Skip to main content

Assessment of patients’ satisfaction with flexible bronchoscopy: Initial Egyptian experience



Data regarding the patients’ satisfaction with flexible bronchoscopy (FB) in our country, which is the major driving force in defining our practice, are lacking and have not been studied. We aimed to assess our patients’ satisfaction with FB.

Materials and methods

Prospective administration of a questionnaire assessing patients’ evaluations of various aspects of their bronchoscopy experience, overall satisfaction, tolerance and willingness to return for another FB was carried out with inclusion of 115 patients in the analysis.


The pre-FB and final post-FB information were positively rated in 93.9 and 89.6% of patients, respectively. The nursing attitudes towards patients before, during and after FB were positive in 98, 98 and 95% of patients, respectively, whereas the doctors’ attitude before, during and after FB was positive in 99, 100 and 98% of patients, respectively. Patients’ tolerance to examination on a 10-cm visual analogue scale was 7.22. The overall positive patient satisfaction with FB was 89.6%, but only 25.2% of patients would (definitely or probably) return for repeat FB. Stepwise logistic multiregression analysis showed that both (very good) final information and (very good) doctor’s attitude after the procedure are the most sensitive discriminators for prediction of a patient with maximum satisfaction (P<0.0001). Scope insertion through tracheostomy and tolerance to the examination by visual analogue scale were significant predictors associated with a likelihood of definitely returning for a repeat FB if needed.


Our results show that, although the majority of studied patients were satisfied with different aspects of their FB examination, only a minority would repeat this experience if needed. Egypt J Broncho 2013 7:71–77


  1. Ikeda S. The flexible bronchofiberscope. Keio J Med 1968; 17:1–16.

    CAS  Article  Google Scholar 

  2. Simpson FG, Arnold AG, Purvis A, Belfield PW, Muers MF, Cooke NJ. Postal survey of bronchoscopic practice by physicians in the United Kingdom. Thorax. 1986 Apr; 41:311–317.

    CAS  Article  Google Scholar 

  3. Madkour A, Al Halfawy A, Sharkawy S, Zakzouk Z. Survey of adult flexible bronchoscopy practice in Cairo. J Bronchol 2008; 15:27–32.

    Article  Google Scholar 

  4. Credle W, Smiddy J, Elliot R. Complications of fibreoptic bronchoscopy. Am Rev Respir Dis 1974; 109:67–72.

    PubMed  PubMed Central  Google Scholar 

  5. Suratt PM, Suratt JF, Gruber B. Deaths and complications associated with fiberoptic bronchoscopy. Chest 1976; 69:747–751.

    CAS  Article  Google Scholar 

  6. Harrow EM, Abi-Saleh W, Blum J, Harkin T, Gasparini S, Addrizzo-Harris DJ, et al. The utility of transbronchial needle aspiration in the staging of bronchogenic carcinoma. AM J RESPIR CRIT CARE MED 2000; 161:601–607.

    CAS  Article  Google Scholar 

  7. Maitre B, Jaber S, Maggiore S, Bergot E, Richard J, Bakhtiari H, et al. Continuous positive airway pressure during fiberoptic bronchoscopy in hypoxemic patients: a randomized double-blind study using a new device. Am J Respir Crit Care Med 2000; 162:1063–1067.

    CAS  Article  Google Scholar 

  8. Ost D, DeRosiers A, Britt EJ, Fein A, Lesser M, Mehta A. Assessment of a Bronchoscopy Simulator. Am J Respir Crit Care Med 2001; 164:2248–2255.

    CAS  Article  Google Scholar 

  9. Diette GB, White PJr, Terry P, Jenckes M, Wise RA, Rubin HR. Quality assessment through patient self-report of symptoms prefiberoptic and postfiberoptic bronchoscopy. Chest 1998; 114:1446–1453.

    CAS  Article  Google Scholar 

  10. Dalzell M. Health care report cards: are you paying attention? Manag Care 1999; 8:27–34.

    CAS  Google Scholar 

  11. Holcomb WR, Parker JC, Leong GB, Thiele J, Higdon J. Customer satisfaction and self-reported treatment outcomes among psychiatric inpatients. Psychiatric,Services 1998; 49:929–934.

    CAS  Article  Google Scholar 

  12. Larsen DL, Attkisson CC, Hargreaves WA and Nguyen TD. Assessment of client/patient satisfaction: Development of a general scale. Evaluation and Program Planning, 1979; 2:197–207.

