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Related Experiment Videos

Patient attitudes toward undergoing colonoscopy without sedation.

D S Early1, T Saifuddin, J C Johnson

  • 1Division of Gastroenterology, University of Missouri Hospital and Clinics, Columbia, USA.

The American Journal of Gastroenterology
|July 16, 1999
PubMed
Summary

Few patients are willing to undergo colonoscopy without sedation, but willingness increases post-procedure. Male gender, education, and low anxiety predict willingness for unsedated colonoscopy.

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Area of Science:

  • Gastroenterology
  • Patient Experience
  • Medical Procedures

Background:

  • Most patients receive sedation for colonoscopy in the U.S.
  • Unsedated colonoscopy offers potential advantages.
  • Patient attitudes towards unsedated procedures are not well understood.

Purpose of the Study:

  • To assess patient willingness to undergo colonoscopy without sedation.
  • To identify factors predicting willingness for unsedated colonoscopy.
  • To explore attitudes across diverse practice settings (university, cancer center, VA).

Main Methods:

  • 434 adult outpatients completed pre- and post-procedure questionnaires.
  • Questionnaires assessed demographics and willingness for unsedated colonoscopy.
  • Routine sedation (meperidine/midazolam) was administered unless patients opted out.

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Main Results:

  • 16.9% were willing pre-procedure; willingness rose to 22.6% post-procedure (p=0.01).
  • Predictors of willingness included male gender, college education, low pre-procedure anxiety, and lower sedative doses.
  • Only about a fifth of patients expressed willingness to try unsedated colonoscopy.

Conclusions:

  • A minority of patients are willing to try unsedated colonoscopy.
  • Predictive factors for willingness include male gender, higher education, and low anxiety.
  • Increased patient counseling and education are likely needed to boost acceptance of unsedated colonoscopy.