title: A survey of patient acceptance of resect and discard for diminutive polyps.
abstract: OBJECTIVE
  Resect and discard is a new paradigm for management of diminutive colon polyps. Little is known regarding whether patients would accept resect and discard. We surveyed colonoscopy patients and their drivers regarding acceptance of resect and discard.
  
  
  METHODS
  This was a cross-sectional survey of colonoscopy outpatients and their drivers at two outpatient academic endoscopy centers.
  
  
  RESULTS
  Four hundred fifteen colonoscopy patients and 293 drivers completed the survey (93.5% of all invited participants). Results for the two groups were similar. Overall, 66.3% indicated they would accept resect and discard. Participants who were younger, white, and seen at the ambulatory surgery center (vs the hospital outpatient department) were more likely to accept. Those declining resect and discard were more likely to be willing to pay some amount out-of-pocket to have diminutive polyps checked by pathology (97.1% vs 44.5%). Of those unwilling to accept resect and discard, 49.8% would require a zero chance of cancer in diminutive polyps before accepting resect and discard.
  
  
  CONCLUSIONS
  Patient acceptance of resect and discard appears promising but is quite variable. Eliciting individual patient acceptance of resect and discard will be important during initial implementation into clinical practice.
authors.affiliation: Department of Medicine, Division of Gastroenterology/Hepatology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
authors.forename: Douglas K
authors.initials: DK
authors.lastname: Rex
authors.affiliation: Department of Medicine, Division of Gastroenterology/Hepatology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
authors.forename: Nedhi J
authors.initials: NJ
authors.lastname: Patel
authors.affiliation: Department of Medicine, Division of Gastroenterology/Hepatology, Indiana University School of Medicine, Indianapolis, Indiana, USA.
authors.forename: Krishna C
authors.initials: KC
authors.lastname: Vemulapalli
mesh_terms: D000236:Adenoma / Q000473:pathology / Q000523:psychology* / Q000601:surgery; D000328:Adult; D000368:Aged; D003110:Colonic Neoplasms / Q000473:pathology / Q000523:psychology* / Q000601:surgery; D003111:Colonic Polyps / Q000473:pathology / Q000523:psychology* / Q000601:surgery; D003113:Colonoscopy / Q000379:methods / Q000523:psychology*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D017744:Medical Waste Disposal; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011795:Surveys and Questionnaires; D047368:Tumor Burden
chemical_list: D017744:Medical Waste Disposal