Umezawa S, Higurashi T, Uchiyama S, Sakai E, Ohkubo H, Endo H, Nonaka T, Nakajima A. Visual distraction alone for the improvement of colonoscopy-related pain and satisfaction. World J Gastroenterol 2015; 21(15): 4707-4714 [PMID: 25914482 DOI: 10.3748/wjg.v21.i15.4707]
Corresponding Author of This Article
Atsushi Nakajima, MD, Professor, Department of Gastroenterology and Hepatology, Yokohama City University School of Medicine, 3-9 Fuku-ura, Kanazawa-ku, Yokohama 2360004, Japan. nakajima-tky@umin.ac.jp
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Randomized Controlled Trial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Apr 21, 2015; 21(15): 4707-4714 Published online Apr 21, 2015. doi: 10.3748/wjg.v21.i15.4707
Table 1 Patient characteristics and results of pre-procedural anxiety scores
Group 1 (visual distraction)
Group 2 (no visual distraction)
P value
Number of patients
28
29
Gender, male:female
19:9
19:10
0.93
Age, median (IQR, range)
65.5 (16.25, 32-79)
66 (11, 45-77)
0.92
Previous experience with colonoscopy
yes
64.3%
62.1%
0.86
Number of colonoscopies, median (range, IQR)
2 (2, 0-8)
2 (3, 0-10)
0.45
Pre-procedural anxiety score, median (range, IQR)
52.5 (48.75, 0-95)
51 (55, 0-100)
0.53
Table 2 Features and outcomes of procedure
Group 1 (visual distraction)
Group 2 (no visual distraction)
P value
Cecal insertion rate
96.4%
96.6%
0.98
Time to reach cecum, in seconds, median (IQR, range)
634.5 (230, 150-1669)
720 (430, 326-2040)
0.52
Time needed for total procedure, in seconds, median (IQR, range)
921 (245.25, 412-1856)
1056 (375, 558-2375)
0.29
Systolic blood pressure, in mmHg, median (IQR, range)
Before procedure
132.5 (22.75, 102-165)
132 (27, 98-170)
0.96
Highest during procedure
140 (21.75, 99-220)
134 (46, 107-193)
0.99
After procedure
128.5 (14.5, 97-182)
127 (25, 100-165)
0.85
Table 3 Results of questionnaires
Group 1 (visual distraction)
Group 2 (no visual distraction)
P value
Pre-procedural anxiety score, median (IQR, range)
52.5 (48.75, 0-95)
51 (55, 0-100)
0.53
Anxiety score during procedure, median (IQR, range)
20 (17.25, 0-85)
24 (67, 0-96)
0.70
Pain score during procedure, median (IQR, range)
24.5 (33.25, 0-96)
42 (52, 0-100)
0.47
Post-procedural satisfactory score, median (IQR, range)
89 (21.75, 18-100)
72 (42, 1-100)
0.04
Willing to receive the same method at next time
75.0%
48.3%
0.04
Table 4 Questionnaire results in patients with a pre-procedural anxiety score of 50 or higher
Visual distraction
No visual distraction
P value
Number of patients
17
16
0.67
Cecal insertion rate
100%
100%
NS
Time to reach cecum, in seconds, median (IQR, range)
639 (305, 260-1669)
611 (446.25, 326-1571)
0.80
Time needed, for total procedure, in seconds, median (IQR, range)
923 (302, 482-1856)
1000.5 (427.5, 558-1822)
0.93
Pre-procedural anxiety score, median (IQR, range)
75 (18, 51-95)
69 (24.75, 51-100)
0.44
Anxiety score during procedure, median (IQR, range)
20 (29, 7-85)
68 (49.75, 11-91)
0.05
Pain score during procedure, median (IQR, range)
23 (30, 0-83)
57 (40.25, 2-100)
0.04
Citation: Umezawa S, Higurashi T, Uchiyama S, Sakai E, Ohkubo H, Endo H, Nonaka T, Nakajima A. Visual distraction alone for the improvement of colonoscopy-related pain and satisfaction. World J Gastroenterol 2015; 21(15): 4707-4714