Patient tolerance and acceptance of different colonic imaging modalities: an observational cohort study

Abstract

Patient tolerance and experience favours CTC and CCE over OC and informed about all aspects of each procedure; a noninvasive option is commonly chosen by the lay public.

Screening individuals’ experiences of colonoscopy and colon capsule endoscopy; a mixed methods study

“…These first mentioned advantages and disadvantages were opposite in OC. It is evident that such elements can be disadvantages and advantages in colonoscopy performed without general anesthesia, as reported by both symptomatic patients [6,21,22] and screening individuals [5,23,24], and are recently reported from both qualitative studies, cohort studies and register research [21][22][23][24][25][26][27][28]. They thereby support our findings of a possible distribution of advantages and disadvantages in OC.…”

“…Our screening participants rated their overall experienced discomfort significantly higher during OC than during CCE, even though they were offered intravenous sedation and analgesia during OC. This is supported by others, but the strength of our study is the large sample size and that all patients experienced both examinations and served as their own control [6,12]. Our study indicates that we must expect nearly 90% of patients with medium to high degree of discomfort in OC and less than 10% with medium to high discomfort in CCE, which in the future might contribute to challenging the OC as the preferred primary investigation tool.…”

“…Our findings add useful knowledge for a HTA and development of a new decision aid (DA) for clinical practice. Such works might soon be requested from healthcare leaders and clinical practice, as a recent systematic review and meta-analysis report that individuals preferred OC due to a higher detection rate compared to CCE [2], but more recent studies report the opposite trend [4,6]. Further research on how symptomatic patients experience CCE and OC are needed and should include the clinical hospital setting with deep propofol sedation during OC.…”

“…OC may be experienced as distressing, humiliating and painful, but has the capability of obtaining biopsies or excision of neoplastic lesions [5]. Individuals' overall discomfort of CCE is reported [6]. A more comprehensive patient evaluation is warranted.…”

“…An advantage of the CCE is the possibility to perform the investigation in the patients' home [4]. Former individuals' experiences can be of value to future patients, especially if they have a choice between methods [7], as is the case in colorectal examination [2,6,[8][9][10][11][12]. Moreover, new technologies optimally go through an assessment in order to guide politicians and clinical practice, and such a comprehensive health technology assessment (HTA) contains benefits and harms including patient-based evidence [13].…”