Prospective comparison of patient experience with colon imaging tests.
OBJECTIVE
Patient experience varies with the currently available colon imaging tests, including air contrast barium enema, computed tomographic colonography, and colonoscopy. We examined differences in patient experience with colon imaging tests and whether they varied with gender, age, and race.


METHODS
Patients with fecal occult blood, hematochezia, iron-deficiency anemia, or a family history of colon cancer underwent air contrast barium enema followed 7 to 14 days later by computed tomographic colonography and colonoscopy. Validated patient experience questionnaires that measured the experience for each test and a separate questionnaire that obtained an overall summary measure were administered after testing. Eleven patient experiences including pain, embarrassment, difficulty with bowel preparation, and satisfaction with tests were examined.


RESULTS
A total of 614 subjects completed all 3 imaging tests. The test most patients were willing to repeat was colonoscopy; it also was reported to be the least painful procedure. Patients were least satisfied with air contrast barium enema, and fewer would undergo air contrast barium enema compared with computed tomographic colonography or colonoscopy. There were limited racial and gender differences in perceptions of the tests. Younger adults perceived air contrast barium enema to be more painful than older adults.


CONCLUSIONS
Taking into account a wide variety of patient experience measures, patients preferred colonoscopy to air contrast barium enema and computed tomographic colonography. This finding has important implications for physicians considering different colon imaging tests.
Bosworth
Hayden B
HB
Center for Health Services Research in Primary Care, Durham VA Medical Center, Durham, NC, USA.
Rockey
Don C
DC
Paulson
Erik K
EK
Niedzwiecki
Donna
D
Davis
Wendy
W
Sanders
Linda L
LL
Yee
Judy
J
Henderson
Jim
J
Hatten
Paul
P
Burdick
Steve
S
Sanyal
Arun
A
Rubin
David T
DT
Sterling
Mark
M
Akerkar
Geetanjali
G
Bhutani
Manoop S
MS
Binmoeller
Kenneth
K
Garvie
John
J
Bini
Edmund J
EJ
McQuaid
Kenneth
K
Foster
William L
WL
Thompson
William M
WM
Dachman
Abe
A
Halvorsen
Robert
R
D001466:Barium Sulfate; D003106:Colon / Q000000981:diagnostic imaging; D003110:Colonic Neoplasms / Q000175:diagnosis; D003111:Colonic Polyps / Q000175:diagnosis; D023881:Colonography, Computed Tomographic / Q000379:methods*; D003113:Colonoscopy / Q000379:methods*; D003287:Contrast Media / Q000494:pharmacology; D003625:Data Collection; D004733:Enema / Q000379:methods*; D006801:Humans; D017060:Patient Satisfaction; D011795:Surveys and Questionnaires
D003287:Contrast Media; D001466:Barium Sulfate