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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Missed work related to mid-week screening colonoscopy
Mamie H Dong1, Denise Kalmaz, Thomas J Savides
1Division of Gastroenterology, University of California at San Diego, 9500 Gilman Drive MC 0063, La Jolla, CA 92093, USA. mhdong@ucsd.edu
Many working individuals miss additional days off work for screening colonoscopies, often due to bowel preparation or sedation. This impacts work productivity and increases indirect costs.
Area of Science:
- Gastroenterology
- Occupational Health
Background:
- Screening colonoscopies commonly necessitate time off work on the procedure day.
- Limited data exists on extended work absence and its causes.
Purpose of the Study:
- To evaluate the patterns and reasons for missed work associated with screening colonoscopies.
Main Methods:
- Review of outpatient screening colonoscopies at an academic medical center over six months.
- Exclusion of non-screening procedures, older patients, weekend procedures, and non-working individuals.
- Telephone interviews to determine missed work duration and reasons.
Main Results:
- 34% of eligible patients missed more than one day of work.
- Reasons for absence included anticipation of bowel preparation and precautionary measures or symptoms post-sedation.
- Specific absences included the day before (32%), the day after (10%), and both days (9%).
Conclusions:
- A significant portion of working patients undertaking mid-week screening colonoscopies miss additional workdays.
- Unforeseen work absences may escalate the indirect economic burden of screening colonoscopy.
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