PWE-035 Patients’ Experience Of Colonoscopy In The English Bowel Cancer Screening Programme

Abstract

Understanding of test risks was greater for colonoscopy than CTC: 95.7% understood risks of colonoscopy vs 86.9% for CTC (odds ratio=1.88 95% CI: 1.71-2.07, p < 0.0001). Test benefits were also better understood for colonoscopy than for CTC: 98.2% understood colonoscopy benefits vs. 93.6% for CTC (OR=1.67 95% CI: 1.52-1.84 p < 0.0001). Just over one-quarter found CTC more uncomfortable than expected (25.7%), more than for colonoscopy (20.8%; OR = 1.34 95% CI: 1.24-1.46, p < 0.0001, Figure 1). Post-procedural pain showed no significant difference between tests (CTC = 14.6%, colonoscopy=14.3%; OR = 1.07 95% CI: 0.93-1.22, p = 0.35). More patients understood their colonoscopy result (97.0%) than CTC (90.5%, OR=2.19 95% CI: 1.99-2.41, p < 0.0001).Direct CTC-related complications were rare (n = 16; 0.5%) although a further 20 (0.6%) suffered complications from subsequent procedures provoked by CTC. Colonoscopy complication rates were similar (n = 779; 1.0%). Conclusion Although CTC is generally well-tolerated, it is more frequently judged unexpectedly uncomfortable than colonoscopy. Similarly, while overall understanding of test risks, benefits and results is high, rates are lower than for colonoscopy. Post-procedural discomfort and complication rates are similar between both tests. Clear communication of the risks, benefits, procedural experience and results of CTC is required in the BCSP.

Severity and duration of pain after colonoscopy and gastroscopy: a cohort study

“…The prevalence of pain immediately after colonoscopy in this study was 20% which is considerably lower than the 49% among patients who were administered air insufflation, in a randomized controlled trial of CO 2 insufflation (Wong et al 2008). Previous research has found that women are more likely than men to report pain during (Takahashi et al 2005, Holme et al 2013, Ghanouni et al 2014) and after colonoscopy (Lee et al 2006, Ghanouni et al 2014). However, women in our study were not more likely to report pain.…”

Evaluation of the safety, efficacy and feasibility of ‘at-home’ capsule endoscopy

“…Increased patient acceptance of ACE could bring a more important role particularly for patients who refuse investigations at the hospital or busy professionals who do not want to miss time off work. Although this study does not compare ACE with colonoscopy, given the latter has proven problematic in patients' acceptance (22,23), alternatives are welcome and the non-invasive a remote nature of ACE may present a promising avenue in reaching out to particular patient groups in the future.…”