Sa1100 Patients’ Perception of Colonoscopy Quality Measures

Abstract

National gastroenterology societies have created endoscopy data registries and the reporting of colonoscopy quality measures is anticipated to become mandatory in the future. We conducted a survey to identify patients' knowledge of current colonoscopy quality indicators and their influence on patient selection of a colonoscopist. Methods: Patients presenting for outpatient screening or surveillance colonoscopy between January 2011 and June 2011 at Yale New Haven Hospital and Griffin Hospital were eligible for participation.A 15-question survey was developed to assess basic demographic indicators, knowledge and perception of colonoscopy quality indicators, and factors influencing patients' gastroenterologist selection. Baseline demographics, knowledge and perception of colonoscopy quality indicators and factors influencing patient's gastroenterologist selection were examined using descriptive statistics. Results: 417 patients were surveyed.The average age was 54.1(SD ±11.0). 93.0% reported themselves as having excellent or good health. 59.7% had a previous colonoscopy. 9.8% had a family history of colon cancer.20.4% of patient's researched a physician's rating (mostly via the internet). Of the colonoscopy measures assessed 84.9% of patient's were familiar with adequate bowel preparation, 28.5% with adenoma detection rate, 24.5% with cecal intubation rate and 18.0%with greater than six minute withdrawal time. Physicians were the most common source of information. Regarding colonscopists' reporting of colonoscopy quality measures to other physicians, 76.9% thought this was very important, 18.7% and 4.4% not important. For reporting of quality measures to patients. 60.1% of patients thought this was very important. 90.5% of patients identified colonoscopy quality measure (CQM) reporting to be or very in their selection of a gastroenterologist. Patients ranked the level of importance of four factors in influencing their selection of a colonoscopist. Primary care provider referral was the most factor (ranked first by 68.7%), colonoscopy costs (ranked first or second by 73.7%), ease of scheduling (ranked first or second in 32.9%) and lastly CQM reporting (ranked as a least in 65.1%). In patients who responded it is very important to report CQM to other doctors and patients, none ranked CQM as the most factor in selecting a colonoscopist. Conclusion: Patient familiarity with colonoscopy quality measures other than adequate bowel preparation. was low. The majority of patients rated colonoscopist reporting of quality measures to patients and other physicians as very important. In the patients' selection of a colonoscopist, however, primary care provider referral was rated as the most of the four factors, and CQM reporting was the least important.