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Lookup NU author(s): Dr Laura Neilson, Professor Colin ReesORCiD, Professor Linda SharpORCiD
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© Author(s) (or their employer(s)) 2026. No commercial re-use. See rights and permissions. Published by BMJ Group. Objective: Colonoscopy is the gold standard for investigating the lower gastrointestinal tract, yet significant variations in quality persist. Clinical metrics such as adenoma detection rate and caecal intubation rate remain important, but patient experiences are often overlooked, despite evidence linking positive experiences to better outcomes. This study assessed patient experiences of colonoscopy using the Danish-translated Newcastle ENDOPREM, a validated patient-reported experience measure (PREM), and explored its utility as a patient-centred quality improvement tool. Method: A single-centre survey was conducted in a high-volume outpatient endoscopy clinic in Denmark between June and September 2023. Consecutive patients undergoing colonoscopy were invited to participate and completed the Danish Newcastle ENDOPREM within 14 days postprocedure. Responses were summarised descriptively, with subgroup comparisons using appropriate statistical tests. Results: Of 499 eligible patients, 354 (70.9%) completed the questionnaire. Most (93.6%) were satisfied with the referral process, and 96% felt adequately informed. However, only 65.5% reported sufficient time to discuss the procedure with their referring provider. Anxiety was common, with 39.3% worried about the procedure and 57.9% about the results. Anticipated discomfort (72.6%) and pain (57.6%) were significantly higher among women (p<0.05). Overall, 29.4% underwent unsedated colonoscopy, with no significant increase in reported pain, and 96.1% were satisfied with their colonoscopy experience. Conclusions: The Danish Newcastle ENDOPREM identified gaps in communication and anxiety management despite high overall satisfaction. These findings support the feasibility and utility of ENDOPREM as a PREM capable of guiding service improvement and future longitudinal quality assessment in colonoscopy services.
Author(s): Brix LD, Neilson LJ, Rees C, Sharp L, Grode LB
Publication type: Article
Publication status: Published
Journal: Frontline Gastroenterology
Year: 2026
Pages: Epub ahead of print
Online publication date: 19/02/2026
Acceptance date: 10/02/2026
ISSN (print): 2041-4137
ISSN (electronic): 2041-4145
Publisher: BMJ Publishing Group
URL: https://doi.org/10.1136/flgastro-2025-103441
DOI: 10.1136/flgastro-2025-103441
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