Comparing Colon Capsule Endoscopy to colonoscopy; a symptomatic patient's perspective

Area of Science:

• Gastroenterology
• Medical Devices
• Patient Outcomes

Background:

• Colon Capsule Endoscopy (CCE) demonstrates efficacy in various gastrointestinal conditions.
• Limited research exists on patient-reported outcomes and preferences comparing CCE and colonoscopy.

Purpose of the Study:

• To compare patient satisfaction, comfort, and preference between Colon Capsule Endoscopy (CCE) and colonoscopy.
• To evaluate patient-reported outcomes in relation to procedural factors.

Main Methods:

• Retrospective review of patients undergoing both CCE and colonoscopy within 12 months.
• Over-the-phone interviews assessing satisfaction and comfort using a 10-point Likert scale.
• Statistical analysis including Fisher's exact test and Student's t-test (p < 0.05 significance).

Main Results:

• Significant difference in mean comfort (9.2 vs 6.7, p < 0.0001) favoring CCE.
• No significant difference in satisfaction (8.3 vs 7.7, p = 0.2).
• 77.5% of patients preferred CCE for future investigations, citing better comfort.

Conclusions:

• Colon Capsule Endoscopy (CCE) provides superior comfort and high satisfaction compared to colonoscopy.
• CCE is a preferred alternative for bowel investigation in selected patients, given equivalent diagnostic yields.
• Patient preference for CCE highlights its potential role in improving patient experience.