Toggle Main Menu Toggle Search

Open Access padlockePrints

Patients' experience of colonoscopy in the English Bowel Cancer Screening Programme

Lookup NU author(s): Professor Colin Rees


Full text for this publication is not currently held within this repository. Alternative links are provided below where available.


© Georg Thieme Verlag KG.Background and study aims: Understanding patients' experience of screening programs is crucial for service improvement. The English Bowel Cancer Screening Programme (BCSP) aims to achieve this by sending out questionnaires to all patients who undergo a colonoscopy following an abnormal fecal occult blood test result. This study used the questionnaire data to report the experiences of these patients. Patients and methods: Data on patients who underwent colonoscopy between 2011 and 2012 were extracted from the BCSP database. Descriptive statistics were used to summarize key questionnaire items relating to informed choice, psychological wellbeing, physical experience, and after-effects. Multilevel logistic regression was used to test for associations with variables of interest: sex, age, socioeconomic status, colonoscopy results, and screening center performance (adenoma detection rate, cecal intubation rate, proportion of colonoscopies involving sedation). Results: Data from 50 858 patients (79.3% of those eligible) were analyzed. A majority reported a positive experience on items relating to informed choice (e.g. 95.7% felt they understood the risks) and psychological wellbeing (e.g. 98.3% felt they were treated with respect). However, an appreciable proportion experienced unexpected test discomfort (21.0%) or pain at home (14.8%). There were few notable demographic differences, although women were more likely than men to experience unexpected discomfort (25.1% vs. 18.0%; P<0.01) and pain at home (18.2% vs. 12.3%; P<0.01). No associations with center-level variables were apparent. Conclusions: Colonoscopy experience was generally positive, suggesting high satisfaction with the BCSP. Reported pain and unexpected discomfort were more negative than most other outcomes (particularly for women); measures to improve this should be considered.

Publication metadata

Author(s): Ghanouni A, Plumb A, Hewitson P, Nickerson C, Rees CJ, Von Wagner C

Publication type: Article

Publication status: Published

Journal: Endoscopy

Year: 2016

Volume: 48

Issue: 3

Pages: 232-240

Online publication date: 03/02/2016

Acceptance date: 20/11/2015

ISSN (print): 0013-726X

ISSN (electronic): 1438-8812

Publisher: Georg Thieme Verlag


DOI: 10.1055/s-0042-100613

PubMed id: 26841268


Altmetrics provided by Altmetric