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Related Concept Videos

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Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
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Endoscopic Procedures II: Colonoscopy01:25

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Assessment of the Gastrointestinal System II: Health Perception Pattern01:29

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Updated: Jan 5, 2026

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Interobserver variability in comfort scores for screening colonoscopy.

David N Naumann1, Sarah Potter-Concannon2, Sharad Karandikar3

  • 1Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK.

Frontline Gastroenterology
|October 29, 2019
PubMed
Summary

Specialist screening practitioners (SSPs) showed better agreement on patient comfort during colonoscopy than endoscopists. Patient comfort scores varied more at higher discomfort levels, highlighting the need for improved patient experience in screening colonoscopies.

Keywords:
abdominal paincolonoscopycolorectal cancer screeningendoscopyscreening

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Area of Science:

  • Gastroenterology
  • Clinical Practice
  • Patient Experience

Background:

  • Colonoscopy is a key procedure for bowel cancer screening.
  • Patient comfort during colonoscopy significantly impacts adherence and overall experience.
  • Variability in comfort perception between patients and healthcare providers can affect quality of care.

Purpose of the Study:

  • To assess agreement in colonoscopy comfort scores between patients, endoscopists, and specialist screening practitioners (SSPs).
  • To identify factors influencing patient comfort during screening colonoscopies.
  • To enhance patient experience and quality assurance in bowel cancer screening programs.

Main Methods:

  • Prospective observational study involving 498 patients undergoing screening colonoscopy.
  • Comfort scores (1-5 scale) were collected from patients, endoscopists, and SSPs.
  • Cohen's Kappa statistic and logistic regression analyzed inter-rater agreement and influencing factors.

Main Results:

  • SSPs demonstrated moderate agreement (0.638) with patient comfort scores, exceeding endoscopist agreement (0.526, weak agreement).
  • Male patients reported greater comfort than female patients (p<0.001).
  • Better bowel preparation correlated with lower reported discomfort by endoscopists (p=0.030).
  • Agreement on comfort scores decreased as discomfort levels increased.

Conclusions:

  • Significant variability exists in perceived comfort levels during screening colonoscopies.
  • Healthcare providers should consider both patient and provider comfort scores to optimize patient experience.
  • Addressing comfort disparities can improve quality assurance and patient satisfaction in screening colonoscopy services.