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Endoscopy. 2017 Aug;49(8):745-753. doi: 10.1055/s-0043-105265. Epub 2017 Apr 26.

Patient-reported adverse events after colonoscopy in Norway.

Author information

1
Department of Medicine, Telemark Hospital, Skien, Norway.
2
Cancer Registry of Norway, Oslo, Norway.
3
Department of Health Management and Health Economics, Institute of Health and Society, University of Oslo, Oslo, Norway.
4
Department of Medicine, Vestre Viken Hospital, Bærum, Norway.
5
Department of Medicine, Sørlandet Hospital Kristiansand, Kristiansand, Norway.
6
Department of Transplantation Medicine and KG Jebsen Center for Colorectal Cancer Research, Oslo University Hospital, Oslo, Norway.
7
Department of Medicine, University Hospital of North Norway, Harstad, Norway.
8
Department of Medicine, Telemark Hospital Notodden, Notodden, Norway.
9
Department of Medicine, Vestre Viken Hospital Drammen, Drammen, Norway.
10
Department of Medicine, Stord Hospital, Stord, Norway.
11
Department of Medicine, Namsos Hospital, Namsos, Norway.
12
Department of Medicine, Sørlandet Hospital Arendal, Arendal, Norway.
13
Department of Medicine, Telemark Hospital Kragerø, Kragerø, Norway.
14
Department of Medicine, Østfold Hospital, Kalnes, Norway.
15
Department of Medicine, Vestfold Hospital, Tønsberg, Norway.
16
Department of Medicine, Oslo University Hospital, Oslo, Norway.
17
Faculty of Medicine, University of Oslo, Oslo, Norway.

Abstract

Background and aims Patient-reported outcome measures are increasingly important in healthcare. European guidelines have recommended inclusion of patient feedback to capture adverse events due to colonoscopy, but this is rarely implemented. Methods The Norwegian Quality Assurance network for endoscopy (Gastronet) collects patient-reported outcome for colonoscopies. Free-text comments on patient reports from January to December 2015 were characterized as positive or negative. All negative free-text comments were scrutinized for information that might suggest colonoscopy-related adverse events. We identified severe adverse events with and without admission to hospital. Results We included 16 552 outpatient colonoscopies performed at 21 hospitals. A total of 11 248 procedures (68 %) were accompanied by a patient feedback report, of which 2628 (23 %) had free-text comments (2196 [20 %] characterized as positive and 432 [3.8 %] as negative). These negative free texts on patient reports revealed 15 post-colonoscopy hospital admissions due to adverse events that had not been registered in the colonoscopy report. This increased the number of hospital admissions caused by adverse events from 3 (0.03 %) to 18 (0.16 %). In addition, there were 14 patient reports of severe events without hospital admission. Therefore, a total of 29 severe adverse events reported by patients were missed by conventional documentation in the colonoscopy form. Conclusion It is feasible to implement patient feedback as routine reporting to capture the full picture of colonoscopy-related adverse events. Some patients experience significant complications that are not recorded through any registries. Patient feedback forms should be tailored to capture adverse events after colonoscopy that are otherwise not easily disclosed.

PMID:
28445903
DOI:
10.1055/s-0043-105265
[Indexed for MEDLINE]

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