This study assesses what impact has on colonoscopy quality the implementation of a telephone educational intervention carried out individually on the patient in the days before the test. Half of the study patients will receive the educational intervention and the other half will not.
A high-quality colonoscopy is an examination in with patients receive an indicated procedure, correct and relevant diagnoses are recognized or excluded, any therapy provided is appropriate, and all steps that minimize risk have been taken. But quality also refers to pre-procedure and post-procedure quality issues such as information, booking, choice, privacy, dignity, aftercare and satisfaction of patients. All those issues can negatively affect the willingness of patients to perform the test and the possibility of preparing adequately. And what is more, it can diminish the quality of the own exploration, the satisfaction of the patients and their adherence to programs of endoscopic follow-up. An action on these colonoscopy non-technical issues with a telephone educational intervention performed by the gastrointestinal endoscopy nurse can positively improve all (pre, intra and post-procedure) colonoscopy quality indicators.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
1,534
Explanation of the importance of making the test. Guidelines for the usual medication of the patient. Definition of fasting, explanation of colon cleansing adjusted to the presence of predictors of poor basic preparation. Explanation of the endoscopic procedure with the elimination of erroneous concepts of the patient with respect to the procedure. Explanation of norms of action subsequent to the endoscopy. Management of scheduling, destined to improve the adherence of the patient for the test.
Parc de Salut Mar. Hospital del Mar
Barcelona, Spain
Colonoscopy non-adherence rate
Ratio of patients do not attend the test
Time frame: At the moment of colonoscopy
Antiplatelet / anticoagulant rescheduling rate
Ratio of patients attend the colonoscopy with poor adjustment of antiplatelet / anticoagulant medication so they need rescheduling of the test
Time frame: At the moment of colonoscopy
Anesthetist rescheduling rate
Ratio of patients attend the colonoscopy with American Society of Anesthesiologists (ASA) III / IV classification so they need rescheduling of the test under anesthesia
Time frame: At the moment of colonoscopy
Bowel preparation rescheduling rate
Ratio of patients attend the colonoscopy with inadequate Boston Bowel Preparation Scale (at least one of the colon segments with less than 2 points) so they need rescheduling of the test
Time frame: At the moment of colonoscopy
Adenoma detection rate
Ratio of patients with at least one adenoma in the colon
Time frame: At the moment of colonoscopy
Cecal intubation rate
Ratio of successful complete colonoscopies (cecal intubation or in case of previous surgery, ileocolic anastomosis)
Time frame: At the moment of colonoscopy
Satisfaction of the endoscopic procedure
Measurement of the overall satisfaction of the colonoscopy with a questionnaire validated by the American Society for Gastrointestinal Endoscopy (ASGE)
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Time frame: 30 days after colonoscopy
Complications related to colonoscopy
Telephone interview. The patient will be asked about the appearance of perforation, hemorrhage and abdominal symptoms related to the test
Time frame: 30 days after colonoscopy
Non-adequation colonoscopy cost of patient preparation for colonoscopy
Cost derived from non-adequation
Time frame: From date of randomization until 30 days before colonoscopy