Factors impacting patient cooperation during elective gastroscopy

Area of Science:

• Gastroenterology
• Endoscopy
• Patient Compliance

Background:

• Difficulty tolerating upper endoscopy is common.
• Causes and risk factors for poor cooperation are not well understood.
• This study aimed to identify factors influencing cooperation during screening upper endoscopy.

Purpose of the Study:

• To investigate factors associated with poor patient cooperation during screening upper endoscopy.
• To identify demographic and clinical predictors of non-cooperation.
• To assess the impact of poor cooperation on examination completeness.

Main Methods:

• Retrospective analysis of 4,422 subjects undergoing upper endoscopy.
• Data collected from self-reporting questionnaires and medical records.
• Cooperation and examination completeness assessed by the endoscopist.

Main Results:

• 8.1% of subjects (358/4,422) exhibited poor cooperation.
• Incomplete endoscopic examination occurred in 10.1% of poorly cooperating subjects.
• Independent risk factors for poor cooperation included young age (<40), female sex, high BMI (≥25), hiatal hernia, and midazolam sedation.

Conclusions:

• A significant proportion of patients experience poor cooperation during screening upper endoscopy.
• Endoscopists should anticipate challenges with young, obese, female patients, those with hiatal hernias, and those receiving midazolam.
• Identifying these risk factors can help optimize patient management and procedural success.