Rethinking the Re-Prep: Attitudes Toward Noninvasive Colorectal Cancer Screening Tests After Inadequate Bowel Preparation

Am J Gastroenterol. 2019 Oct;114(10):1685-1687. doi: 10.14309/ajg.0000000000000356.

Abstract

Objectives: To assess patient preferences for colorectal cancer screening with stool-based tests after initial colonoscopy with suboptimal bowel preparation.

Methods: An online scenario-based survey of adults aged 45 to 75 years at average risk for colorectal cancer was performed.

Results: 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).

Conclusions: Clinicians should consider offering stool-based screening tests as an alternative to repeat colonoscopy after suboptimal bowel preparation.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Cathartics / administration & dosage
  • Colonoscopy / methods*
  • Colonoscopy / psychology
  • Colorectal Neoplasms / diagnosis*
  • Cross-Sectional Studies
  • Early Detection of Cancer / methods
  • Early Detection of Cancer / psychology*
  • Early Detection of Cancer / statistics & numerical data
  • Female
  • Humans
  • Male
  • Mass Screening / methods
  • Mass Screening / psychology*
  • Mass Screening / statistics & numerical data
  • Middle Aged
  • Occult Blood
  • Patient Preference / psychology
  • Patient Preference / statistics & numerical data*
  • Time Factors

Substances

  • Cathartics