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Patient-Reported Experience Measures for Colonoscopy: A Systematic Review and Meta-Ethnography
Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).ORCID iD: 0000-0003-1213-5618
Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).ORCID iD: 0000-0003-4395-2522
Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). Department of Cardio-Thoracic and Vascular Surgery, Skåne University Hospital, 205 02 Malmö, Sweden.ORCID iD: 0000-0002-1437-5060
Lund Univ, Skane Univ Hosp, Dept Gastroenterol, S-20502 Malmo, Sweden..ORCID iD: 0000-0002-9314-9239
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2022 (English)In: Diagnostics, ISSN 2075-4418, Vol. 12, no 2, article id 242Article, review/survey (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
MDPI, 2022. Vol. 12, no 2, article id 242
Keywords [en]
colonoscopy, endoscopy, meta-ethnography, item-concept mapping, patient experience, patient-reported experience measures, quality measurements, review, triangulation
National Category
Gastroenterology and Hepatology
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URN: urn:nbn:se:mau:diva-50954DOI: 10.3390/diagnostics12020242ISI: 000771661500001PubMedID: 35204332Scopus ID: 2-s2.0-85123070930OAI: oai:DiVA.org:mau-50954DiVA, id: diva2:1649999
Available from: 2022-04-05 Created: 2022-04-05 Last updated: 2024-02-05Bibliographically approved

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Rosvall, AnnicaAnnersten Gershater, MagdalenaKumlien, ChristineAxelsson, Malin

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Rosvall, AnnicaAnnersten Gershater, MagdalenaKumlien, ChristineToth, ErvinAxelsson, Malin
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