 2200 patients, 1753 filled out the questionnaire (response rate 79.7%, sample error 2%). Patients whose colonoscopy indication was a primary colorectal cancer screening (OR: 1.68, 95% CI: 1.15-2.44, p=0.007) or due to a +FIT (OR: 1.73, 95% CI: 1.18-2.53) reported higher satisfaction than patients with gastrointestinal symptoms. In addition, college-educated patients (OR: 2.11, 95% CI: 1.25-3.56) were more likely to report better overall satisfaction than patients with lower education level. Significant differences were observed in the majority of the CSSQP items between centers. Safety incidents were reported by 35 (2%) patients, and 176 (10%) patients reported that they received insufficient information.

Conclusion: The CSSQP identifies several significant factors on satisfaction and perceived safety in patients referred for colonoscopy for any reason. The CSSQP also allows comparison of patient-identified colonoscopy quality indicators between centers.

Keywords: Colonoscopia; Colonoscopy; Cuestionario; Experiencia del paciente; PROMs; Patient experience; Patient safety; Patient satisfaction; Questionnaire; Satisfacción del paciente; Seguridad del paciente.

Publication types

Multicenter Study

MeSH terms

Colonoscopy / adverse effects
Colorectal Neoplasms* / diagnosis
Humans
Patient Outcome Assessment
Patient Satisfaction*
Surveys and Questionnaires