Screening CT colonography: Multicenter survey of patient experience, preference, and potential impact on adherence

B. Dustin Pooler; Mark J. Baumel; Brooks D. Cash; Fouad J. Moawad; Mark S. Riddle; Amy M. Patrick; Mark Damiano; Matthew H. Lee; David H. Kim; Alejandro Muñoz Del Rio; Perry J. Pickhardt

doi:10.2214/AJR.11.7671

Screening CT colonography: Multicenter survey of patient experience, preference, and potential impact on adherence

B. Dustin Pooler, Mark J. Baumel, Brooks D. Cash, Fouad J. Moawad, Mark S. Riddle, Amy M. Patrick, Mark Damiano, Matthew H. Lee, David H. Kim, Alejandro Muñoz Del Rio, Perry J. Pickhardt^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

71 Scopus citations

Abstract

OBJECTIVE. Prior research indicates CT colonography (CTC) would be a cost-effective colorectal cancer (CRC) screening test if widespread availability were to increase overall CRC screening adherence rates. The primary aims of this multicenter study were to evaluate patient experience and satisfaction with CTC screening and compare preference against screening colonoscopy. MATERIALS AND METHODS. A 12-question survey instrument measuring pretest choice, experience, and satisfaction was given to a consecutive cohort of adults undergoing CTC screening in three disparate screening settings: university academic center, military medical center, and community practice. The study cohort was composed of individuals voluntarily participating in clinical CTC screening programs. RESULTS. A total of 1417 patients responded to the survey. The top reasons for choosing CTC for screening included " noninvasiveness" (68.0%), "avoidance of sedation/anesthesia"(63. 1%), "ability to drive after the test" (49.2%), "avoidance of optical colonoscopy risks"(46.9%), and "identifying abnormalities outside the colon" (43.3%). Only 7.2% of patients reported pain during the CTC examination and only 2.5% reported greater than moderate discomfort. Of 441 patients who had experienced both CTC and optical colonoscopy, 77.1% preferred CTC and 13.8% preferred optical colonoscopy. Of all patients, 29.6% indicated that they may not have undergone optical colonoscopy screening if CTC were not available. Of all patients, 92.9% labeled their overall experience with CTC as "excellent" or "good," and 93.0% indicated they would choose CTC for their next screening. CONCLUSION. Respondents reported a very high satisfaction level with CTC, and those who had experienced both modalities indicated a preference for CTC over optical colonoscopy. These results suggest that CTC has the potential to increase adherence to CRC screening guidelines if widely available.

Original language	English
Pages (from-to)	1361-1366
Number of pages	6
Journal	American Journal of Roentgenology
Volume	198
Issue number	6
DOIs	https://doi.org/10.2214/AJR.11.7671
State	Published - Jun 2012
Externally published	Yes

Keywords

CT colonography
Colorectal cancer
Optical colonoscopy
Virtual colonoscopy

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Pooler, B. D., Baumel, M. J., Cash, B. D., Moawad, F. J., Riddle, M. S., Patrick, A. M., Damiano, M., Lee, M. H., Kim, D. H., Del Rio, A. M., & Pickhardt, P. J. (2012). Screening CT colonography: Multicenter survey of patient experience, preference, and potential impact on adherence. American Journal of Roentgenology, 198(6), 1361-1366. https://doi.org/10.2214/AJR.11.7671

@article{93510de170da4785b72f080987f56940,

title = "Screening CT colonography: Multicenter survey of patient experience, preference, and potential impact on adherence",

abstract = "OBJECTIVE. Prior research indicates CT colonography (CTC) would be a cost-effective colorectal cancer (CRC) screening test if widespread availability were to increase overall CRC screening adherence rates. The primary aims of this multicenter study were to evaluate patient experience and satisfaction with CTC screening and compare preference against screening colonoscopy. MATERIALS AND METHODS. A 12-question survey instrument measuring pretest choice, experience, and satisfaction was given to a consecutive cohort of adults undergoing CTC screening in three disparate screening settings: university academic center, military medical center, and community practice. The study cohort was composed of individuals voluntarily participating in clinical CTC screening programs. RESULTS. A total of 1417 patients responded to the survey. The top reasons for choosing CTC for screening included {"} noninvasiveness{"} (68.0%), {"}avoidance of sedation/anesthesia{"}(63. 1%), {"}ability to drive after the test{"} (49.2%), {"}avoidance of optical colonoscopy risks{"}(46.9%), and {"}identifying abnormalities outside the colon{"} (43.3%). Only 7.2% of patients reported pain during the CTC examination and only 2.5% reported greater than moderate discomfort. Of 441 patients who had experienced both CTC and optical colonoscopy, 77.1% preferred CTC and 13.8% preferred optical colonoscopy. Of all patients, 29.6% indicated that they may not have undergone optical colonoscopy screening if CTC were not available. Of all patients, 92.9% labeled their overall experience with CTC as {"}excellent{"} or {"}good,{"} and 93.0% indicated they would choose CTC for their next screening. CONCLUSION. Respondents reported a very high satisfaction level with CTC, and those who had experienced both modalities indicated a preference for CTC over optical colonoscopy. These results suggest that CTC has the potential to increase adherence to CRC screening guidelines if widely available.",

