Endoscopic surveillance for Barrett's oesophagus: the patients' perspective
Endoscopic surveillance for Barrett's oesophagus: the patients' perspective
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DOI：
10.1097/meg.0b013e328318ed2d
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发表时间：
2009-08-01
影响因子：
2.1
通讯作者：
Trudgill, Nigel J.
中科院分区：
文献类型：
--
作者：
Cooper, Sheldon C.;El-agib, Amul;Trudgill, Nigel J.
Objective Barrett's oesophagus (BO) is associated with the development of oesophageal adenocarcinoma and endoscopic surveillance is commonly practised. In view of the clinical, psychological and economic implications of BO, we have studied patients' attitudes towards surveillance, their levels of anxiety and quality of life.Methods Patients with BO undergoing endoscopic surveillance were asked to complete a questionnaire, including seven questions on their experience of surveillance, the Hospital Anxiety and Depression Scale, the Trust in Physician Scale (TIPS) and the Short Form-36 quality of life questionnaire.Results Of the 250 patients invited, 178 responded (71%). One hundred and fifty-one (60%) completed the questionnaire sufficiently for analysis [median age 66 (range 41-79) years, 101 male]. Twenty-nine percent of patients had received too little information concerning surveillance of BO and 22% no information at all. Information was deemed difficult to understand by 24%. Hospital Anxiety and Depression Scale anxiety score: 14% abnormal, 25% borderline. Quality of life was lower than the general population in seven of eight Short Form-36 parameters. Increasing TIPS score correlated with having received (r=0.33, P
