Impact of Knowledge and Risk Perceptions on Older Adults’ Intention for Surveillance Colonoscopy
| Autor: | Marie-Anne Durand, Audrey H. Calderwood, Sharon O’Connor, Maureen B. Boardman, Courtney Carter |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
media_common.quotation_subject MEDLINE Colonic Polyps Colonoscopy Intention 03 medical and health sciences 0302 clinical medicine Perception otorhinolaryngologic diseases medicine Humans Aged media_common medicine.diagnostic_test business.industry Gastroenterology Mean age medicine.disease digestive system diseases Colon polyps 030220 oncology & carcinogenesis Baseline characteristics Family medicine 030211 gastroenterology & hepatology Surveillance colonoscopy Colorectal Neoplasms business |
| Zdroj: | Journal of Clinical Gastroenterology. 55:528-533 |
| ISSN: | 0192-0790 |
| DOI: | 10.1097/mcg.0000000000001401 |
| Popis: | Goals The authors aimed to characterize older adults' intentions for future surveillance colonoscopy, knowledge of polyps, and predictors of colonoscopy plans. Background Guidelines recommend that the decision to continue or stop surveillance colonoscopy in older adults with colon polyps be "individualized." Although older adults want to be included in decision making, how knowledge regarding polyps influences decisions is unknown. Study In collaboration with a rural family medicine practice, the authors invited adults aged 65 years and older with a history of colon adenomas to complete a 14-item survey regarding intention for colonoscopy and knowledge of colon polyps. Results Sixty-seven of 105 (63%) patients completed the survey. The mean age was 72 years. Regarding future surveillance, 53% planned to return, 25% were unsure, and 22% did not plan to return. There were no significant differences in baseline characteristics on the basis of the intention for future colonoscopy. Regarding polyp knowledge, 73% had correct knowledge around how common polyps are; 50% thought that more than half of untreated polyps would become cancerous-an inaccurately elevated perception by 10 folds. Respondents who perceived polyps to have a high malignant potential were more likely to report plans for surveillance colonoscopy (68% vs. 39%; P=0.03). Conclusions In this survey of older adults with a history of polyps, many had a falsely elevated perception of polyps' potential for cancer that was associated with a higher intention for future colonoscopy. Ensuring older adults have an understanding of the risks of polyps is an essential step toward improving decision making around surveillance colonoscopy. |
| Databáze: | OpenAIRE |
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