title: Patients' perception of colonoscopy: patients with inflammatory bowel disease and irritable bowel syndrome experience the largest burden.
abstract: BACKGROUND
  Colonoscopy is a frequently performed procedure worldwide with a negative perception, leading to reluctance to undergo the procedure. Perceptions could differ depending on the specific indication for the colonoscopy.
  
  
  OBJECTIVE
  To compare patient satisfaction with the colonoscopy procedure between five different patient groups: inflammatory bowel disease (IBD), familial predisposition for cancer, adenoma/carcinoma surveillance, symptoms suggestive of cancer, and irritable bowel syndrome (IBS).
  
  
  METHODS
  A prospective questionnaire study was carried out in two regional hospitals and two tertiary teaching hospitals in the Netherlands. A total of 797 consecutive patients scheduled for colonoscopy between October 2009 and June 2010, 146 (18%) IBD, 153 (19%) adenoma or carcinoma surveillance, 104 (13%) familial predisposition, 280 (35%) symptoms suggestive of cancer, and 114 (14%) IBS-like symptoms, were included. Two questionnaires were administered: one on the day of the procedure and another 6 weeks after the procedure. The main outcome measurements were embarrassment, pain, burden, most burdensome aspect, and overall level of satisfaction.
  
  
  RESULTS
  Patients with IBD and IBS reported significantly more embarrassment and burden from the bowel preparation phase (P=0.040 and 0.018, respectively) and more pain during the colonoscopy procedure (P=0.018). This difference in pain was also observed when adjusting for volume of sedation administered, familiarity with the endoscopist, duration of the colonoscopy, or whether or not an intervention was performed. All patient groups were less satisfied with the procedure at 6 weeks than directly after the colonoscopy; they recalled more embarrassment and burden, but less pain.
  
  
  CONCLUSIONS
  Patient groups, defined by indication for colonoscopy, experience the colonoscopy procedure differently.
authors: Department of Gastroenterology and Hepatology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
authors: Maaike J
authors: MJ
authors: Denters
authors: Marthe
authors: M
authors: Schreuder
authors: Annekatrien C T M
authors: AC
authors: Depla
authors: Rosalie C
authors: RC
authors: Mallant-Hent
authors: Mariette C A
authors: MC
authors: van Kouwen
authors: Marije
authors: M
authors: Deutekom
authors: Patrick M
authors: PM
authors: Bossuyt
authors: Paul
authors: P
authors: Fockens
authors: Evelien
authors: E
authors: Dekker
mesh_terms: D000236:Adenoma / Q000473:pathology / Q000523:psychology; D000328:Adult; D000368:Aged; D002277:Carcinoma / Q000473:pathology / Q000523:psychology; D016009:Chi-Square Distribution; D023881:Colonography, Computed Tomographic / Q000523:psychology*; D004644:Emotions; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D006784:Hospitals, Teaching; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000473:pathology* / Q000523:psychology; D007414:Intestinal Neoplasms / Q000473:pathology / Q000523:psychology; D043183:Irritable Bowel Syndrome / Q000473:pathology* / Q000523:psychology; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009426:Netherlands; D010146:Pain / Q000209:etiology; D017060:Patient Satisfaction; D010465:Perception; D011237:Predictive Value of Tests; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D062606:Tertiary Care Centers