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Patient Non-adherence and Cancellations Are Higher for Screening Colonoscopy Compared with Surveillance Colonoscopy

Digestive Diseases and Sciences volume 60, pages 2930–2936 (2015)Cite this article

Abstract

Background

A significant proportion of the eligible population is non-adherent to colonoscopy for colorectal cancer (CRC) screening.

Aims

To define the demographic and clinical variables associated with non-adherence and multiple cancellations to scheduled colonoscopy within 1 year in a CRC screening and adenomatous polyp surveillance population.

Methods

This was an observational cohort study of 617 consecutive patients scheduled to undergo colonoscopy at an outpatient academic tertiary care center for CRC screening or adenomatous polyp surveillance from January 2012 to September 2012.

Results

Overall, 551 patients (89.3 %) were adherent and 66 (10.7 %) were non-adherent to scheduled colonoscopy at 1 year. The relative risk for non-adherence was 5.42 [95 % confidence interval (CI) 2.74–10.75] in patients undergoing colonoscopy for screening compared to those for surveillance (16.7 vs. 3.5 % non-adherence, respectively, P < 0.001). An indication of screening in comparison with surveillance was associated with non-adherence [odds ratio (OR) 12.69, 95 % CI 4.18–38.51] and multiple cancellations (OR 2.33, 95 % CI 1.27–4.31) by multiple regression analysis.

Conclusions

Patients undergoing colonoscopy for CRC screening are significantly less likely to attend their scheduled procedure within a year and have more procedure cancellations than those undergoing surveillance colonoscopy.

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Acknowledgments

Assistance with data acquisition by Ms. Rosa Burke is gratefully acknowledged. Funding for this study was supported in part by the American Cancer Society Grant No. 255086.

Conflict of interest

None.

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Affiliations

  1. Department of Medicine, Division of Digestive Diseases, Rush University Medical Center, 1725 West Harrison, Suite 206, Chicago, IL, 60612, USA

    Michael Greenspan, Navdeep Chehl, Krista Shawron, John Losurdo, Sohrab Mobarhan & Joshua Melson

  2. Department of Neurological Sciences and Behavioral Sciences, Rush University Medical Center, 600 S. Paulina Street, Suite 1022g, Chicago, IL, 60612, USA

    Lisa Barnes

  3. Department of Preventive Medicine, Rush University Medical Center, 1700 W. Van Buren, Triangle Office Building, Suite 470, Chicago, IL, 60612, USA

    Hong Li & Elizabeth Avery

  4. Rush University Medical Center, 1700 W. Van Buren, Triangle Office Building, Suite 371, Chicago, IL, 60612, USA

    Shannon Sims

Authors
  1. Michael Greenspan
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  2. Navdeep Chehl
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  3. Krista Shawron
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  4. Lisa Barnes
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  5. Hong Li
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  6. Elizabeth Avery
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  7. Shannon Sims
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  8. John Losurdo
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  9. Sohrab Mobarhan
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  10. Joshua Melson
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Corresponding author

Correspondence to Joshua Melson.

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Greenspan, M., Chehl, N., Shawron, K. et al. Patient Non-adherence and Cancellations Are Higher for Screening Colonoscopy Compared with Surveillance Colonoscopy. Dig Dis Sci 60, 2930–2936 (2015). https://doi.org/10.1007/s10620-015-3664-2

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  • DOI: https://doi.org/10.1007/s10620-015-3664-2

Keywords

  • Colorectal cancer screening
  • Colonoscopy
  • Surveillance
  • Adherence