Symptom Severity, Mood, and Healthcare Use Are Associated With Satisfaction in Patients With Irritable Bowel Syndrome

Overview

Journal Clin Gastroenterol Hepatol

Specialty Gastroenterology

Date 2020 Feb 15

PMID 32057975

Citations 3

Authors

Prashant Singh

Sarah Ballou

Jesse Katon

Eve Takazawa

Vikram Rangan

Rupa Mukherjee

Johanna Iturrino

Judy Nee

Anthony Lembo

Affiliations

Soon will be listed here.

Abstract

Background & Aims: Patient satisfaction is an important, but largely overlooked, component of management of functional gastrointestinal disorders. We aimed to identify demographic, clinical, psychosocial, and health-care use factors associated with satisfaction of patients with irritable bowel syndrome (IBS).

Methods: We collected data from consecutive patients at an outpatient gastroenterology clinic of a tertiary care center from 2017 through 2019; the patients completed an electronic symptom survey at their initial visit and 3-6 months later. Patients were included in the study if they met Rome IV criteria for IBS with no organic cause for their symptoms. Patient satisfaction was measured using the irritable bowel syndrome satisfaction with care scale. We collected demographic, clinical, psychosocial, and healthcare use information from survey responses and review of medical records.

Results: Of the 137 patients who completed the study, most were satisfied a great deal (34.9%) or completely (18.6%), whereas 6.2% were not satisfied at all and 14.7% were a little satisfied. Among the 5 satisfaction subscales, the highest proportion of patients were satisfied with connection with their provider (93.4%). The subscale benefits of the visit had the lowest satisfaction rate (70.8%). Factors associated with overall satisfaction scores in the 3-6 months after initial consultation included decreased severity of IBS, higher number of follow-up gastroenterology visits, higher number of diagnostic tests during the follow-up period, and higher number of recommendations made at initial visit. Additionally, lower depression score at initial visit associated with higher satisfaction after 3-6 months.

Conclusions: Based on a survey of 137 patients with IBS, factors associated with satisfaction 3-6 months after establishing care with a gastroenterologist include reduced IBS severity, lower depression score at initial visit, higher number of recommendations, and higher number of follow-up gastroenterology visits.

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References

Kavalniene R, Deksnyte A, Kasiulevicius V, Sapoka V, Aranauskas R, Aranauskas L . Patient satisfaction with primary healthcare services: are there any links with patients' symptoms of anxiety and depression?. BMC Fam Pract. 2018; 19(1):90. PMC: 6009850. DOI: 10.1186/s12875-018-0780-z. View

Woodham B, Meng R, Roberts R . A Novel, Dynamic Statistical Model for Predicting Patient Satisfaction with Fundoplication Based on Pre-Operative Symptom Patterns. World J Surg. 2017; 41(11):2778-2787. DOI: 10.1007/s00268-017-4057-9. View

Schoenfelder T, Klewer J, Kugler J . Determinants of patient satisfaction: a study among 39 hospitals in an in-patient setting in Germany. Int J Qual Health Care. 2011; 23(5):503-9. DOI: 10.1093/intqhc/mzr038. View

Mikocka-Walus A, Turnbull D, Moulding N, Wilson I, Andrews J, Holtmann G . Psychological comorbidity and complexity of gastrointestinal symptoms in clinically diagnosed irritable bowel syndrome patients. J Gastroenterol Hepatol. 2007; 23(7 Pt 1):1137-43. DOI: 10.1111/j.1440-1746.2007.05245.x. View

Larsson G, Wilde-Larsson B . Quality of care and patient satisfaction: a new theoretical and methodological approach. Int J Health Care Qual Assur. 2011; 23(2):228-47. DOI: 10.1108/09526861011017120. View

Qureshi M, Shafqat F, Ahmed S, Niazi T, Khokhar N . Factors affecting patient satisfaction during endoscopic procedures. J Coll Physicians Surg Pak. 2013; 23(10):775-9. DOI: 11.2013/JCPSP.775779. View

