Importance of Gender, Socioeconomic Status, and History of Abuse on Patient Preference for Endoscopist

Schneider, Alison; Kanagarajan, Nandhakumar; Anjelly, David; Reynolds, James C.; Ahmad, Asyia

doi:10.1038/ajg.2008.96

Cited by 36 publications

(32 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Female sex, lower income level, and history of abuse were significant factors for sex preference. 8 These studies, however, were conducted in the periprocedural period (potential bias) and did not address factors responsible for the preference rate found 7 or were performed in a population in which the results could not be generalized. 8 This is the only study to assess whether health care professionals (physicians, nurses, pharmacists, physician assistants, speech and respiratory therapists) have sex preferences for a gastroenterologist in both the office and colonoscopy setting and how these compare with patient preferences in both men and women.…”

Section: Discussionmentioning

confidence: 98%

“…8 These studies, however, were conducted in the periprocedural period (potential bias) and did not address factors responsible for the preference rate found 7 or were performed in a population in which the results could not be generalized. 8 This is the only study to assess whether health care professionals (physicians, nurses, pharmacists, physician assistants, speech and respiratory therapists) have sex preferences for a gastroenterologist in both the office and colonoscopy setting and how these compare with patient preferences in both men and women. Health care professionals have greater knowledge of colonoscopy, receive feedback from their patients, and have overall knowledge of and familiarity with individual endoscopists; thus, one may anticipate that they would have a more balanced preference.…”

Section: Discussionmentioning

confidence: 98%

“…6 In another prospective survey of preferences for the colonoscopist's sex among 150 consecutive patients undergoing colonoscopy over a 12-week period at a tertiary care health center, 45% of women expressed a sex preference compared with only 4.3% of men (P Ͻ .001). 7 Finally, 500 patients (286 women and 214 men) from a predominantly low socioeconomic background were surveyed before their colonoscopy, 8 and of these patients, 33% had a preference for the sex of their colonoscopist. Women were significantly more likely to have a sex preference than men (42.3% vs 21%; P Ͻ .001).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Sex preferences for colonoscopists and GI physicians among patients and health care professionals

Shah

Karasek

Gerkin

et al. 2011

Gastrointestinal Endoscopy

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Sex preferences for colonoscopists and GI physicians among patients and health care professionals

Shah

Karasek

Gerkin

et al. 2011

Gastrointestinal Endoscopy

View full text Add to dashboard Cite

“…Ambos son con mayor frecuencia deficientes en mujeres y en razas no caucásicas o minorías étnicas. Las mujeres son también más reacias a realizarse una colonoscopia porque lo encuentran embarazoso, y de hecho un estudio de EEUU ha demostrado que el 48% de las mujeres prefieren que les realice la colonoscopia una mujer, mientras que al 96% de los hombres les era indiferente el sexo del endoscopista (Fidler et al, 2000;Menees et al, 2005;Schneider et al, 2009;Varadarajulu, Petruff y Ramsey, 2002;Zapatier et al, 2011). No obstante, únicamente el 5% de las mujeres no se realizaron la colonoscopia por este motivo (Denberg et al, 2010) .…”

Section: Estrategias De Cribado Y Diagnóstico Pre-coz Del Cáncer Colounclassified

