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Patient experiences of Cytosponge: a qualitative study
Laura Jane Neilson1,2, Rebecca C Fitzgerald3,4, Jennifer Deane1
1Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Frontline Gastroenterology
|March 15, 2024
Summary
Patient experience with the novel Cytosponge (oesophageal pathology diagnosis) was explored. Key themes included emotional reactions, expectations, and communication, informing adaptations to patient-reported experience measures.
Area of Science:
- Gastroenterology
- Medical Technology
- Patient Experience Research
Background:
- Cytosponge is a novel technology for oesophageal pathology diagnosis, including Barrett's oesophagus.
- It serves as a triage tool for upper gastrointestinal endoscopy.
- Patient experience is crucial for quality care, necessitating tailored measurement tools.
Purpose of the Study:
- To describe the patient experience of undergoing the Cytosponge procedure.
- To identify key themes related to patient perceptions and procedural experiences.
- To inform the adaptation of existing patient-reported experience measures.
Main Methods:
- Semi-structured interviews were conducted with 19 patients (aged 37-80) who had undergone Cytosponge.
- Interviews were audio-recorded, transcribed verbatim, and anonymised.
- Thematic analysis was employed to identify recurring themes in patient experiences and perceptions.
Main Results:
- Five themes emerged regarding patient experiences: emotional reaction, expectations, environment/physical process, sensory experience, and communication/information.
- Two major themes defined patient perceptions: test novelty and trust in results.
- Sensory experience was specific to the test phase, while other themes spanned all procedural phases.
Conclusions:
- Patient-centeredness is vital for novel technologies like Cytosponge.
- Understanding patient experience through identified themes is essential for quality improvement.
- The findings facilitated the adaptation of the Newcastle ENDOPREM for Cytosponge.

