Different perceptions of the burden of upper GI endoscopy: An empirical study in three patient groups

Marie Louise Essink-Bot; Michelle E. Kruijshaar; Dirk J. Bac; Pieter J. Wismans; Frank Ter Borg; Ewout W. Steyerberg; Peter D. Siersema

doi:10.1007/s11136-007-9239-8

Different perceptions of the burden of upper GI endoscopy: An empirical study in three patient groups

Marie Louise Essink-Bot^*, Michelle E. Kruijshaar, Dirk J. Bac, Pieter J. Wismans, Frank Ter Borg, Ewout W. Steyerberg, Peter D. Siersema

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

32 Citations (Scopus)

Abstract

Background: Few studies have evaluated patients' perceived burden of cancer surveillance tests. Cancer screening and surveillance, however, require a large number of patients to undergo potentially burdensome tests with only some experiencing health gains from it. We investigated the determinants of patients' reported burden of upper gastrointestinal (GI) endoscopy by comparing data from three patient groups. Patients and methods: A total of 476 patients were included: 180 patients under regular surveillance for Barrett esophagus (BE), a premalignant disorder; 214 patients with non-specific upper GI symptoms (NS), and 82 patients recently diagnosed with upper GI cancer (CA). We assessed pain, discomfort and overall burden experienced during endoscopy, symptoms in the week afterwards and psychological distress over time (Hospital Anxiety and Depression scale and Impact of Event Scale). Results: Two-thirds (66%) of patients reported discomfort and overall burden of upper GI endoscopy. Only 23% reported any pain. BE patients reported significantly less discomfort, pain and overall burden than the other patients: those with NS reported more discomfort, CA patients more pain, and both more overall burden. These differences could be statistically explained by the number of previous endoscopies and whether sedation was provided or not, but not by patient characteristics. Conclusion: The perception of upper GI endoscopy varies by patient group, due to potential adaptation after multiple endoscopies and aspects of the procedure.

Original language	English
Pages (from-to)	1309-1318
Number of pages	10
Journal	Quality of Life Research
Volume	16
Issue number	8
DOIs	https://doi.org/10.1007/s11136-007-9239-8
Publication status	Published - Oct 2007

Bibliographical note

Funding Information:
Acknowledgements We thank all staff of the departments of Gastroenterology and Hepatology of the four hospitals for their help. In particular we thank Corry Leunis and Heidi van Hal, who coordinated the work in two regional hospitals. We are indebted to the gastroenterologists who performed the endoscopies and allowed this study to take place. Finally, we are grateful to Caspar Looman and Gerard Borsboom, both from the Department of Public Health, Erasmus MC, for their valuable statistical advice.The Netherlands Organisation for Health Research and Development (Zorg Onderzoek Nederland) financially supported the study, grant number 945-03-035 HTA. The authors were granted the right of independent publishing of the results

Keywords

Anxiety
Barrett esophagus
Discomfort
Distress
Endoscopic surveillance
Perceived patient burden
Upper gastrointestinal endoscopy

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s11136-007-9239-8

Cite this

@article{36fe40697154404cbe9eac2ff3065ce5,

title = "Different perceptions of the burden of upper GI endoscopy: An empirical study in three patient groups",

abstract = "Background: Few studies have evaluated patients' perceived burden of cancer surveillance tests. Cancer screening and surveillance, however, require a large number of patients to undergo potentially burdensome tests with only some experiencing health gains from it. We investigated the determinants of patients' reported burden of upper gastrointestinal (GI) endoscopy by comparing data from three patient groups. Patients and methods: A total of 476 patients were included: 180 patients under regular surveillance for Barrett esophagus (BE), a premalignant disorder; 214 patients with non-specific upper GI symptoms (NS), and 82 patients recently diagnosed with upper GI cancer (CA). We assessed pain, discomfort and overall burden experienced during endoscopy, symptoms in the week afterwards and psychological distress over time (Hospital Anxiety and Depression scale and Impact of Event Scale). Results: Two-thirds (66%) of patients reported discomfort and overall burden of upper GI endoscopy. Only 23% reported any pain. BE patients reported significantly less discomfort, pain and overall burden than the other patients: those with NS reported more discomfort, CA patients more pain, and both more overall burden. These differences could be statistically explained by the number of previous endoscopies and whether sedation was provided or not, but not by patient characteristics. Conclusion: The perception of upper GI endoscopy varies by patient group, due to potential adaptation after multiple endoscopies and aspects of the procedure.",

keywords = "Anxiety, Barrett esophagus, Discomfort, Distress, Endoscopic surveillance, Perceived patient burden, Upper gastrointestinal endoscopy",

author = "Essink-Bot, {Marie Louise} and Kruijshaar, {Michelle E.} and Bac, {Dirk J.} and Wismans, {Pieter J.} and {Ter Borg}, Frank and Steyerberg, {Ewout W.} and Siersema, {Peter D.}",