keywords = "CT colonography, Colorectal cancer, Optical colonoscopy, Virtual colonoscopy",

author = "Pooler, {B. Dustin} and Baumel, {Mark J.} and Cash, {Brooks D.} and Moawad, {Fouad J.} and Riddle, {Mark S.} and Patrick, {Amy M.} and Mark Damiano and Lee, {Matthew H.} and Kim, {David H.} and {Del Rio}, {Alejandro Mu{\~n}oz} and Pickhardt, {Perry J.}",

year = "2012",

month = jun,

doi = "10.2214/AJR.11.7671",

language = "English",

volume = "198",

pages = "1361--1366",

journal = "American Journal of Roentgenology",

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T1 - Screening CT colonography

T2 - Multicenter survey of patient experience, preference, and potential impact on adherence

AU - Pooler, B. Dustin

AU - Baumel, Mark J.

AU - Cash, Brooks D.

AU - Moawad, Fouad J.

AU - Riddle, Mark S.

AU - Patrick, Amy M.

AU - Damiano, Mark

AU - Lee, Matthew H.

AU - Kim, David H.

AU - Del Rio, Alejandro Muñoz

AU - Pickhardt, Perry J.

PY - 2012/6

Y1 - 2012/6

N2 - OBJECTIVE. Prior research indicates CT colonography (CTC) would be a cost-effective colorectal cancer (CRC) screening test if widespread availability were to increase overall CRC screening adherence rates. The primary aims of this multicenter study were to evaluate patient experience and satisfaction with CTC screening and compare preference against screening colonoscopy. MATERIALS AND METHODS. A 12-question survey instrument measuring pretest choice, experience, and satisfaction was given to a consecutive cohort of adults undergoing CTC screening in three disparate screening settings: university academic center, military medical center, and community practice. The study cohort was composed of individuals voluntarily participating in clinical CTC screening programs. RESULTS. A total of 1417 patients responded to the survey. The top reasons for choosing CTC for screening included " noninvasiveness" (68.0%), "avoidance of sedation/anesthesia"(63. 1%), "ability to drive after the test" (49.2%), "avoidance of optical colonoscopy risks"(46.9%), and "identifying abnormalities outside the colon" (43.3%). Only 7.2% of patients reported pain during the CTC examination and only 2.5% reported greater than moderate discomfort. Of 441 patients who had experienced both CTC and optical colonoscopy, 77.1% preferred CTC and 13.8% preferred optical colonoscopy. Of all patients, 29.6% indicated that they may not have undergone optical colonoscopy screening if CTC were not available. Of all patients, 92.9% labeled their overall experience with CTC as "excellent" or "good," and 93.0% indicated they would choose CTC for their next screening. CONCLUSION. Respondents reported a very high satisfaction level with CTC, and those who had experienced both modalities indicated a preference for CTC over optical colonoscopy. These results suggest that CTC has the potential to increase adherence to CRC screening guidelines if widely available.

AB - OBJECTIVE. Prior research indicates CT colonography (CTC) would be a cost-effective colorectal cancer (CRC) screening test if widespread availability were to increase overall CRC screening adherence rates. The primary aims of this multicenter study were to evaluate patient experience and satisfaction with CTC screening and compare preference against screening colonoscopy. MATERIALS AND METHODS. A 12-question survey instrument measuring pretest choice, experience, and satisfaction was given to a consecutive cohort of adults undergoing CTC screening in three disparate screening settings: university academic center, military medical center, and community practice. The study cohort was composed of individuals voluntarily participating in clinical CTC screening programs. RESULTS. A total of 1417 patients responded to the survey. The top reasons for choosing CTC for screening included " noninvasiveness" (68.0%), "avoidance of sedation/anesthesia"(63. 1%), "ability to drive after the test" (49.2%), "avoidance of optical colonoscopy risks"(46.9%), and "identifying abnormalities outside the colon" (43.3%). Only 7.2% of patients reported pain during the CTC examination and only 2.5% reported greater than moderate discomfort. Of 441 patients who had experienced both CTC and optical colonoscopy, 77.1% preferred CTC and 13.8% preferred optical colonoscopy. Of all patients, 29.6% indicated that they may not have undergone optical colonoscopy screening if CTC were not available. Of all patients, 92.9% labeled their overall experience with CTC as "excellent" or "good," and 93.0% indicated they would choose CTC for their next screening. CONCLUSION. Respondents reported a very high satisfaction level with CTC, and those who had experienced both modalities indicated a preference for CTC over optical colonoscopy. These results suggest that CTC has the potential to increase adherence to CRC screening guidelines if widely available.

KW - CT colonography

KW - Colorectal cancer

KW - Optical colonoscopy

KW - Virtual colonoscopy

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JO - American Journal of Roentgenology

JF - American Journal of Roentgenology

IS - 6

ER -

Screening CT colonography: Multicenter survey of patient experience, preference, and potential impact on adherence

Abstract

Keywords

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