{"id":"https://openalex.org/W89022845","doi":null,"title":"Clues to patient dissatisfaction with conscious sedation for colonoscopy.","display_name":"Clues to patient dissatisfaction with conscious sedation for colonoscopy.","publication_year":1994,"publication_date":"1994-09-01","ids":{"openalex":"https://openalex.org/W89022845","mag":"89022845","pmid":"https://pubmed.ncbi.nlm.nih.gov/8079923"},"language":"en","primary_location":{"id":"pmid:8079923","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8079923","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American journal of gastroenterology","raw_type":"Comparative Study"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5108811020","display_name":"Stephen M. Schutz","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210126298","display_name":"Duke Medical Center","ror":"https://ror.org/03njmea73","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210126298","https://openalex.org/I4210144876"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"S M Schutz","raw_affiliation_strings":["Department of Medicine, Duke University Medical Center, Durham, North Carolina"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Duke University Medical Center, Durham, North Carolina","institution_ids":["https://openalex.org/I4210126298"]}]},{"author_position":"middle","author":{"id":null,"display_name":"J G Lee","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J G Lee","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109252854","display_name":"Colleen M. Schmitt","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"C M Schmitt","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056192470","display_name":"Myra Almon","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"M Almon","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5074247483","display_name":"John M. Baillie","orcid":"https://orcid.org/0000-0001-6027-436X","observed_orcids":["https://orcid.org/0000-0001-6027-436X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J Baillie","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.5784,"has_fulltext":false,"cited_by_count":93,"citation_normalized_percentile":{"value":0.68024536,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":98},"biblio":{"volume":"89","issue":"9","first_page":"1476","last_page":"9"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10552","display_name":"Colorectal Cancer Screening and Detection","score":0.5717999935150146,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10552","display_name":"Colorectal Cancer Screening and Detection","score":0.5717999935150146,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10436","display_name":"Anesthesia and Sedative Agents","score":0.4058000147342682,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11722","display_name":"Patient Satisfaction in Healthcare","score":0.010999999940395355,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/moderate-sedation","display_name":"conscious sedation","score":0.8539999723434448},{"id":"https://openalex.org/keywords/colonoscopy","display_name":"colonoscopy","score":0.9900000095367432},{"id":"https://openalex.org/keywords/patient-satisfaction","display_name":"patient satisfaction","score":0.9100000262260437},{"id":"https://openalex.org/keywords/patient-dissatisfaction","display_name":"patient dissatisfaction","score":0.8550000190734863},{"id":"https://openalex.org/keywords/procedure-time","display_name":"procedure time","score":0.5170000195503235},{"id":"https://openalex.org/keywords/patient-education-level","display_name":"patient education level","score":0.8180000185966492},{"id":"https://openalex.org/keywords/anxiety","display_name":"anxiety","score":0.4399999976158142},{"id":"https://openalex.org/keywords/sedation-adequacy","display_name":"sedation adequacy","score":0.7910000085830688},{"id":"https://openalex.org/keywords/patient-controlled-sedation","display_name":"patient-controlled sedation","score":0.7630000114440918},{"id":"https://openalex.org/keywords/endoscopist-experience","display_name":"endoscopist experience","score":0.6029999852180481}],"concepts":[{"id":"https://openalex.org/C2776814716","wikidata":"https://www.wikidata.org/wiki/Q574801","display_name":"Sedation","level":2,"score":0.9679670333862305},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9321398735046387},{"id":"https://openalex.org/C2778435480","wikidata":"https://www.wikidata.org/wiki/Q840387","display_name":"Colonoscopy","level":4,"score":0.917644739151001},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.7394902110099792},{"id":"https://openalex.org/C2775944032","wikidata":"https://www.wikidata.org/wiki/Q22907659","display_name":"Patient satisfaction","level":2,"score":0.6765549778938293},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.37147635221481323},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3217787742614746},{"id":"https://openalex.org/C526805850","wikidata":"https://www.wikidata.org/wiki/Q188874","display_name":"Colorectal