[Patient's opinion following an upper digestive endoscopy in ambulatory care. Results of a national survey (II)].
OBJECTIVE
The aim of the study was to evaluate patient satisfaction after esophagogastroscopy performed in ambulatory care and to correlate it with conditions of usual practice.


METHODS
Study was proposed to the French gastroenterologists. During a week, 2 questionnaires were filled out for each esophagogastroscopy performed in ambulatory care: one recorded conditions of examination and one was independently filled out by the patient one day after endoscopy.


RESULTS
Seven hundred and thirty nine gastroenterologists and 4,585 patients participated in the study. Among the patients, 3,758 (82%) filled out the questionnaire. Sedation was performed in 36.6% of cases. Subsequent endoscopy would be accepted by 79.3% of patients in the same conditions. Acceptance was significantly better with use of sedation and use of propofol. Without sedation, independent factors associated with a better acceptance were: male gender, absence of habitual benzodiazepine medication, endoscopy performed in private practice or private hospitals, smaller size of endoscope.


CONCLUSIONS
This study underlines factors associated with a good acceptance of esophagogastroscopy without sedation and could help to improve decision-making regarding use of sedation.
Raymond
J M
JM
Département d'Hépato-Gastroentérologie, Hôpital du Haut-Lévêque, Pessac.
Michel
P
P
Beyssac
R
R
Capdenat
E
E
Couzigou
P
P
Janvier
G
G
Salamon
R
R
Amouretti
M
M
D000328:Adult; D000368:Aged; D000553:Ambulatory Care; D000758:Anesthesia; D003631:Day Care, Medical; D016145:Endoscopy, Digestive System; D005260:Female; D005602:France; D006801:Humans; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010342:Patient Acceptance of Health Care; D017060:Patient Satisfaction; D011785:Quality Assurance, Health Care; D011795:Surveys and Questionnaires