A Comparison of Patient Acceptance and Preferences Between CT Colonography and Conventional Colonoscopy in Colorectal Cancer Screening.
10.3904/kjim.2009.24.1.43
- Author:
Hyuk Sang JUNG
1
;
Dong Kyun PARK
;
Min Ju KIM
;
Sang Kyun YU
;
Kwang An KWON
;
Yang Suh KU
;
Yu Kyung KIM
;
Ju Hyun KIM
Author Information
1. Department of Internal Medicine, Gachon University Gil Hospital, Incheon, Korea. pdk66@gilhospital.com
- Publication Type:Original Article ; Comparative Study
- Keywords:
CT colonography;
Conventional colonoscopy;
Colorectal cancer
- MeSH:
Colonography, Computed Tomographic/*methods/psychology;
Colonoscopy/*methods/psychology;
Colorectal Neoplasms/*diagnosis;
Diagnosis, Differential;
Female;
Humans;
Male;
Mass Screening/*methods/psychology;
Middle Aged;
Patient Acceptance of Health Care/*psychology;
*Patient Satisfaction;
Prospective Studies;
Questionnaires
- From:The Korean Journal of Internal Medicine
2009;24(1):43-47
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND/AIMS: Colorectal cancer, one of the most common cancers in developed countries, is curable when diagnosed at an early stage. However, for better screening, both a test that patients will tolerate and diagnostic accuracy are required. We compared patient experiences and preferences between computed tomographic (CT) colonography and conventional colonoscopy (CC) under conscious sedation. METHODS: Patients referred to the gastrointestinal clinic for CC were enrolled to also undergo CT colonography prior to CC. After each procedure, patients completed a questionnaire in which variables, such as abdominal pain, abdominal discomfort, and loss of dignity, were assessed using a 7-point Likert scale, with the highest score representing the worst experience. To verify response stability, a telephone questionnaire followed within 24 h after each procedure. Patients were then asked about their preference for CT colonography or CC. RESULTS: Data were collected from 51 patients who fulfilled all requirements, including CT colonography, CC, the two questionnaires after each procedure, and a follow-up questionnaire. Severity of abdominal pain, abdominal discomfort, and a loss of dignity were reported to be higher in CT colonography than in CC (p<0.01). In addition, the preference for CC was significantly higher than that for CT colonography (p<0.01). CONCLUSIONS: Although CT colonography is a safe and noninvasive screening test for colorectal cancer, further study is required to increase patient acceptance.
