Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Veterans Affairs Medical Center, Ann Arbor, Michigan, USA.
Am J Gastroenterol. 2019 Oct;114(10):1685-1687. doi: 10.14309/ajg.0000000000000356.
To assess patient preferences for colorectal cancer screening with stool-based tests after initial colonoscopy with suboptimal bowel preparation.
An online scenario-based survey of adults aged 45 to 75 years at average risk for colorectal cancer was performed.
When presented with a hypothetical scenario of screening colonoscopy with suboptimal bowel preparation, 59% of respondents chose stool-based testing as a next step, 29% preferred a repeat colonoscopy within a year, and 12% preferred a repeat colonoscopy in 10 years (N = 1,080).
Clinicians should consider offering stool-based screening tests as an alternative to repeat colonoscopy after suboptimal bowel preparation.
评估初始结肠镜检查肠道准备不充分后，患者对基于粪便的结直肠癌筛查检测的偏好。
对年龄在 45 至 75 岁、结直肠癌平均风险的成年人进行了一项基于在线情景的调查。
当呈现出肠道准备不充分的筛查结肠镜检查的假设情景时，59%的受访者选择基于粪便的检测作为下一步，29%的人更喜欢在一年内进行重复结肠镜检查，12%的人更喜欢在 10 年内进行重复结肠镜检查（N=1080）。
临床医生应考虑在肠道准备不充分后，将基于粪便的筛查检测作为重复结肠镜检查的替代方案。
