Patients' perception of colonoscopy: patients with inflammatory bowel disease and irritable bowel syndrome experience the largest burden

Maaike J. Denters, Marthe Schreuder, Annekatrien C.T.M. Depla, Rosalie C. Mallant-Hent, Mariette C.A. van Kouwen, Marije Deutekom, Patrick M. Bossuyt, Paul Fockens, Evelien Dekker

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Abstract

Background: Colonoscopy is a frequently performed procedure worldwide with a negative perception, leading to reluctance to undergo the procedure. Perceptions could differ depending on the specific indication for the colonoscopy.

Aims: To compare patient satisfaction with the colonoscopy procedure between five different patient groups: inflammatory bowel disease (IBD), familial predisposition for cancer, adenoma/carcinoma surveillance, symptoms suggestive of cancer, and irritable bowel syndrome (IBS).

Methods: A prospective questionnaire study was carried out in two regional hospitals and two tertiary teaching hospitals in the Netherlands. A total of 797 consecutive patients scheduled for colonoscopy between October 2009 and June 2010, 146 (18%) IBD, 153 (19%) adenoma or carcinoma surveillance, 104 (13%) familial predisposition, 280 (35%) symptoms suggestive of cancer, and 114 (14%) IBS-like symptoms, were included. Two questionnaires were administered: one on the day of the procedure and another 6 weeks after the procedure. The main outcome measurements were embarrassment, pain, burden, most burdensome aspect, and overall level of satisfaction.

Results: Patients with IBD and IBS reported significantly more embarrassment and burden from the bowel.
Original languageEnglish
Pages (from-to)964-972
JournalEuropean Journal of Gastroenterology & Hepatology
Volume25
Issue number8
DOIs
Publication statusPublished - Aug 2013
Externally publishedYes

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