دورية أكاديمية
CT colonography and colonoscopy: assessment of patient preference in a 5-week follow-up study.
| العنوان: | CT colonography and colonoscopy: assessment of patient preference in a 5-week follow-up study. |
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| المؤلفون: | van Gelder RE; Departments of Radiology, Social Medicine, and Gastroenterology, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, the Netherlands., Birnie E, Florie J, Schutter MP, Bartelsman JF, Snel P, Laméris JS, Bonsel GJ, Stoker J |
| المصدر: | Radiology [Radiology] 2004 Nov; Vol. 233 (2), pp. 328-37. Date of Electronic Publication: 2004 Sep 09. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Radiological Society of North America Country of Publication: United States NLM ID: 0401260 Publication Model: Print-Electronic Cited Medium: Print ISSN: 0033-8419 (Print) Linking ISSN: 00338419 NLM ISO Abbreviation: Radiology Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Easton, PA : Radiological Society of North America Original Publication: [Illinois?] : Radiological Society of North America, [1923]- |
| مواضيع طبية MeSH: | Colonography, Computed Tomographic*/adverse effects , Colonography, Computed Tomographic*/psychology , Colonoscopy*/psychology , Patient Satisfaction*, Aged ; Colorectal Neoplasms/diagnosis ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Pain/etiology ; Regression Analysis ; Statistics, Nonparametric |
| مستخلص: | Purpose: To prospectively evaluate short- and midterm patient preference of computed tomographic (CT) colonography relative to colonoscopy in patients at increased risk for colorectal cancer and to elucidate determinants of preference. Materials and Methods: Consecutive patients at increased risk for colorectal cancer underwent CT colonography prior to scheduled colonoscopy. Patient experience and preference were assessed both directly after the examinations and 5 weeks after the examinations. Differences in pain, embarrassment, discomfort, and preference were assessed with the Wilcoxon signed rank sum test or a binomial test. Potential determinants of preference were investigated with logistic regression analyses. Results: Data for 249 patients were included. Fewer patients experienced severe or extreme pain during CT colonography (seven [3%] of 245) than during colonoscopy (81 [34%] of 241) (P < .001). Directly after both examinations, 168 (71%) of 236 patients preferred CT colonography; 5 weeks later, 141 (61%) of 233 patients preferred CT colonography (P < .001). Initially, a painful colonoscopy examination (odds ratio, 0.17; 95% confidence interval [CI]: 0.08, 0.38) was a determinant of CT colonography preference. Similarly, a painful (odds ratio, 3.70; 95% CI: 1.54, 8.92) or an embarrassing (odds ratio, 4.46; 95% CI: 1.18, 16.88) CT colonography examination was a determinant of colonoscopy preference. After 5 weeks, the presence of polyps emerged as a determinant of colonoscopy preference (odds ratio, 1.94; 95% CI: 1.02, 3.70), while the role of experiences waned. Conclusion: Patients preferred CT colonography to colonoscopy; however, this preference decreased in time, while outcome considerations gradually replaced temporary experiences of inconvenience. |
| تواريخ الأحداث: | Date Created: 20040911 Date Completed: 20041130 Latest Revision: 20220317 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1148/radiol.2331031208 |
| PMID: | 15358854 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0033-8419 |
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| DOI: | 10.1148/radiol.2331031208 |