A survey of patient acceptance of resect and discard for diminutive polyps

Douglas Rex, Nedhi J. Patel, Krishna C. Vemulapalli

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background and Aims Resect and discard is a new paradigm for management of diminutive colon polyps. Little is known regarding whether patients would accept resect and discard. We surveyed colonoscopy patients and their drivers regarding acceptance of resect and discard. Methods This was a cross-sectional survey of colonoscopy outpatients and their drivers at two outpatient academic endoscopy centers. Results Four hundred fifteen colonoscopy patients and 293 drivers completed the survey (93.5% of all invited participants). Results for the two groups were similar. Overall, 66.3% indicated they would accept resect and discard. Participants who were younger, white, and seen at the ambulatory surgery center (vs the hospital outpatient department) were more likely to accept. Those declining resect and discard were more likely to be willing to pay some amount out-of-pocket to have diminutive polyps checked by pathology (97.1% vs 44.5%). Of those unwilling to accept resect and discard, 49.8% would require a zero chance of cancer in diminutive polyps before accepting resect and discard. Conclusions Patient acceptance of resect and discard appears promising but is quite variable. Eliciting individual patient acceptance of resect and discard will be important during initial implementation into clinical practice.

Original languageEnglish
Pages (from-to)376-380.e1
JournalGastrointestinal Endoscopy
Volume82
Issue number2
DOIs
StatePublished - Aug 1 2015

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Polyps
Colonoscopy
Outpatients
Hospital Departments
Ambulatory Surgical Procedures
Endoscopy
Colon
Cross-Sectional Studies
Surveys and Questionnaires
Pathology
Neoplasms

ASJC Scopus subject areas

  • Gastroenterology
  • Radiology Nuclear Medicine and imaging

Cite this

A survey of patient acceptance of resect and discard for diminutive polyps. / Rex, Douglas; Patel, Nedhi J.; Vemulapalli, Krishna C.

In: Gastrointestinal Endoscopy, Vol. 82, No. 2, 01.08.2015, p. 376-380.e1.

Research output: Contribution to journalArticle

Rex, Douglas ; Patel, Nedhi J. ; Vemulapalli, Krishna C. / A survey of patient acceptance of resect and discard for diminutive polyps. In: Gastrointestinal Endoscopy. 2015 ; Vol. 82, No. 2. pp. 376-380.e1.
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