IRCCS Azienda Ospedaliero-Universitaria di Bologna, Department of Medical and Surgical Sciences; Gastroenterology Unit, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Gastroenterology Unit, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.
Gastrointest Endosc. 2022 Mar;95(3):550-561.e8. doi: 10.1016/j.gie.2021.11.039. Epub 2021 Dec 8.
Patients undergoing colonoscopy are often in the workforce. Therefore, colonoscopy may affect patients' work productivity in terms of missed working days and/or reduced working efficiency. We aimed to investigate the impact of colonoscopy on work productivity and factors influencing this impact.
We conducted a prospective, observational, multicenter study in 10 Italian hospitals between 2016 and 2017. We collected information on individual characteristics, work productivity, symptoms, and conditions before, during, and after the procedure from patients undergoing colonoscopy for several indications using validated tools. Outcomes were interference of preparation with work, absenteeism, and impaired work performance after the procedure. We fitted multivariate logistic regression models to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for potential predictors of the outcomes.
Among 1137 subjects in the study, 30.5% reported at least 1 outcome. Impaired work performance was associated with bowel preparation regimen (full dose on the day of colonoscopy vs split dose: OR, 4.04; 95% CI, 1.43-11.5), symptoms during bowel preparation (high symptom score: OR, 3.21; 95% CI, 1.15-8.95), and pain during the procedure (OR, 2.47; 95% CI, 1.40-4.35). Increasing number of working hours and less comfortable jobs were associated with absenteeism (P for trend = .06) and impairment of working performance (P for trend = .01) and GI symptoms both before and after colonoscopy.
Occupational and individual characteristics of patients should be considered when scheduling colonoscopy because this procedure may impair work productivity in up to one-third of patients. Split-dose bowel preparation, performing a painless colonoscopy, and preventing the occurrence of GI symptoms may minimize the impact of colonoscopy on work productivity.
接受结肠镜检查的患者通常仍在工作。因此，结肠镜检查可能会影响患者的工作效率，导致其缺勤或工作效率降低。本研究旨在调查结肠镜检查对工作效率的影响，以及影响这一影响的因素。
我们于 2016 年至 2017 年在意大利的 10 家医院进行了一项前瞻性、观察性、多中心研究。我们使用经过验证的工具，从因不同适应证接受结肠镜检查的患者中收集了个人特征、工作效率、症状和检查前后情况的信息。结果为检查前准备对工作的干扰、缺勤和检查后工作表现受损。我们拟合了多变量逻辑回归模型，以估计潜在预测因素对结果的比值比（OR）和 95%置信区间（CI）。
在该研究的 1137 名患者中，有 30.5%的患者报告了至少 1 项结果。工作表现受损与肠道准备方案（结肠镜检查当天全剂量与分剂量：OR=4.04，95%CI：1.43-11.5）、肠道准备期间的症状（高症状评分：OR=3.21，95%CI：1.15-8.95）和检查期间的疼痛（OR=2.47，95%CI：1.40-4.35）有关。工作时间增加和工作不太舒适与缺勤（趋势 P=0.06）和工作表现受损（趋势 P=0.01）以及检查前后的胃肠道症状均有关。
在安排结肠镜检查时应考虑患者的职业和个体特征，因为该检查可能会使多达三分之一的患者的工作效率降低。分剂量肠道准备、进行无痛结肠镜检查以及预防胃肠道症状的发生可能会使结肠镜检查对工作效率的影响最小化。
