Older Adult Perspectives Toward Surveillance Colonoscopy: A Qualitative Study
| Autor: | Audrey H. Calderwood, Kathy Cazares, Sharon O’Connor |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Decision Making MEDLINE Colonoscopy Pilot Projects Trust 03 medical and health sciences 0302 clinical medicine Life Expectancy medicine Humans In patient Early Detection of Cancer Qualitative Research Aged Aged 80 and over medicine.diagnostic_test business.industry Gastroenterology Professional-Patient Relations Focus Groups Patient Acceptance of Health Care medicine.disease Focus group Colon polyps 030220 oncology & carcinogenesis Family medicine Life expectancy 030211 gastroenterology & hepatology Surveillance colonoscopy Female business Colorectal Neoplasms Qualitative research |
| Zdroj: | Journal of clinical gastroenterology. 54(1) |
| ISSN: | 1539-2031 |
| Popis: | Goals and background Surveillance colonoscopy is the most common indication for colonoscopy in older adults, yet factors involved in patient decision-making are poorly defined. We sought to understand general perspectives of older adults toward surveillance colonoscopy. Study We conducted 2 in-person, 90-minute semistructured focus groups at a rural, tertiary care, academic facility with a total of 20 English-speaking participants with a history of colon polyps. We also obtained baseline characteristics including information to calculate life expectancy using the Schonberg Index, a validated measure of 5-year and 9-year mortality. Results Participant ages ranged from 75 to 89, 67% were female, and 61% had a life expectancy of ≤9 years. Major common themes included reasons for and against getting a surveillance colonoscopy, and preferences and opinions surrounding discontinuing surveillance. Fear of cancer, trust in the colonoscopy procedure, and provider advice played prominent roles in patient decisions to return for surveillance. Most felt they should make screening decisions with input from providers, and that providers should engage them in these decisions and base recommendations on their patients' personal history and health, not on how old they are or on actuarial data. Conclusions This small, qualitative study suggests that older adults familiar with surveillance colonoscopy prefer patient-centered decision-making on when to discontinue testing and want support and information from providers when making choices. The evidence also suggests that participants value provider communication and trust their advice. Future work will use this information to create a larger patient survey on attitudes and beliefs toward surveillance colonoscopy. |
| Databáze: | OpenAIRE |
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