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Related Experiment Videos

Patient satisfaction with screening flexible sigmoidoscopy.

R E Schoen1, J L Weissfeld, N J Bowen

  • 1Department of Medicine and the University of Pittsburgh Cancer Institute, University of Pittsburgh, PA, USA.

Archives of Internal Medicine
|June 29, 2000
PubMed
Summary
This summary is machine-generated.

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Most patients are satisfied with screening flexible sigmoidoscopy, finding it more comfortable than expected. This cancer prevention procedure is well-tolerated, encouraging wider adoption.

Area of Science:

  • Gastroenterology
  • Preventive Medicine
  • Patient Experience Research

Background:

  • Screening flexible sigmoidoscopy is an underutilized cancer prevention strategy.
  • Patient discomfort is frequently cited by physicians as a barrier to recommending the procedure.
  • Limited data exists on patient experiences and attitudes toward sigmoidoscopy.

Purpose of the Study:

  • To quantify patient satisfaction with screening flexible sigmoidoscopy.
  • To identify factors influencing patient satisfaction with the procedure.

Main Methods:

  • A novel instrument was developed to assess patient satisfaction with screening sigmoidoscopy.
  • The instrument underwent factor analysis, reproducibility testing, and external validation.
  • 1221 patients (666 men, 555 women; mean age 61.8) completed the survey post-procedure.

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Main Results:

  • Over 93% expressed willingness for repeat examination; 74.9% would recommend it.
  • 76.2% reported minimal pain; 78.1% reported minimal discomfort.
  • 68.5% found the procedure more comfortable than anticipated.
  • 15-25% reported significant pain, discomfort, or unexpected discomfort.
  • Women were more likely to experience significant pain/discomfort (aOR 2.9).

Conclusions:

  • Approximately 70% of patients are satisfied with screening sigmoidoscopy and find it more comfortable than expected.
  • Only 15-25% of patients report an unpleasant experience.
  • Physicians should not use perceived patient discomfort as a reason to withhold sigmoidoscopy recommendations.