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患者对结肠镜检查录像的兴趣:一项调查。

Patient interest in video recording of colonoscopy: a survey.

机构信息

Division of Gastroenterology/Hepatology, Indiana University Medical Center, Indianapolis, IN 46202, USA.

出版信息

World J Gastroenterol. 2010 Jan 28;16(4):458-61. doi: 10.3748/wjg.v16.i4.458.

DOI:10.3748/wjg.v16.i4.458
PMID:20101771
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2811798/
Abstract

AIM

To find if patients are interested in obtaining a video recording of their colonoscopy procedure.

METHODS

We conducted a survey of outpatients presenting for colonoscopy regarding their interest in obtaining a video recording of their colonoscopy.

RESULTS

Two hundred and forty-eight patients (mean age 57.9 years; 57% male) were surveyed. Two hundred and one patients (81%) were interested in obtaining a video recording. No significant predictors of patients' interest in the video recording were identified. After reading a brief educational paragraph explaining missed lesions during colonoscopy, 135 patients (54%) were more interested in having a video recording, and none were less interested. One hundred and fifty-six patients (63%) were willing to pay for a video recording. In multivariable analyses, younger age was predictive of willingness to pay for a video recording. Prior history of colorectal cancer and a family history of colorectal cancer were predictive of willingness to pay a greater amount.

CONCLUSION

Patients undergoing colonoscopy expressed substantial interest in obtaining a videorecording of their procedure. Awareness of missing lesions during colonoscopy increased interest in having a videorecording.

摘要

目的

了解患者对获取结肠镜检查过程录像的兴趣。

方法

我们对接受结肠镜检查的门诊患者进行了一项关于获取结肠镜检查录像兴趣的调查。

结果

对 248 名患者(平均年龄 57.9 岁;57%为男性)进行了调查。201 名患者(81%)有兴趣获取结肠镜检查录像。未发现患者对录像记录感兴趣的显著预测因素。在阅读了一段简短的解释结肠镜检查中遗漏病变的教育段落后,135 名患者(54%)对获取录像记录更感兴趣,而没有人对此不感兴趣。156 名患者(63%)愿意支付录像费用。多变量分析显示,年龄较小与支付录像费用的意愿相关。结直肠癌既往史和结直肠癌家族史与支付更高费用的意愿相关。

结论

接受结肠镜检查的患者对获取其手术录像有浓厚的兴趣。对结肠镜检查中遗漏病变的认识增加了对录像记录的兴趣。

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本文引用的文献

1
Association of colonoscopy and death from colorectal cancer.结肠镜检查与结直肠癌死亡的关联。
Ann Intern Med. 2009 Jan 6;150(1):1-8. doi: 10.7326/0003-4819-150-1-200901060-00306. Epub 2008 Dec 15.
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Rates of new or missed colorectal cancers after colonoscopy and their risk factors: a population-based analysis.结肠镜检查后新发或漏诊结直肠癌的发生率及其危险因素:一项基于人群的分析。
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Endoscopist can be more powerful than age and male gender in predicting adenoma detection at colonoscopy.在预测结肠镜检查时腺瘤的检出方面,内镜医师比年龄和男性性别更具影响力。
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Risk of developing colorectal cancer following a negative colonoscopy examination: evidence for a 10-year interval between colonoscopies.结肠镜检查结果为阴性后发生结直肠癌的风险:结肠镜检查间隔10年的证据。
JAMA. 2006 May 24;295(20):2366-73. doi: 10.1001/jama.295.20.2366.
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Development of a video assessment scoring method to determine the accuracy of endoscopist performance at screening flexible sigmoidoscopy.开发一种视频评估评分方法,以确定内镜医师在筛查乙状结肠镜检查中的操作准确性。
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Quality assessment of colonoscopic cecal intubation: an analysis of 6 years of continuous practice at a university hospital.结肠镜检查盲肠插管的质量评估:一所大学医院6年连续实践分析
Am J Gastroenterol. 2006 Apr;101(4):721-31. doi: 10.1111/j.1572-0241.2006.00494.x. Epub 2006 Feb 22.
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Colorectal cancer in patients under close colonoscopic surveillance.接受结肠镜密切监测的患者中的结直肠癌
Gastroenterology. 2005 Jul;129(1):34-41. doi: 10.1053/j.gastro.2005.05.012.
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Lack of effect of a high-fiber cereal supplement on the recurrence of colorectal adenomas. Phoenix Colon Cancer Prevention Physicians' Network.高纤维谷物补充剂对结肠直肠腺瘤复发无效。凤凰城结肠癌预防医师网络。
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