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Clinician-reported Gloucester Comfort Scale scores underestimate patient discomfort and pain during colonoscopy: Insights from comparison with a patient-reported experience measure

Lookup NU author(s): Dr Laura Neilson, Professor Colin ReesORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).

Abstract

© 2025. The Author(s). Background: Patient experience is a fundamental element of colonoscopy. The Gloucester Comfort Scale (GCS) is used by clinicians to report patient comfort. However, insights regarding the extent to which clinician-reported GCS scores represent the patient's experience are lacking. We assessed the level of agreement between clinician-reported GCS scores and patient-reported discomfort and pain. Methods: Consecutive patients undergoing colonoscopy at two Dutch endoscopy clinics were included. Patient comfort during colonoscopy was reported using the GCS (1 5 scale). Patients colonoscopy experiences were assessed using the Newcastle ENDOPREM, a validated endoscopy patient-reported experience measure (PREM). Patients reported both discomfort and pain levels experienced during colonoscopy on a 1 5 scale. Levels of agreement were assessed using Cohen's kappa statistic. Results: For 243 included patients, the GCS score was higher than the PREM discomfort score in 52 patients (21%) and lower in 72 (30%). GCS score was higher than the PREM pain score in 39 patients (16%) and lower in 71 (29%). Moderateto-severe discomfort and pain (scores ≥3) were reported by 53 patients (22%) for discomfort and 60 patients (25%) for pain. For these patients, the GCS underestimated discomfort and pain levels in almost all cases (discomfort 49/53 [92%], pain 54/60 [90%]). Agreement between GCS scores and PREM discomfort and pain scores were minimal (Cohen's κ 0.34) and weak (Cohen's κ: 0.47), respectively. Conclusions Clinician-reported GCS scores frequently underestimated the level of discomfort and pain reported by patients. For accurate monitoring of patients' colonoscopy experiences, the use of PREMs should be considered.

Publication metadata

Author(s): Van Bokhorst QNE, Geerlings CV, Van Der Vlugt M, Nass KJ, Borkent JW, Neilson LJ, Fockens P, Rees CJ, Dekker E

Publication type: Article

Publication status: Published

Journal: Endoscopy

Year: 2025

Volume: 57

Issue: 06

Pages: 645-657

Print publication date: 01/06/2025

Online publication date: 29/01/2025

Acceptance date: 26/01/2025

Date deposited: 24/03/2025

ISSN (print): 0013-726X

ISSN (electronic): 1438-8812

Publisher: Georg Thieme Verlag

URL: https://doi.org/10.1055/a-2528-5578

DOI: 10.1055/a-2528-5578

PubMed id: 39880000

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