Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK.
Public Health Wales, Wales, UK.
Health Expect. 2022 Oct;25(5):2355-2364. doi: 10.1111/hex.13525. Epub 2022 Jul 7.
The Bowel Screening Wales complex polyp removal service was introduced to address variations in surgery rates for screen-detected complex benign colorectal polyps, to improve the quality of the screening service and to make management of these polyps more equitable across Wales. Little is known about patient experiences and the potential impact on quality of life when undergoing complex polyp removal. This study is part of a wider research programme evaluating the decision-making, pathways and outcomes from complex polyp removal.
This study aimed to understand experiences of having a complex polyp removed and how this may influence quality of life.
Semi-structured telephone interviews were conducted, and a thematic approach was used for data analysis.
All participants had a complex polyp removed after a positive stool test and review by Bowel Screening Wales' Network Multi-Disciplinary Team.
Twenty-one participants were interviewed. Most participants had their complex polyps removed endoscopically and reported no or minor problems or negative outcomes following their procedure. For a small minority, worse problems (e.g., pain, bowel dysfunction) and negative outcomes (e.g., cancer) followed their procedures. Most participants felt supported and reassured throughout their procedures. Any physical and emotional changes to quality of life were mainly linked to procedure outcomes.
Experiences of complex polyp removal were generally positive, with minimal changes in quality of life.
While most people had a positive experience of having a complex polyp removed, support initiatives, such as counselling or signposting to coping strategies, may be helpful to reduce any potential negative effects of procedures on quality of life.
Four patient and public involvement partners provided feedback on participant materials.
威尔士结直肠筛查复杂息肉切除术服务的推出是为了解决因筛查发现的复杂良性结直肠息肉而导致的手术率差异，提高筛查服务质量，并使威尔士各地对这些息肉的管理更加公平。对于接受复杂息肉切除术的患者体验及其对生活质量的潜在影响，人们知之甚少。本研究是评估复杂息肉切除术的决策、途径和结果的更广泛研究计划的一部分。
本研究旨在了解接受复杂息肉切除术的体验，以及这如何影响生活质量。
进行了半结构式电话访谈，并采用主题方法进行数据分析。
所有参与者均因粪便检测阳性并经威尔士结直肠筛查网络多学科团队审查后接受复杂息肉切除术。
共对 21 名参与者进行了访谈。大多数参与者通过内镜切除了他们的复杂息肉，且在手术后没有或仅有轻微的问题或负面结果。对于少数人来说，手术过程中出现了更严重的问题（如疼痛、肠道功能障碍）和负面结果（如癌症）。大多数参与者在整个手术过程中都感到支持和安心。生活质量的任何身体和情绪变化主要与手术结果有关。
复杂息肉切除术的体验总体上是积极的，生活质量的变化很小。
虽然大多数人对接受复杂息肉切除术的体验是积极的，但支持性举措，如咨询或提供应对策略的指导，可能有助于减轻手术对生活质量的任何潜在负面影响。
四名患者和公众参与伙伴对参与者材料提供了反馈。
