Prospective comparison of patient experience with colon imaging tests
Prospective comparison of patient experience with colon imaging tests
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DOI：
10.1016/j.amjmed.2006.02.013
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发表时间：
2006-09-01
影响因子：
5.9
通讯作者：
Halvorsen, Robert
中科院分区：
文献类型：
--
作者：
Bosworth, Hayden B.;Rockey, Don C.;Halvorsen, Robert
目得：患者的经验与目前可用的结肠成像检查，包括空气对比钡灌肠，计算机断层结肠造影，结肠镜检查。我们研究了结肠成像测试的患者经验的差异，以及他们是否因性别，年龄和种族而异。对象和方法：粪便潜血，便血，缺铁性贫血，或结肠癌家族史的患者进行空气对比钡灌肠，随后7至14天后，计算机断层扫描结肠成像和结肠镜检查。测试后，进行了经验证的患者体验问卷（测量每次测试的体验）和单独的问卷（获得总体汇总测量值）。11例患者的经验，包括疼痛，尴尬，肠道准备困难，并与tests.RESULTS满意度：共614名受试者完成了所有3个成像测试。大多数患者愿意重复的检查是结肠镜检查;据报道，这也是痛苦最小的程序。患者对空气对比钡灌肠的满意度最低，与计算机断层结肠成像或结肠镜检查相比，较少患者接受空气对比钡灌肠。在对测试的看法上，种族和性别差异有限。年轻人认为空气对比钡灌肠比老年人更痛苦。结论：考虑到各种各样的病人的经验措施，患者首选结肠镜检查空气对比钡灌肠和计算机断层扫描结肠造影。这一发现对考虑不同结肠成像检查的医生有重要意义。(c)2006年爱思唯尔公司All rights reserved.
PURPOSE: Patient experience varies with the currently available colon imaging tests, including air contrast barium enema, computed tomographic colonography, and colonoscopy. We examined differences in patient experience with colon imaging tests and whether they varied with gender, age, and race.SUBJECTS AND METHODS: Patients with fecal occult blood, hematochezia, iron-deficiency anemia, or a family history of colon cancer underwent air contrast barium enema followed 7 to 14 days later by computed tomographic colonography and colonoscopy. Validated patient experience questionnaires that measured the experience for each test and a separate questionnaire that obtained an overall summary measure were administered after testing. Eleven patient experiences including pain, embarrassment, difficulty with bowel preparation, and satisfaction with tests were examined.RESULTS: A total of 614 subjects completed all 3 imaging tests. The test most patients were willing to repeat was colonoscopy; it also was reported to be the least painful procedure. Patients were least satisfied with air contrast barium enema, and fewer would undergo air contrast barium enema compared with computed tomographic colonography or colonoscopy. There were limited racial and gender differences in perceptions of the tests. Younger adults perceived air contrast barium enema to be more painful than older adults.CONCLUSION: Taking into account a wide variety of patient experience measures, patients preferred colonoscopy to air contrast barium enema and computed tomographic colonography. This finding has important implications for physicians considering different colon imaging tests. (c) 2006 Elsevier Inc. All rights reserved.