TABLE 4.
Factors associated with overall rating of the visit and willingness to return for repeat endoscopy (univariate analysis)
| Overall rating of the visit | Willingness to return | |
|---|---|---|
| Background information | ||
| Age, years | ||
| <50 | 0.85 (0.48–1.49) | 1.13 (0.64–2.00) |
| 50–60 | 1.09 (0.69–1.75) | 1.30 (0.81–2.10) |
| 61–70 | Reference | |
| >70 | 0.87 (0.54–1.39) | 0.77 (0.48–1.23) |
| Sex | ||
| Male | 1.43 (1.01–2.05) | 1.01 (0.71–1.45) |
| Female | Reference | |
| Education | ||
| Did not finish high school | 1.37 (0.75–2.50) | 0.53 (0.29–0.97) |
| High school | Reference | |
| College diploma or certificate | 0.99 (0.62–1.59) | 0.84 (0.52–1.35) |
| Undergraduate university degree | 1.09 (0.59–2.00) | 0.58 (0.32–1.07) |
| Graduate course work/Masters degree /PhD | 1.20 (0.65–2.21) | 0.88 (0.47–1.66) |
| Marital status | ||
| Married or common-law | Reference | |
| Separated or divorced | 0.50 (0.25–1.00) | 0.69 (0.36–1.30) |
| Widowed | 0.71 (0.39–1.30) | 0.93 (0.51–1.72) |
| Single | 0.75 (0.35–1.59) | 0.99 (0.47–2.09) |
| Endoscopy information | ||
| Procedure | ||
| Gastroscopy only | 0.63 (0.37–1.06) | 0.93 (0.56–1.55) |
| Flexible sigmoidoscopy | 0.61 (0.22–1.67) | 1.08 (0.38–3.10) |
| Colonoscopy only | Reference | |
| Gastroscopy and colonoscopy | 0.83 (0.47–1.47) | 0.65 (0.36–1.14) |
| Previous gastrointestinal endoscopy | ||
| Yes | 1.21 (0.84–1.74) | 1.77 (1.22–2.55) |
| No | Reference | |
| Indications for the procedure | ||
| Screening or surveillance | 1.26 (0.87–1.83) | 1.44 (0.99–2.1) |
| Symptomatic | Reference | |
| Visit with endoscopy physician before the procedure | ||
| Yes | 1.34 (0.92–1.93) | 1.23 (0.85–1.78) |
| No | Reference | |
| Hospital site for the procedure | ||
| A | 0.71 (0.37–1.36) | 0.79 (0.42–1.47) |
| B | 1.63 (0.88–2.99) | 0.91 (0.49–1.69) |
| C | 1.41 (0.81–2.45) | 0.84 (0.48–1.46) |
| D | 1.14 (0.63–2.05) | 1.42 (0.77–2.61) |
| E | 0.83 (0.47–1.46) | 0.82 (0.47–1.43) |
| F | Reference | |
| Before procedure | ||
| Written information provided | ||
| Yes | 1.77 (1.07–2.94) | 0.78 (0.47–1.27) |
| No | Reference | |
| Written information answered | ||
| All questions | Reference | |
| Some questions | 0.40 (0.24–0.66) | 0.56 (0.34–0.92) |
| Few questions | 0.25 (0.05–1.23) | 0.91 (0.24–3.44) |
| No questions | * | 0.54 (0.12–2.47) |
| Quality of all information (written or verbal provided) | ||
| Excellent | Reference | |
| Very good | 0.15 (0.10–0.23) | 0.48 (0.32–0.72) |
| Good | 0.05 (0.02–0.11) | 0.36 (0.2–0.65) |
| Fair | * | 0.47 (0.18–1.21) |
| Poor | 0.15 (0.03–0.78) | 2.61 (0.3–22.71) |
| No information provided | 0.22 (0.08–0.64) | 1.04 (0.34–3.16) |
| Satisfaction with wait time for endoscopy appointment | ||
| Excellent | Reference | |
| Very good | 0.19 (0.12–0.32) | 0.42 (0.26–0.68) |
| Good | 0.10 (0.06–0.18) | 0.26 (0.15–0.44) |
| Fair | 0.16 (0.08–0.32) | 0.42 (0.22–0.81) |
| Poor | 0.15 (0.07–0.31) | 0.49 (0.25–0.97) |
| Satisfaction with preprocedure waiting area | ||
| Excellent | Reference | |
| Very good | 0.13 (0.08–0.20) | 0.40 (0.26–0.61) |
| Good | 0.04 (0.02–0.08) | 0.36 (0.21–0.61) |
| Fair | 0.03 (0.01–0.09) | 0.44 (0.19–1.00) |
| Poor | 0.05 (0.01–0.25) | 0.34 (0.10–1.16) |
| Satisfaction with time spent at hospital before the procedure on the day of the procedure | ||
| Excellent | Reference | |
| Very good | 0.13 (0.08–0.21) | 0.37 (0.24–0.56) |
| Good | 0.02 (0.01–0.05) | 0.31 (0.19–0.53) |
| Fair | 0.05 (0.02–0.15) | 0.29 (0.12–0.68) |
| Poor | * | 0.53 (0.18–1.61) |
| Personal manner of the support staff | ||
| Excellent | Reference | |
| Very good | 0.06 (0.03–0.11) | 0.23 (0.14–0.35) |
| Good | * | 0.15 (0.06–0.42) |
| Fair/Poor | * | 0.69 (0.15–3.12) |
| During and following the procedure | ||
| Personal manner of the endoscopist | ||
| Excellent | Reference | |
| Very good | 0.04 (0.01–0.17) | 0.04 (0.01–0.17) |
| Good | 0.17 (0.04–0.73) | 0.17 (0.04–0.73) |
| Fair/poor | * | |
| Technical skills of the endoscopist | ||
| Excellent | Reference | |
| Very good | 0.07 (0.03–0.14) | 0.20 (0.12–0.33) |
| Good/fair/poor | 0.03 (0.01–0.23) | 0.20 (0.08–0.53) |
| Adequacy of the explanation of the performed procedure and the findings | ||
| Excellent | Reference | |
| Very good | 0.19 (0.11–0.31) | 0.45 (0.28–0.71) |
| Good | 0.04 (0.02–0.07) | 0.24 (0.14–0.41) |
| Fair | 0.04 (0.01–0.11) | 0.66 (0.30–1.42) |
| Poor | 0.02 (0.01–0.07) | 0.58 (0.26–1.30) |
| Pain during the procedure | ||
| No pain | 1.52 (1.07–2.17) | 2.08 (1.46–2.98) |
| Any reported pain | Reference | |
| Chart information | ||
| Medical specialty of the endoscopy physician | ||
| Surgery | 0.88 (0.53–1.45) | 1.05 (0.63–1.73) |
| Gastroenterology | Reference | |
| Dose of midazolam used for colonoscopy, mg | ||
| <3 | 1.51 (0.45–5.14) | 0.51 (0.15–1.75) |
| 3–5 | Reference | |
| >5 | 0.76 (0.31–1.82) | 0.62 (0.26–1.45) |
| Dose of fentanyl used for colonoscopy, μg | ||
| <50 | 0.82 (0.13–5.01) | 0.15 (0.02–1.38) |
| 50–100 | Reference | |
| >100 | 0.61 (0.18–2.11) | 0.43 (0.13–1.41) |
Data presented as OR (95% CI). Bolded values indicate statistically significant findings.
*
The number of patients with the outcome was small in this category of the variable and, hence, the respective category was not included in the regression analysis