Dorn S, Morris C, Schneck S, Hopper T, Hu Y, Kelapure R . Development and validation of the irritable bowel syndrome satisfaction with care scale. Clin Gastroenterol Hepatol. 2011; 9(12):1065-71.e1-2. DOI: 10.1016/j.cgh.2011.08.009. View

Yanai H, Schushan-Eisen I, Neuman S, Novis B . Patient satisfaction with endoscopy measurement and assessment. Dig Dis. 2008; 26(1):75-9. DOI: 10.1159/000109392. View

Courtney M, Rao M, Teasdale R, Jain R, Gopinath B . Would you have laparoscopic Nissen fundoplication again? A patient satisfaction survey in a UK population. Frontline Gastroenterol. 2017; 5(4):272-276. PMC: 5369741. DOI: 10.1136/flgastro-2014-100447. View

10.

Alazri M, Neal R . The association between satisfaction with services provided in primary care and outcomes in Type 2 diabetes mellitus. Diabet Med. 2003; 20(6):486-90. DOI: 10.1046/j.1464-5491.2003.00957.x. View

11.

Hirsh A, Atchison J, Berger J, Waxenberg L, Lafayette-Lucey A, Bulcourf B . Patient satisfaction with treatment for chronic pain: predictors and relationship to compliance. Clin J Pain. 2005; 21(4):302-10. DOI: 10.1097/01.ajp.0000113057.92184.90. View

12.

Boyer L, Francois P, Doutre E, Weil G, Labarere J . Perception and use of the results of patient satisfaction surveys by care providers in a French teaching hospital. Int J Qual Health Care. 2006; 18(5):359-64. DOI: 10.1093/intqhc/mzl029. View

13.

Riley 3rd J, Myers C, Robinson M, Bulcourf B, Gremillion H . Factors predicting orofacial pain patient satisfaction with improvement. J Orofac Pain. 2002; 15(1):29-35. View

14.

Iravani S, Frootan M, Zojaji H, Azizi M, Saeedi S, Hashemi M . Effect of general anesthesia during GI endoscopic procedures on patient satisfaction. Gastroenterol Hepatol Bed Bench. 2014; 5(Suppl 1):S20-5. PMC: 4017482. View

15.

Lin O, Kozarek R, Arai A, Gluck M, Jiranek G, Kowdley K . The effect of periodic monitoring and feedback on screening colonoscopy withdrawal times, polyp detection rates, and patient satisfaction scores. Gastrointest Endosc. 2010; 71(7):1253-9. DOI: 10.1016/j.gie.2010.01.017. View

16.

Fenton J, Jerant A, Bertakis K, Franks P . The cost of satisfaction: a national study of patient satisfaction, health care utilization, expenditures, and mortality. Arch Intern Med. 2012; 172(5):405-11. DOI: 10.1001/archinternmed.2011.1662. View

17.

Jenkinson C, Coulter A, Bruster S . The Picker Patient Experience Questionnaire: development and validation using data from in-patient surveys in five countries. Int J Qual Health Care. 2002; 14(5):353-8. DOI: 10.1093/intqhc/14.5.353. View

18.

van Putten P, Ter Borg F, Adang R, Koornstra J, Romberg-Camps M, Timmer R . Nurse endoscopists perform colonoscopies according to the international standard and with high patient satisfaction. Endoscopy. 2012; 44(12):1127-32. DOI: 10.1055/s-0032-1310154. View

19.

Francis C, Morris J, Whorwell P . The irritable bowel severity scoring system: a simple method of monitoring irritable bowel syndrome and its progress. Aliment Pharmacol Ther. 1997; 11(2):395-402. DOI: 10.1046/j.1365-2036.1997.142318000.x. View

20.

Faye A, Mahadev S, Lebwohl B, Green P . Determinants of Patient Satisfaction in Celiac Disease Care. J Clin Gastroenterol. 2016; 52(1):30-35. PMC: 5453846. DOI: 10.1097/MCG.0000000000000745. View