Comparison of patients' experiences during imaging tests of the colon

Lawrence S. Kim, Johannes Koch, Judy Yee, Robert Halvorsen, John P. Cello, Don C. Rockey

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Background: Physical discomfort, anxiety, embarrassment, and other aspects of patient experience impact on future compliance for colonic imaging tests. Therefore, a prospective study was performed comparing patient experiences during air contrast barium enema (ACBE), flexible sigmoidoscopy, and colonoscopy. Methods: Immediately after each procedure, patients completed a questionnaire assessing pretest anxiety, difficulty with preparation, pain, cramping, bloating, overall discomfort, loss of dignity, willingness to repeat the test, and overall satisfaction. A follow-up questionnaire was administered within 48 hours. Nurses and physicians also completed questionnaires to assess the provider impression of patient experience. Results: Four hundred ten patients (80 ACBE, 202 sigmoidoscopy, 128 colonoscopy) were prospectively enrolled. Sigmoidoscopy caused more pain than ACBE (Odds ratio [OR] 2.64: 95% Cl [1.63, 4.27]) or colonoscopy (OR 1.83: 95% Cl [1.21, 2.77]). ACBE and colonoscopy did not differ in the degree of pain. Although overall satisfaction appeared to be similar for all tests, patients were less willing to repeat ACBE than sigmoidoscopy (OR 1.85: 95% Cl [1.13, 3.02]) or colonoscopy (OR 1.82: 95% Cl [1.07, 3.09]). Initial and follow-up pain ratings by patients were highly correlated (Spearman correlation 0.81); however, correlation of pain assessments between staff and patients was poor (Spearman correlation 0.48). Conclusions: Sigmoidoscopy was more painful than other colonic imaging modalities. Although ACBE and colonoscopy caused similar pain, patients were less willing to repeat ACBE. In aggregate, the data suggest that patients perceive colonoscopy as the most acceptable colonic imaging procedure. Better methods are required to allow staff to adequately assess discomfort experienced by patients during these procedures.

Original languageEnglish (US)
Pages (from-to)67-73
Number of pages7
JournalGastrointestinal Endoscopy
Volume54
Issue number1
DOIs
StatePublished - Jul 1 2001
Externally publishedYes

Fingerprint

Colon
Colonoscopy
Sigmoidoscopy
Air
Pain
Odds Ratio
Anxiety
Pain Measurement
Barium Enema
Compliance
Nurses
Prospective Studies
Physicians

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Comparison of patients' experiences during imaging tests of the colon. / Kim, Lawrence S.; Koch, Johannes; Yee, Judy; Halvorsen, Robert; Cello, John P.; Rockey, Don C.

In: Gastrointestinal Endoscopy, Vol. 54, No. 1, 01.07.2001, p. 67-73.

Research output: Contribution to journalArticle

Kim, Lawrence S. ; Koch, Johannes ; Yee, Judy ; Halvorsen, Robert ; Cello, John P. ; Rockey, Don C. / Comparison of patients' experiences during imaging tests of the colon. In: Gastrointestinal Endoscopy. 2001 ; Vol. 54, No. 1. pp. 67-73.
@article{865de65f825e43b6881a556e84e32868,
title = "Comparison of patients' experiences during imaging tests of the colon",
abstract = "Background: Physical discomfort, anxiety, embarrassment, and other aspects of patient experience impact on future compliance for colonic imaging tests. Therefore, a prospective study was performed comparing patient experiences during air contrast barium enema (ACBE), flexible sigmoidoscopy, and colonoscopy. Methods: Immediately after each procedure, patients completed a questionnaire assessing pretest anxiety, difficulty with preparation, pain, cramping, bloating, overall discomfort, loss of dignity, willingness to repeat the test, and overall satisfaction. A follow-up questionnaire was administered within 48 hours. Nurses and physicians also completed questionnaires to assess the provider impression of patient experience. Results: Four hundred ten patients (80 ACBE, 202 sigmoidoscopy, 128 colonoscopy) were prospectively enrolled. Sigmoidoscopy caused more pain than ACBE (Odds ratio [OR] 2.64: 95{\%} Cl [1.63, 4.27]) or colonoscopy (OR 1.83: 95{\%} Cl [1.21, 2.77]). ACBE and colonoscopy did not differ in the degree of pain. Although overall satisfaction appeared to be similar for all tests, patients were less willing to repeat ACBE than sigmoidoscopy (OR 1.85: 95{\%} Cl [1.13, 3.02]) or colonoscopy (OR 1.82: 95{\%} Cl [1.07, 3.09]). Initial and follow-up pain ratings by patients were highly correlated (Spearman correlation 0.81); however, correlation of pain assessments between staff and patients was poor (Spearman correlation 0.48). Conclusions: Sigmoidoscopy was more painful than other colonic imaging modalities. Although ACBE and colonoscopy caused similar pain, patients were less willing to repeat ACBE. In aggregate, the data suggest that patients perceive colonoscopy as the most acceptable colonic imaging procedure. Better methods are required to allow staff to adequately assess discomfort experienced by patients during these procedures.",
author = "Kim, {Lawrence S.} and Johannes Koch and Judy Yee and Robert Halvorsen and Cello, {John P.} and Rockey, {Don C.}",
year = "2001",
month = "7",
day = "1",
doi = "10.10671mge.2001.114064",
language = "English (US)",
volume = "54",
pages = "67--73",
journal = "Gastrointestinal Endoscopy",
issn = "0016-5107",
publisher = "Mosby Inc.",
number = "1",

}

TY - JOUR

T1 - Comparison of patients' experiences during imaging tests of the colon

AU - Kim, Lawrence S.