cancer","level":3,"score":0.18509355187416077},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.14710447192192078},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.13765445351600647},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.06457051634788513}],"mesh":[{"descriptor_ui":"D001007","descriptor_name":"Anxiety","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D003113","descriptor_name":"Colonoscopy","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D004522","descriptor_name":"Educational Status","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016015","descriptor_name":"Logistic Models","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016292","descriptor_name":"Procedural Sedation","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D017060","descriptor_name":"Patient Satisfaction","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":2,"locations":[{"id":"pmid:8079923","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8079923","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American journal of gastroenterology","raw_type":"Comparative Study"},{"id":"mag:89022845","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/8079923","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9537000060081482,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2075745108","https://openalex.org/W2159483999","https://openalex.org/W2036933397","https://openalex.org/W7151694005","https://openalex.org/W2977423382","https://openalex.org/W1782160218","https://openalex.org/W2945835947","https://openalex.org/W2072256476","https://openalex.org/W1964875929","https://openalex.org/W2000360683"],"abstract_inverted_index":{"OBJECTIVES:":[0],"Most":[1],"colonoscopy":[2,52,254],"is":[3,14],"performed":[4],"using":[5],"conscious":[6,76,237],"sedation":[7,22,89,119,194,238,249],"to":[8,31,95,148,233,280],"facilitate":[9],"the":[10,67,80,86,99,105,116,122,191,268],"procedure.":[11],"However,":[12],"little":[13],"known":[15],"about":[16],"which":[17],"patients":[18,60,157,223],"are":[19,39],"dissatisfied":[20,160,235],"with":[21,41,115,152,161,190,193,217,236,253,267,292],"and":[23,36,70,83,109,132,135,140,144,184,208,224,278],"why.":[24],"The":[25],"goal":[26],"of":[27,47,88,118,126,175,245,260,263,270],"this":[28],"study":[29,56],"was":[30],"examine":[32],"whether":[33,111],"certain":[34],"patient-":[35,127],"procedure-specific":[37,136],"variables":[38,137],"associated":[40,189,216],"patient":[42,153,218,290],"dissatisfaction.":[43,154,219],"METHODS:":[44],"A":[45,124,242],"total":[46],"403":[48],"consecutive":[49],"outpatients":[50],"underwent":[51,227],"during":[53,121],"a":[54,264,271,275,281],"4-month":[55],"period.":[57],"Of":[58],"342":[59],"who":[61,226],"met":[62],"entrance":[63],"criteria,":[64],"328":[65],"completed":[66],"initial":[68],"questionnaire":[69],"were":[71,113,146,159,187,215,230],"enrolled.":[72],"Subjects":[73],"received":[74],"standard":[75],"sedation;":[77],"after":[78,98],"colonoscopy,":[79],"primary":[81],"endoscopist":[82,284],"nurse":[84],"recorded":[85],"level":[87,117],"as":[90],"adequate":[91],"or":[92,180],"inadequate.":[93],"Twenty-four":[94],"72":[96],"hr":[97],"procedure,":[100],"an":[101],"independent":[102],"observer":[103],"contacted":[104],"subjects":[106],"by":[107],"telephone":[108],"asked":[110],"they":[112],"satisfied":[114],"achieved":[120],"colonoscopy.":[123,241,293],"number":[125],"(age,":[128],"gender,":[129],"anxiety":[130],"level,":[131],"educational":[133],"background)":[134],"(waiting":[138],"time":[139],"procedure":[141,177,185,210,266],"type,":[142],"difficulty,":[143],"duration)":[145],"analyzed":[147],"determine":[149],"their":[150],"association":[151],"RESULTS:":[155],"Forty-eight":[156],"(15%)":[158],"sedation.":[162],"Univariable":[163],"analysis":[164,199],"showed":[165],"that":[166,201],"females,":[167],"anxiety,":[168],"higher":[169,203],"education":[170,204],"(at":[171],"least":[172],"1":[173],"yr":[174],"college),":[176],"duration":[178,211],">":[179],"=":[181,206,213],"60":[182],"min,":[183],"difficulty":[186],"all":[188,288],"dissatisfaction":[192],"(p":[195,205,212],"<":[196],"0.05).":[197],"Multivariable":[198],"revealed":[200],"only":[202],"0.009)":[207],"longer":[209,228],"0.018)":[214],"CONCLUSIONS:":[220],"Highly":[221],"educated":[222,256],"those":[225],"procedures":[229],"more":[231,282],"likely":[232],"be":[234],"used":[239],"for":[240],"thorough":[243],"discussion":[244],"expectations":[246],"and/or":[247],"patient-controlled":[248],"might":[250,287],"improve":[251,289],"satisfaction":[252,291],"in":[255],"patients.":[257],"Regular":[258],"supplementation":[259],"sedation,":[261],"termination":[262],"lengthy":[265],"offer":[269],"further":[272],"attempt":[273],"at":[274],"later":[276],"date,":[277],"referral":[279],"experienced":[283],"when":[285],"appropriate":[286]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":2},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":2},{"year":2016,"cited_by_count":5},{"year":2015,"cited_by_count":3},{"year":2014,"cited_by_count":3},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":4}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}