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Interobserver Variability in Comfort Scores for Screening Colonoscopy by David N Naumann; Sarah Potter-Concannon; Sharad Karandikar is a Medicine article available to read on EtoBox.

What is Interobserver Variability in Comfort Scores for Screening Colonoscopy about?

## Objective: To investigate the agreement in comfort scores between patients, endoscopist and specialist screening practitioner (ssp) for colonoscopy, and which factors influence comfort. ## Design: Prospective observational study. ## Setting: Single-centre uk bowel cancer screening program colonoscopy service from april 2017 to march 2018. ## Patients: 498 patients undergoing bowel cancer screening colonoscopy, with median age of 68 (iqr 64-71). 320 (64.3%) were men. ## Intervention: All patients underwent screening colonoscopy. ## Main outcome measure: Comfort scores on a validated 1 (best) to 5 (worst) ordinal scale were assigned for each colonoscopy by the patient, endoscopist and ssp. inter-rater agreement of discomfort scores between endoscopist, patient and ssp was investigated using cohen's kappa statistic. multivariate ordinal logistic regression was used to investigate the effects of patient and colonoscopy factors on comfort scores. ## Results: Ssps had superior comfort score agreement with patients (0.638; 'moderate agreement') than endoscopists had with the same patients (0.526; 'weak agreement'). male patients reported lower scores than female patients (or 0.483, or

Who reads Interobserver Variability in Comfort Scores for Screening Colonoscopy?

Author

David N Naumann; Sarah Potter-Concannon; Sharad Karandikar

Publisher

BMJ; BMJ Publishing Group (ISSN 2041-4137)

Published

2019

Language

EN

Field

Medicine (Health Sciences)