El cáncer colorrectal en la mujer

García‐Carbonero¹

2015

Arbor

View full text Add to dashboard Cite

RESUMEN: El cáncer colorrectal (CCR) es el tercer tumor más frecuente en el mundo. Los datos epidemiológicos demuestran que tanto la incidencia como la mortalidad debidos a este tumor son menores en las mujeres que en los hombres. De hecho, numerosos estudios observacionales y experimentales sugieren que los estrógenos, tanto endógenos como exógenos, podrían jugar un papel protector relevante. En este artículo se van a discutir las diferencias epidemiológicas y sociológicas del CCR en función del género, algunas peculiaridades y barreras específicas para la prevención y el diagnóstico precoz del CCR en la mujer, y aspectos particulares de género sobre el impacto de las diversas terapias antineoplásicas, como son cirugía, radioterapia y quimioterapia, en la función sexual, la continencia esfinteriana y la calidad de vida de las mujeres.PALABRAS CLAVE: calidad de vida; diagnóstico; estrógenos; prevención.ABSTRACT: Colorectal cancer (CRC) is the third most common tumour in the world. Epidemiological data demonstrate that both the incidence and mortality of CRC is lower in women than in men. In fact, several observational and experimental studies suggest that oestrogens, both endogenous and exogenous, could play a relevant protective role. In this article, we discuss the epidemiological and sociological differences regarding gender in CRC, some particularities and specific barriers for the prevention and early diagnosis of CRC in women, as well as particular aspects of gender regarding the impact of the various antineoplastic therapies, such as surgery, radiotherapy and chemotherapy, sexual function, sphincter continence and quality of life in women.

show abstract

“…A number of patient preferences have been examined, but these preferences have solely focused on the procedure itself. Sex and training of the endoscopist [1][2][3], sedation received for their procedure [4], and the communication of post-endoscopy results [5] have been shown to influence patients' anxiety during the procedure and influence overall patient satisfaction. However, there is little literature examining the process and patient related factors that occur before an endoscopic procedure.…”

Section: Introductionmentioning

confidence: 99%

Patient preferences and factors related to the pre-procedure process at a large, urban county hospital

Day¹,

Nazareth²,

Sewell³

2013

OJGas

View full text Add to dashboard Cite

Background: Evaluation of the pre-procedural process prior to endoscopic procedures has never been conducted. Methods: Prospective cross-sectional, multilanguage survey was administered to outpatients undergoing endoscopy at a large, diverse county hospital that examined patients' pre-procedural preferences. Multivariate logistic regression was used to assess the relationship between patient preferences and several patient-related variables. Results: 128/156 outpatients completed the survey. The majority of respondents were female (53.1%), did not speak English (61.7%), were of Asian (39.1%) or Hispanic (29.7%) racial background, and had a mean age of 56.1 ± 15.7 years. Most patients underwent colonoscopy (48.4%) with 90.6% of patients knowing the indication for their procedure. While waiting for their endoscopic procedure, 42.2% of patients preferred waiting in a gurney while 28.1% preferred to wait in a chair. In terms of being comfortable wearing a hospital gown and sitting in a chair or gurney in the pre-procedure area, mean patient anxiety scores were 5.2 ± 3.3 and 6.1 ± 3.2, respectively (scale of 1 -10). Race was associated with several pre-procedural patient preferences; Hispanics were less comfortable than Asians wearing a hospital gown while sitting in a chair with other patients prior to their procedure (OR = 0.3, CI 0.1 -1.0) while Whites and African-Americans were less likely than Asians to prefer sitting in a chair as compared to a gurney before their procedure (OR = 0.09, CI 0.008 -0.9 and OR = 0.07, CI 0.007 -0.8, respectively). Patients who had undergone a prior endoscopic procedure were less comfortable wearing a hospital gown and sitting in a chair (OR = 0.3, CI 0.1 -0.7) or gurney (OR = 0.4, CI 0.2 -1.0) in the pre-procedure area. Conclusion: A patient's race and having had a prior endoscopic procedure were the most powerful predictors on pre-procedure patient preferences while sex, type of endoscopic procedure and patient knowledge of the indication for their procedure were not. Our study highlights the importance of patient preferences and factors involved in the pre procedure process at a large, diverse county hospital.

show abstract

Importance of Gender, Socioeconomic Status, and History of Abuse on Patient Preference for Endoscopist

Cited by 36 publications

References 19 publications

Sex preferences for colonoscopists and GI physicians among patients and health care professionals

Sex preferences for colonoscopists and GI physicians among patients and health care professionals

El cáncer colorrectal en la mujer

Patient preferences and factors related to the pre-procedure process at a large, urban county hospital

Contact Info

Product

Resources

About