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首页> 外文期刊>Endoscopy International Open >Effectiveness of digital feedback on patient experience and 30-day complications after screening colonoscopy: a randomized health services study
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Effectiveness of digital feedback on patient experience and 30-day complications after screening colonoscopy: a randomized health services study

机译：结肠镜检查后数字反馈对患者经历和30天并发症的有效性：一项随机健康服务研究

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Background and study aims European guidelines (ESGE) recommend measuring patient experience and 30-day complication rate after colonoscopy. We compared digital and paper-based feedback on patients’ experience and 30-day complications after screening colonoscopy. Patients and methods Screenees attending for primary screening colonoscopies in two centers from September 2015 to December 2016 were randomized (1:1) to an intervention arm (choice of feedback method) or control arm (routine paper-based feedback). Participants in the intervention arm could choose preferred feedback method (paper-based, automated telephone or online survey) and were contacted by automated telephone 30 days after colonoscopy to assess complications. Control group participants self-reported complications. Primary and secondary endpoints were response rates to feedback and complications questionnaire, respectively. Results There were 1,281 and 1,260 participants in the intervention and control arms, respectively. There was no significant difference in response rate between study groups (64.8?% vs 61.5?%; P =?0.08). Free choice of feedback improved response for participants identified as poor responders: younger than 60 years (60.8?% vs 54.7?%; P =?0.031), male (64.0?% vs 58.6?%; P =?0.045) and in small non-public center (56.2?% vs 42.5?%; P =?0.043). In the intervention arm, 1,168 participants (91.2?%) answered the phone call concerning complications. A total of 79 participants (6.2?%) reported complications, of which two (0.2?%) were verified by telephone as clinically relevant. No complications were self-reported in the control group. Conclusion The overall response rate was not significantly improved with digital feedback, yet the technology yielded significant improvement in participants defined as poor responders. Our study demonstrated feasibility and efficacy of digital patient feedback about complications after colonoscopy.
机译：背景和研究目的欧洲指南（ESGE）建议在结肠镜检查后测量患者经验和30天并发症发生率。我们比较了结肠镜检查后患者的经验和30天并发症的数字和书面反馈。患者和方法自2015年9月至2016年12月在两个中心接受初次结肠镜检查的受检者被随机分配（1：1）到干预组（选择反馈方法）或对照组（常规的纸质反馈）。干预部门的参与者可以选择首选的反馈方法（纸质，自动电话或在线调查），并在结肠镜检查后30天通过自动电话联系以评估并发症。对照组参与者自我报告的并发症。主要和次要终点分别是对反馈的响应率和并发症问卷。结果干预组和对照组分别有1,281和1,260名参与者。研究组之间的缓解率无显着差异（64.8％vs 61.5％; P = 0.08）。自由选择反馈可以改善被认为是较差应答者的反应：60岁以下（60.8％vs 54.7％; P = 0.031），男性（64.0％vs 58.6％; P = 0.045）和较小非公共中心（56.2％vs 42.5％; P = 0.043）。在干预部门，有1,168名参与者（91.2％）回答了有关并发症的电话。共有79名参与者（6.2％）报告了并发症，其中有2名（0.2％）通过电话确认为临床相关。对照组无并发症发生。结论数字反馈并没有显着提高总体响应率，但是该技术在被定义为响应者较差的参与者中产生了显着提高。我们的研究证明了结肠镜检查后关于并发症的数字化患者反馈的可行性和有效性。

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