Patient acceptability of CT colonography compared with double contrast barium enema: results from a multicentre randomised controlled trial of symptomatic patients

Objectives To determine patient acceptability of barium enema (BE) or CT colonography (CTC). Methods After ethical approval, 921 consenting patients with symptoms suggestive of colorectal cancer who had been randomly assigned and completed either BE ( N  = 606) or CTC ( N  = 315) received a question...

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Bibliographic Details
Published in:European radiology 2011-10, Vol.21 (10), p.2046-2055
Main Authors: von Wagner, Christian, Smith, Samuel, Halligan, Steve, Ghanouni, Alex, Power, Emily, Lilford, Richard J., Morton, Dion, Dadswell, Edward, Atkin, Wendy, Wardle, Jane
Format: Article
Language:English
Subjects:
Abdominal Pain
Aged
Barium
Choice Behavior
Colonic Neoplasms - diagnosis
Colonography, Computed Tomographic - methods
Colonoscopy
Colonoscopy - methods
Colorectal cancer
Contrast Media - pharmacology
Diagnostic Radiology
Enema - methods
Epidemiology
Female
Frailty
Gastrointestinal
Humans
Imaging
Internal Medicine
Interventional Radiology
Male
Medical imaging
Medicine
Medicine & Public Health
Middle Aged
Neuroradiology
Patient Satisfaction
Patients
Radiology
Reproducibility of Results
Surveys and Questionnaires
Ultrasound
University colleges
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Summary:Objectives To determine patient acceptability of barium enema (BE) or CT colonography (CTC). Methods After ethical approval, 921 consenting patients with symptoms suggestive of colorectal cancer who had been randomly assigned and completed either BE ( N  = 606) or CTC ( N  = 315) received a questionnaire to assess experience of the clinical episode including bowel preparation, procedure and complications. Satisfaction, worry and physical discomfort were assessed using an adapted version of a validated acceptability scale. Non-parametric methods assessed differences between the randomised tests and the effect of patient characteristics. Results Patients undergoing BE were significantly less satisfied (median 61, interquartile range [IQR] 54–67 vs. median 64, IQR 56–69; p  = 0.003) and experienced more physical discomfort (median 40, IQR 29–52 vs. median 35.5, IQR 25–47; p  
ISSN:0938-7994
1432-1084
DOI:10.1007/s00330-011-2154-y