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Related Experiment Video

Updated: Jul 10, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

The NHS Bowel Cancer Screening Programme--a realistic approach with additional benefits.

N J West¹, A P Poullis, R J Leicester

¹Department of Endoscopy, St George's Hospital, London, UK. njw@medix-uk.com

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland

|October 25, 2007

Summary

The UK

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Last Updated: Jul 10, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Area of Science:

Oncology
Public Health
Gastroenterology

Background:

Colorectal cancer (CRC) is a leading cause of cancer death in the UK.
55% of patients present with lymph node metastases at diagnosis.
Early detection through screening aims to reduce CRC mortality.

Purpose of the Study:

To explore the UK's National Health Service Bowel Cancer Screening Programme (NHS BCSP).
To examine financial considerations impacting the NHS BCSP.
To assess the implications of the NHS BCSP on colonoscopy standards and training.

Main Methods:

The NHS BCSP invites individuals aged 60-69 for biennial fecal occult blood testing.
Positive results lead to colonoscopy as the next diagnostic step.
The study explores the program's background, financial aspects, and impact on endoscopy.

Main Results:

The selected screening program represents a compromise within a strained healthcare system.
It is not the most effective in terms of survival benefit or cost-effectiveness.
Endoscopy standards have improved regarding patient experience, safety, and practice.

Conclusions:

The NHS BCSP, while a compromise, has led to significant improvements in endoscopy practices.
Financial constraints influenced the choice of screening program.
Further optimization may be needed for enhanced survival and cost-effectiveness.