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Different perceptions of the burden of upper GI endoscopy: an empirical study in three patient groups

BACKGROUND: Few studies have evaluated patients’ perceived burden of cancer surveillance tests. Cancer screening and surveillance, however, require a large number of patients to undergo potentially burdensome tests with only some experiencing health gains from it. We investigated the determinants of...

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Autores principales: Essink-Bot, Marie-Louise, Kruijshaar, Michelle E., Bac, Dirk J., Wismans, Pieter J., ter Borg, Frank, Steyerberg, Ewout W., Siersema, Peter D.
Formato: Texto
Lenguaje:English
Publicado: Springer Netherlands 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2039790/
https://www.ncbi.nlm.nih.gov/pubmed/17634755
http://dx.doi.org/10.1007/s11136-007-9239-8
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author Essink-Bot, Marie-Louise
Kruijshaar, Michelle E.
Bac, Dirk J.
Wismans, Pieter J.
ter Borg, Frank
Steyerberg, Ewout W.
Siersema, Peter D.
author_facet Essink-Bot, Marie-Louise
Kruijshaar, Michelle E.
Bac, Dirk J.
Wismans, Pieter J.
ter Borg, Frank
Steyerberg, Ewout W.
Siersema, Peter D.
author_sort Essink-Bot, Marie-Louise
collection PubMed
description BACKGROUND: Few studies have evaluated patients’ perceived burden of cancer surveillance tests. Cancer screening and surveillance, however, require a large number of patients to undergo potentially burdensome tests with only some experiencing health gains from it. We investigated the determinants of patients’ reported burden of upper gastrointestinal (GI) endoscopy by comparing data from three patient groups. PATIENTS AND METHODS: A total of 476 patients were included: 180 patients under regular surveillance for Barrett esophagus (BE), a premalignant disorder; 214 patients with non-specific upper GI symptoms (NS), and 82 patients recently diagnosed with upper GI cancer (CA). We assessed pain, discomfort and overall burden experienced during endoscopy, symptoms in the week afterwards and psychological distress over time (Hospital Anxiety and Depression scale and Impact of Event Scale). RESULTS: Two-thirds (66%) of patients reported discomfort and overall burden of upper GI endoscopy. Only 23% reported any pain. BE patients reported significantly less discomfort, pain and overall burden than the other patients: those with NS reported more discomfort, CA patients more pain, and both more overall burden. These differences could be statistically explained by the number of previous endoscopies and whether sedation was provided or not, but not by patient characteristics. CONCLUSION: The perception of upper GI endoscopy varies by patient group, due to potential adaptation after multiple endoscopies and aspects of the procedure.
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spelling pubmed-20397902007-10-29 Different perceptions of the burden of upper GI endoscopy: an empirical study in three patient groups Essink-Bot, Marie-Louise Kruijshaar, Michelle E. Bac, Dirk J. Wismans, Pieter J. ter Borg, Frank Steyerberg, Ewout W. Siersema, Peter D. Qual Life Res Article BACKGROUND: Few studies have evaluated patients’ perceived burden of cancer surveillance tests. Cancer screening and surveillance, however, require a large number of patients to undergo potentially burdensome tests with only some experiencing health gains from it. We investigated the determinants of patients’ reported burden of upper gastrointestinal (GI) endoscopy by comparing data from three patient groups. PATIENTS AND METHODS: A total of 476 patients were included: 180 patients under regular surveillance for Barrett esophagus (BE), a premalignant disorder; 214 patients with non-specific upper GI symptoms (NS), and 82 patients recently diagnosed with upper GI cancer (CA). We assessed pain, discomfort and overall burden experienced during endoscopy, symptoms in the week afterwards and psychological distress over time (Hospital Anxiety and Depression scale and Impact of Event Scale). RESULTS: Two-thirds (66%) of patients reported discomfort and overall burden of upper GI endoscopy. Only 23% reported any pain. BE patients reported significantly less discomfort, pain and overall burden than the other patients: those with NS reported more discomfort, CA patients more pain, and both more overall burden. These differences could be statistically explained by the number of previous endoscopies and whether sedation was provided or not, but not by patient characteristics. CONCLUSION: The perception of upper GI endoscopy varies by patient group, due to potential adaptation after multiple endoscopies and aspects of the procedure. Springer Netherlands 2007-07-17 2007-10 /pmc/articles/PMC2039790/ /pubmed/17634755 http://dx.doi.org/10.1007/s11136-007-9239-8 Text en © Springer Science+Business Media B.V. 2007
spellingShingle Article
Essink-Bot, Marie-Louise
Kruijshaar, Michelle E.
Bac, Dirk J.
Wismans, Pieter J.
ter Borg, Frank
Steyerberg, Ewout W.
Siersema, Peter D.
Different perceptions of the burden of upper GI endoscopy: an empirical study in three patient groups
title Different perceptions of the burden of upper GI endoscopy: an empirical study in three patient groups
title_full Different perceptions of the burden of upper GI endoscopy: an empirical study in three patient groups
title_fullStr Different perceptions of the burden of upper GI endoscopy: an empirical study in three patient groups
title_full_unstemmed Different perceptions of the burden of upper GI endoscopy: an empirical study in three patient groups
title_short Different perceptions of the burden of upper GI endoscopy: an empirical study in three patient groups
title_sort different perceptions of the burden of upper gi endoscopy: an empirical study in three patient groups
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2039790/
https://www.ncbi.nlm.nih.gov/pubmed/17634755
http://dx.doi.org/10.1007/s11136-007-9239-8
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