Colorectal cancer screening with CT colonography, colonoscopy, and double-contrast barium enema examination: Prospective assessment of patient perceptions and preferences
Colorectal cancer screening with CT colonography, colonoscopy, and double-contrast barium enema examination: Prospective assessment of patient perceptions and preferences
复制标题
DOI：
10.1148/radiol.2272020293
复制
发表时间：
2003-05-01
期刊：
影响因子：
19.7
通讯作者：
Ahlquist, DA
中科院分区：
文献类型：
--
作者：
Gluecker, TM;Johnson, CD;Ahlquist, DA
目的：前瞻性评估和比较接受结直肠癌筛查的无症状患者对计算机断层扫描（CT）结肠镜检查、结肠镜检查和双对比钡灌肠检查（DCBE）的看法和偏好。材料与方法：连续招募696例风险高于平均水平的无症状结直肠癌筛查患者进行CT结肠镜检查和结肠镜检查（1组），并单独招募617例患者进行CT结肠镜检查和DCBE检查（2组）。在结肠镜检查组和DCBE组之间，标准肠道准备是不同的。每位患者完成一份问卷，评估准备不便和不适、检查不适、重复检查的意愿和检查偏好。采用Wilcoxon秩和或chi(2)检验比较调查结果的显著性。结果：大多数患者认为制剂不舒服（515例中有1460例[89%]；538例中有2482例[90%]），不方便（502例中有1393例[78%]；527例中有2427例[81%]）。CT结肠镜检查和结肠镜检查报告的不适感相似（P = 0.63），但CT结肠镜检查报告的不适感比DCBE检查少（P = 0.63）
PURPOSE: To prospectively assess and compare perceptions of and preferences for computed tomographic (CT) colonography, colonoscopy, and double-contrast barium enema examination (DCBE) by asymptomatic patients undergoing colorectal cancer screening.MATERIALS AND METHODS: A total of 696 asymptomatic patients at higher-than-average risk undergoing colorectal cancer screening were consecutively recruited to undergo both CT colonography and colonoscopy (group 1), and a like group of 617 patients was separately recruited to undergo both CT colonography and DCBE (group 2). Standard bowel preparations were different between the groups undergoing colonoscopy and DCBE. Each patient completed a questionnaire that assessed preparation inconvenience and discomfort, examination discomfort, willingness to repeat examinations, and examination preference. Survey results were compared for significance by using the Wilcoxon rank sum or chi(2) test.RESULTS: The majority of patients considered the preparation to be uncomfortable (group 1, 460 of 515 [89%]; group 2, 482 of 538 [90%]) and inconvenient (group 1, 393 of 502 [78%]; group 2, 427 of 527 [81%]). Reported discomfort was similar at CT colonography and colonoscopy (P =.63) but was less at CT colonography than at DCBE (P