Clinical Epidemiology and Cancer Screening, Parc Taulí Hospital Universitari, Corporació Sanitària Parc Taulí, Edifici Santa Fè. Parc Taulí 1, Sabadell, 08208, Barcelona, Catalonia, Spain.
Universitat Autònoma de Barcelona, Bellaterra, Spain.
BMC Med Res Methodol. 2021 Oct 27;21(1):230. doi: 10.1186/s12874-021-01430-7.
Patient satisfaction or experience with colorectal cancer screening can determine adherence to screening programs. An evaluation of validated patient reported outcome measures (PROMs) for measuring experience or satisfaction with colorectal cancer screening does not exist. Our objective was to identify and critically appraise validated questionnaires for measuring patient satisfaction or experience with colorectal cancer screening.
We conducted a systematic review following the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) methodology. We conducted searches on MEDLINE, EMBASE, PsychINFO, CINAHL and BiblioPRO and assessed the methodological quality of studies and measurement properties of questionnaires according to the COSMIN guidelines for systematic reviews of PROMs. PROSPERO registration number: CRD42019118527.
We included 80 studies that used 75 questionnaires, of which only 5 were validated. Four questionnaires measured satisfaction with endoscopy: two in the context of colorectal cancer screening (for colonoscopy and sigmoidoscopy) and two for non-screening endoscopy. One questionnaire measured satisfaction with bowel preparation. The methodological quality of studies was variable. The questionnaires with evidence for sufficient content validity and internal consistency were: the CSSQP questionnaire, which measures safety and satisfaction with screening colonoscopy, and the Post-Procedure questionnaire which measures satisfaction with non-screening endoscopic procedures.
This systematic review shows that a minority of existing PROMs for measuring patient satisfaction with colorectal cancer screening are validated. We identified two questionnaires with high potential for further use (CSSQP and the Post-Procedure questionnaire).
患者对结直肠癌筛查的满意度或体验可决定其对筛查计划的依从性。目前尚无评估用于测量结直肠癌筛查体验或满意度的经验证的患者报告结局测量（PROM）的方法。我们的目的是确定并批判性地评价用于测量患者对结直肠癌筛查满意度或体验的经验证问卷。
我们遵循共识基础的健康测量仪器选择标准（COSMIN）方法进行了系统评价。我们在 MEDLINE、EMBASE、PsychINFO、CINAHL 和 BiblioPRO 上进行了检索，并根据 COSMIN 用于 PROM 系统评价的指南评估了研究的方法学质量和问卷的测量特性。PROSPERO 注册号：CRD42019118527。
我们纳入了 80 项研究，这些研究使用了 75 份问卷，其中只有 5 份是经过验证的。有 4 份问卷用于测量内镜检查的满意度：2 份用于结直肠癌筛查（结肠镜检查和乙状结肠镜检查），2 份用于非筛查性内镜检查。有 1 份问卷用于测量肠道准备的满意度。研究的方法学质量各不相同。具有充分内容有效性和内部一致性证据的问卷包括：用于测量筛查性结肠镜检查安全性和满意度的 CSSQP 问卷，以及用于测量非筛查性内镜检查满意度的 Post-Procedure 问卷。
本系统评价表明，用于测量患者对结直肠癌筛查满意度的现有 PROM 中，只有少数经过验证。我们确定了两个具有进一步应用潜力的问卷（CSSQP 和 Post-Procedure 问卷）。