AU - Koch, Johannes

AU - Yee, Judy

AU - Halvorsen, Robert

AU - Cello, John P.

AU - Rockey, Don C.

PY - 2001/7/1

Y1 - 2001/7/1

N2 - Background: Physical discomfort, anxiety, embarrassment, and other aspects of patient experience impact on future compliance for colonic imaging tests. Therefore, a prospective study was performed comparing patient experiences during air contrast barium enema (ACBE), flexible sigmoidoscopy, and colonoscopy. Methods: Immediately after each procedure, patients completed a questionnaire assessing pretest anxiety, difficulty with preparation, pain, cramping, bloating, overall discomfort, loss of dignity, willingness to repeat the test, and overall satisfaction. A follow-up questionnaire was administered within 48 hours. Nurses and physicians also completed questionnaires to assess the provider impression of patient experience. Results: Four hundred ten patients (80 ACBE, 202 sigmoidoscopy, 128 colonoscopy) were prospectively enrolled. Sigmoidoscopy caused more pain than ACBE (Odds ratio [OR] 2.64: 95% Cl [1.63, 4.27]) or colonoscopy (OR 1.83: 95% Cl [1.21, 2.77]). ACBE and colonoscopy did not differ in the degree of pain. Although overall satisfaction appeared to be similar for all tests, patients were less willing to repeat ACBE than sigmoidoscopy (OR 1.85: 95% Cl [1.13, 3.02]) or colonoscopy (OR 1.82: 95% Cl [1.07, 3.09]). Initial and follow-up pain ratings by patients were highly correlated (Spearman correlation 0.81); however, correlation of pain assessments between staff and patients was poor (Spearman correlation 0.48). Conclusions: Sigmoidoscopy was more painful than other colonic imaging modalities. Although ACBE and colonoscopy caused similar pain, patients were less willing to repeat ACBE. In aggregate, the data suggest that patients perceive colonoscopy as the most acceptable colonic imaging procedure. Better methods are required to allow staff to adequately assess discomfort experienced by patients during these procedures.

AB - Background: Physical discomfort, anxiety, embarrassment, and other aspects of patient experience impact on future compliance for colonic imaging tests. Therefore, a prospective study was performed comparing patient experiences during air contrast barium enema (ACBE), flexible sigmoidoscopy, and colonoscopy. Methods: Immediately after each procedure, patients completed a questionnaire assessing pretest anxiety, difficulty with preparation, pain, cramping, bloating, overall discomfort, loss of dignity, willingness to repeat the test, and overall satisfaction. A follow-up questionnaire was administered within 48 hours. Nurses and physicians also completed questionnaires to assess the provider impression of patient experience. Results: Four hundred ten patients (80 ACBE, 202 sigmoidoscopy, 128 colonoscopy) were prospectively enrolled. Sigmoidoscopy caused more pain than ACBE (Odds ratio [OR] 2.64: 95% Cl [1.63, 4.27]) or colonoscopy (OR 1.83: 95% Cl [1.21, 2.77]). ACBE and colonoscopy did not differ in the degree of pain. Although overall satisfaction appeared to be similar for all tests, patients were less willing to repeat ACBE than sigmoidoscopy (OR 1.85: 95% Cl [1.13, 3.02]) or colonoscopy (OR 1.82: 95% Cl [1.07, 3.09]). Initial and follow-up pain ratings by patients were highly correlated (Spearman correlation 0.81); however, correlation of pain assessments between staff and patients was poor (Spearman correlation 0.48). Conclusions: Sigmoidoscopy was more painful than other colonic imaging modalities. Although ACBE and colonoscopy caused similar pain, patients were less willing to repeat ACBE. In aggregate, the data suggest that patients perceive colonoscopy as the most acceptable colonic imaging procedure. Better methods are required to allow staff to adequately assess discomfort experienced by patients during these procedures.

UR - http://www.scopus.com/inward/record.url?scp=0035407260&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035407260&partnerID=8YFLogxK

U2 - 10.10671mge.2001.114064

DO - 10.10671mge.2001.114064

M3 - Article

VL - 54

SP - 67

EP - 73

JO - Gastrointestinal Endoscopy

JF - Gastrointestinal Endoscopy

SN - 0016-5107

IS - 1

ER -