Format

Send to

Choose Destination
See comment in PubMed Commons below
Korean J Intern Med. 2009 Mar;24(1):43-7. doi: 10.3904/kjim.2009.24.1.43.

A comparison of patient acceptance and preferences between CT colonography and conventional colonoscopy in colorectal cancer screening.

Author information

  • 1Department of Internal Medicine, Gachon University Gil Hospital, Incheon, Korea.

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.

[PubMed - indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Publishing M2Community Icon for PubMed Central
    Loading ...
    Write to the Help Desk