EVALUATION OF COLONOSCOPY SATISFACTION AND SAFETY INDICATORS WITH THE COLONOSCOPY SATISFACTION AND SAFETY QUESTIONNAIRE BASED ON PATIENT EXPERIENCE (CSSQP)

Aims Recommendations for improving the quality of colonoscopy include collecting data on patient experience with validated questionnaires. The Colonoscopy Satisfaction and Safety Questionnaire based on Patient experience (CSSQP) was recently developed and validated within the Spanish Bowel Cancer Screening Program. The present multicenter study aimed to apply the CSSQP to identify factors related to patient experiences, including all the indication for colonoscopy.

Methods This prospective multicenter study included 2200 consecutive patients that had undergone a colonoscopy between February 2019 and June 2020 in nine Spanish hospitals. Patients completed the CSSQP after the colonoscopy. Factors related to patient experiences were analyzed.

Results Of 2200 patients, 1753 filled out the questionnaire (response rate 79.7%, sample error 2%). Patients were more likely to respond when the indication for colonoscopy was a positive fecal immunochemical test result (P<0.001). Women were less likely to be satisfied than men (OR: 0.77, 95% CI: 0.62-0.94). In addition, patients whose colonoscopy indication was a primary colorectal cancer screening (OR: 1.68, 95% CI: 1.15-2.44 p=0.007) reported higher overall satisfaction than patients whose colonoscopy indication was gastrointestinal symptoms. Significant differences were observed in the majority of CSSQP items between centers. Safety incidents were reported by 35 (1.6%) patients, and 176 (8%) patients reported that they received insufficient information.

Conclusions Overall, the colonoscopy experience was positive. The CSSQP can be applied for all colonoscopy indications. A comparison of the different centers indicated significant variability in patient satisfaction.

Publication History

Article published online:
14 April 2022