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Moving beyond the initial colonoscopy: a call for action
- Source :
- European Journal of Cancer Prevention. 30:373-374
- Publication Year :
- 2021
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2021.
-
Abstract
- Introduction The evolution of colorectal screening has made headway with continual efforts globally to increase screening rates for colonoscopy-naive patients. However, little has been done to encourage repeat colonoscopies after the initial scope despite recommendations to repeat colonoscopy every 10 years, with the uptake rates of repeat colonoscopy remaining abysmal at 22%. Methods Previously, a qualitative systematic review evaluated the barriers and facilitators patients faced in their decisions to undergo colonoscopy, analyzing articles from Medline, Embase, CINAHL, PsycINFO and Web of Science. Key findings from articles which highlighted factors influencing patients' decisions to return for repeat colonoscopies were summarized. Results Three articles were identified in the search. Facilitators for repeat colonoscopy included patients' assurance garnered from fostered trust in the patient-provider relationship, their intrinsic motivations from fear of cancer and an innate appreciation for the significance of obtaining repeated colonoscopies. Procedural factors such as the option for procedural visualization, its comprehensiveness and the utilization of anesthesia were also crucial motivators. Barriers that patients highlighted comprised of cumbersome bowel preparation and potential complications. Discussion Recently, minimal research has been conducted on the sentiments of healthcare providers and patients regarding repeat colonoscopy. The lack of emphasis from healthcare institutions on encouraging patients to repeat colonoscopy after 10 years prevents effective colorectal cancer screening. To proficiently alleviate the burden of colorectal cancer, patient counseling has to shift beyond explaining colonoscopy risks and complications to promoting regular follow-up scopes. This article thus calls for more studies to focus on evaluating the uptake of repeat colonoscopies.
- Subjects :
- Cancer Research
medicine.medical_specialty
medicine.diagnostic_test
Epidemiology
business.industry
Colorectal cancer
Public Health, Environmental and Occupational Health
MEDLINE
Colonoscopy
PsycINFO
Patient counseling
CINAHL
medicine.disease
Oncology
Action (philosophy)
Family medicine
Health care
medicine
business
Subjects
Details
- ISSN :
- 09598278
- Volume :
- 30
- Database :
- OpenAIRE
- Journal :
- European Journal of Cancer Prevention
- Accession number :
- edsair.doi...........31a82d6a10c930cc6b2575dfffb836d2
- Full Text :
- https://doi.org/10.1097/cej.0000000000000647