    CAS  Article  Google Scholar 

  13. Williams B, Wilkinson G. Patient satisfaction in mental health care: evaluating an evaluative method. Br J Psychiatry 1995; 166:559–562.

    CAS  Article  Google Scholar 

  14. Perreault M, Rogers WL, Leichner P, Sabourin S. Patients’ requests and satisfaction with services in an outpatient psychiatric setting. Psychiatr Serv 1996; 47:287–292.

    CAS  Article  Google Scholar 

  15. Lechtzin N, Rubin HR, White P Jr., Jenckes M, Diette GB. Patient satisfaction with bronchoscopy. Am J Respir Crit Care Med 2002; 166:1326–1331.

    Article  Google Scholar 

  16. Bernasconi M, Chhajed P, Müller P, Borer H. Patients’ satisfaction with flexible bronchoscopy in a hospital-based community practice. Respiration 2009; 78:440–445

    Article  Google Scholar 

  17. Hadzri HM, Azarisman SMS, Fauzi ARM, Roslan H, Roslina AM, Adina ATN, et al. Can. a bronchoscopist reliably assess a patient’s experience of bronchoscopy? J R Soc Med Sh Rep 2010; 1:35–.

    Google Scholar 

  18. British Thoracic Society Bronchoscopy Guidelines Committee, a Subcommittee of Standards of Care Committee of British Thoracic Society. British Thoracic Society guidelines on diagnostic flexible bronchoscopy. Thorax 2001; 56:i1–i21.

  19. Donabedian A. The quality of care. How can it be assessed? JAMA 1988; 260:1743–1748.

    CAS  Article  Google Scholar 

  20. Sun B , Adams J, Orav E, Rucker D, Brennan T, Burstin H. Determinants of patient satisfaction and willingness to return with emergency care. Ann Emerg Med 2000; 35:426–434.

    CAS  Article  Google Scholar 

  21. Mehta A. Don’t lose the forest for the trees: satisfaction and success in bronchoscopy. Am J Respir Crit Care Med 2002; 166:1306–1307.

    Article  Google Scholar 

  22. Park J, Ryu J, Lee S, Yim J, Yoo C, Kim Y, et al. Influence of additional post-bronchoscopy visit on patient satisfaction after flexible bronchoscopy. Korean J Intern Med 2010; 25:392–398

    Article  Google Scholar 

  23. De S Assessment of patient satisfaction and lidocaine requirement during flexible bronchoscopy without sedation. J. Bronchology Interv Pulmonol 2009; 16:176–179.

    Article  Google Scholar 

  24. Ruiz LFJ, Valdivia SMM, Latour PJ, Ros LJA, Fernández SB, Sánchez GF, et al. Flexible bronchoscopy with only topical anesthesia. J Bronchol. 2006; 13:54–7.

    Article  Google Scholar 

  25. Hirose T, Okuda K, Ishida H, Sugiyama T, Kusumoto S, Nakashima M, et al. Patient satisfaction with sedation for flexible bronchoscopy. Respirology 2008; 13:722–727.

    Article  Google Scholar 

  26. Putinati S, Ballerin L, Corbetta L, Trevisan L, Potena A. Patient satisfaction with conscious sedation for bronchoscopy. Chest 1999; 115:1437–1440.

    CAS  Article  Google Scholar 

  27. Ni YL, Lo YL, Lin TY, Fang YF, Kuo HP. Conscious sedation reduces patient discomfort and improves satisfaction in flexible bronchoscopy. Chang Gung Med J 2010; 33:443–452.

    PubMed  PubMed Central  Google Scholar 

  28. Sincock J, Dunn S, Pretty L. Patient satisfaction with an outpatient endoscopic service. Gastroenterol Nurs 1999; 22:193–198.

    CAS  Article  Google Scholar 

  29. Mehta A, Dweik R. Nasal vs. oral insertion of the flexible bronchoscope: pro-nasal insertion. J Bronchol 1996; 3:224–228.

    Article  Google Scholar 

  30. Guntupalli K, Siddiqi A. Nasal vs. oral insertion of the flexible bronchoscope: pro-oral insertion. J Bronchol 1996; 3:229–233.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to Ashraf Madkour Drmed.,MD,FCCP.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit

Reprints and Permissions

About this article

Cite this article

Madkour, A., Osman, N., Sharkawy, S. et al. Assessment of patients’ satisfaction with flexible bronchoscopy: Initial Egyptian experience. Egypt J Bronchol 7, 71–76 (2013).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI:


  • flexible bronchoscopy
  • patient satisfaction
  • willingness to repeat