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Silvester JA, Kalkat H, Graff LA, Walker JR, Singh H, Duerksen DR. Information seeking and anxiety among colonoscopy-naïve adults: Direct-to-colonoscopy vs traditional consult-first pathways. World J Gastrointest Endosc 2016; 8(19): 701-708 [PMID: 27909550 DOI: 10.4253/wjge.v8.i19.701]
World J Gastrointest Endosc. Nov 16, 2016; 8(19): 701-708 Published online Nov 16, 2016. doi: 10.4253/wjge.v8.i19.701
Information seeking and anxiety among colonoscopy-naïve adults: Direct-to-colonoscopy vs traditional consult-first pathways
Jocelyn A Silvester, Harmandeep Kalkat, Lesley A Graff, John R Walker, Harminder Singh, Donald R Duerksen
Jocelyn A Silvester, Harmandeep Kalkat, Lesley A Graff, John R Walker, Harminder Singh, Donald R Duerksen, Faculty of Health Sciences, College of Medicine, University of Manitoba, Winnipeg, MB R2H 2A6, Canada
Jocelyn A Silvester, Celiac Research Program, Boston Children’s Hospital and Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, United States
Author contributions: Silvester JA and Kalkat H collected data; Silvester JA, Kalkat H, Graff LA, Walker JR, Singh H and Duerksen DR contributed to data analysis, editing of manuscript and approval of the final version as submitted; Silvester JA, Graff LA, Walker JR, Singh H and Duerksen DR conceived and designed the study.
Supported byHealth Sciences Centre Medical Staff Council Resident Research Award.
Institutional review board statement: This study was reviewed and approved by the Research Ethics Board at the University of Manitoba.
Informed consent statement: All study participants were informed about the purpose of the study verbally and in writing. Submission of a completed survey constituted informed consent to participate in the study.
Conflict-of-interest statement: Harminder Singh has been a consultant to Pendopharm; the other authors have no conflicts of interest to declare.
Data sharing statement: No other data available.
Correspondence to: Donald R Duerksen, MD, FRCPC, Associate Professor of Medicine, Faculty of Health Sciences, College of Medicine, University of Manitoba, St Boniface Hospital, C5120 - 409 Tache Avenue, Winnipeg, MB R2H 2A6, Canada. dduerkse@sbgh.mb.ca
Telephone: +1-204-2372796 Fax: +1-2042337154
Received: March 29, 2016 Peer-review started: April 4, 2016 First decision: May 23, 2016 Revised: July 7, 2016 Accepted: July 20, 2016 Article in press: July 22, 2016 Published online: November 16, 2016 Processing time: 230 Days and 1.3 Hours
Core Tip
Core tip: Direct access colonoscopy pathways are increasingly common, yet there has been relatively little scrutiny of how this practice impacts patients. This study examines the relationships among endoscopy pathway (direct vs traditional consult first), colonoscopy indication (cancer screening vs symptom investigation), information seeking behavior and pre-procedure anxiety. Patients undergoing their first colonoscopy completed questionnaires immediately prior to the procedure, before receiving sedation. The finding that direct-to-colonoscopy did not impact patient pre-procedure anxiety is reassuring. Analysis of information seeking behaviors underscores the crucial role of the family physician for referred patients who follow a direct-to-endoscopy pathway.
