Preprocedure Patient Values Regarding Sedation for Colonoscopy
- 1 July 2005
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Clinical Gastroenterology
- Vol. 39 (6), 516-519
- https://doi.org/10.1097/01.mcg.0000165667.79530.44
Abstract
Adherence rates for screening colonoscopy remain low. There are little data describing pre-colonoscopy patient concepts, values, and preferences for sedation during colonoscopy. In this study, we sought to investigate preprocedure patient values regarding sedation use for colonoscopy. Questionnaires were administered to 210 consecutive outpatients presenting for colonoscopy. An unscaled visual analog scale was used to value each of eight statements relating to sedation. The statement receiving the highest valuation was “I don't want to feel any pain” (mean score, 82 ± 21), followed by “I want to go to sleep and not wake up until the procedure is over” (mean score, 71 ± 31), and “I want to be alert as soon as possible after the procedure” (mean score, 65 ± 30). The statement receiving the lowest value was “I'd like to watch as much of the procedure as I can” (22 ± 29). Patients who preferred to undergo colonoscopy without sedation were more likely to be men (P = 0.001) and more likely to have graduate or professional educational degrees (P Our data suggest that, on average, American patients place the highest valuation on experiencing no pain during colonoscopy, waking up promptly after the procedure, and for going to sleep and not waking up until the procedure is over. However, unsedated colonoscopy does appeal to a small minority of patients, primarily men with graduate educations.Keywords
This publication has 8 references indexed in Scilit:
- Propofol versus midazolam/fentanyl for outpatient colonoscopy: administration by nurses supervised by endoscopistsClinical Gastroenterology and Hepatology, 2003
- Procedure-Related Abdominal Discomfort in Patients Undergoing Colorectal Cancer Screening: A Comparison of Colonoscopy and Flexible SigmoidoscopyThe American Journal of Gastroenterology, 2002
- Propofol versus midazolam/meperidine for outpatient colonoscopy: Administration by nurses supervised by endoscopistsGastrointestinal Endoscopy, 2002
- Effects of video information on precolonoscopy anxiety and knowledge: a randomised trialThe Lancet, 1999
- Patient Attitudes Toward Undergoing Colonoscopy Without SedationThe American Journal of Gastroenterology, 1999
- Patients willing to try colonoscopy without sedation: associated clinical factors and results of a randomized controlled trialGastrointestinal Endoscopy, 1999
- Influence of coping style and precolonoscopy information on pain and anxiety of colonoscopyGastrointestinal Endoscopy, 1998
- Participation in Colorectal Cancer Screening: A ReviewJNCI Journal of the National Cancer Institute, 1997