Acceptability of Oesogastroduodenal Fibroscopy in Private Health Facilities from the City of Bobo-Dioulasso in Burkina Faso

Abstract

The oesogastroduodenal fibroscopy (OGDF) remains a reference examination for the exploration and treatment of digestive pathologies, but is subject to apprehension during its practice. This research studied the factors associated with the acceptability of oesogastroduodenal fibroscopy in private health facilities in the city of Bobo-Dioulasso, in Burkina Faso. This were a cross-sectional study with prospective collection from 1 June to 10 December 2021 with data inclusion from 1 January 2013 to 31 December 2020. The data collected concerned notified cases of tumours and those diagnosed with cancer, socio-demographic characteristics, location and histological and histogenetic types of these cancers. From a sample of 180 patients, the mean age was 43 ± 15.1 years-old with a sex ratio of 1.1. The mean score of acceptability of oesogastroduodenal fibroscopy was low with 53.3% of patients having an acceptability score ≤ 107. As well, the mean score of information received by patients about OGDF was low. At univariate analysis, the factors associated with the acceptability of FOGD were: the presence of discomfort (p=0.041), the presence of anxiety (p=0.040), and the desire to forego performing the examination (p=0.007). In multivariate analysis, we did not find any factors associated with the acceptability of esogastroduodenal fibroscopy. The acceptability of esogastroduodenal fibroscopy is very important in the context of quality improvement in health care. The continuous training of health care personnel on oesogastroduodenal fibroscopy, as well as better patient education on FOGD during a pre-OGDF consultation, is an asset to achieve its acceptability by patients.