note = "Funding Information: Acknowledgements We thank all staff of the departments of Gastroenterology and Hepatology of the four hospitals for their help. In particular we thank Corry Leunis and Heidi van Hal, who coordinated the work in two regional hospitals. We are indebted to the gastroenterologists who performed the endoscopies and allowed this study to take place. Finally, we are grateful to Caspar Looman and Gerard Borsboom, both from the Department of Public Health, Erasmus MC, for their valuable statistical advice.The Netherlands Organisation for Health Research and Development (Zorg Onderzoek Nederland) financially supported the study, grant number 945-03-035 HTA. The authors were granted the right of independent publishing of the results",

year = "2007",

month = oct,

doi = "10.1007/s11136-007-9239-8",

language = "English",

volume = "16",

pages = "1309--1318",

journal = "Quality of Life Research",

issn = "0962-9343",

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T1 - Different perceptions of the burden of upper GI endoscopy

T2 - An empirical study in three patient groups

AU - Essink-Bot, Marie Louise

AU - Kruijshaar, Michelle E.

AU - Bac, Dirk J.

AU - Wismans, Pieter J.

AU - Ter Borg, Frank

AU - Steyerberg, Ewout W.

AU - Siersema, Peter D.

N1 - Funding Information: Acknowledgements We thank all staff of the departments of Gastroenterology and Hepatology of the four hospitals for their help. In particular we thank Corry Leunis and Heidi van Hal, who coordinated the work in two regional hospitals. We are indebted to the gastroenterologists who performed the endoscopies and allowed this study to take place. Finally, we are grateful to Caspar Looman and Gerard Borsboom, both from the Department of Public Health, Erasmus MC, for their valuable statistical advice.The Netherlands Organisation for Health Research and Development (Zorg Onderzoek Nederland) financially supported the study, grant number 945-03-035 HTA. The authors were granted the right of independent publishing of the results

PY - 2007/10

Y1 - 2007/10

N2 - Background: Few studies have evaluated patients' perceived burden of cancer surveillance tests. Cancer screening and surveillance, however, require a large number of patients to undergo potentially burdensome tests with only some experiencing health gains from it. We investigated the determinants of patients' reported burden of upper gastrointestinal (GI) endoscopy by comparing data from three patient groups. Patients and methods: A total of 476 patients were included: 180 patients under regular surveillance for Barrett esophagus (BE), a premalignant disorder; 214 patients with non-specific upper GI symptoms (NS), and 82 patients recently diagnosed with upper GI cancer (CA). We assessed pain, discomfort and overall burden experienced during endoscopy, symptoms in the week afterwards and psychological distress over time (Hospital Anxiety and Depression scale and Impact of Event Scale). Results: Two-thirds (66%) of patients reported discomfort and overall burden of upper GI endoscopy. Only 23% reported any pain. BE patients reported significantly less discomfort, pain and overall burden than the other patients: those with NS reported more discomfort, CA patients more pain, and both more overall burden. These differences could be statistically explained by the number of previous endoscopies and whether sedation was provided or not, but not by patient characteristics. Conclusion: The perception of upper GI endoscopy varies by patient group, due to potential adaptation after multiple endoscopies and aspects of the procedure.

AB - Background: Few studies have evaluated patients' perceived burden of cancer surveillance tests. Cancer screening and surveillance, however, require a large number of patients to undergo potentially burdensome tests with only some experiencing health gains from it. We investigated the determinants of patients' reported burden of upper gastrointestinal (GI) endoscopy by comparing data from three patient groups. Patients and methods: A total of 476 patients were included: 180 patients under regular surveillance for Barrett esophagus (BE), a premalignant disorder; 214 patients with non-specific upper GI symptoms (NS), and 82 patients recently diagnosed with upper GI cancer (CA). We assessed pain, discomfort and overall burden experienced during endoscopy, symptoms in the week afterwards and psychological distress over time (Hospital Anxiety and Depression scale and Impact of Event Scale). Results: Two-thirds (66%) of patients reported discomfort and overall burden of upper GI endoscopy. Only 23% reported any pain. BE patients reported significantly less discomfort, pain and overall burden than the other patients: those with NS reported more discomfort, CA patients more pain, and both more overall burden. These differences could be statistically explained by the number of previous endoscopies and whether sedation was provided or not, but not by patient characteristics. Conclusion: The perception of upper GI endoscopy varies by patient group, due to potential adaptation after multiple endoscopies and aspects of the procedure.

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KW - Barrett esophagus

KW - Discomfort

KW - Distress

KW - Endoscopic surveillance

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Different perceptions of the burden of upper GI endoscopy: An empirical study in three patient groups

Abstract

Bibliographical note

Keywords

UN SDGs

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