Patient preferences and quality of life associated with colorectal cancer screening.
The goal of this study was to describe the attitudes of patients toward colorectal cancer screening, colon cancer, and colostomy.
Using the time trade-off technique, we interviewed four groups of patients at a veterans'hospital : 1) 46 patients with colorectal cancer, 2) 24 patients undergoing screening sigmoidoscopy, 3) 114 subjects participating in a screening colonoscopy study, and 4) 62 patients who have never undergone endoscopic screening for colorectal cancer.
Using this technique, we measured quality of life for six scenarios pertaining to screening for colorectal cancer, the patient's current health, colorectal cancer, and colostomy.
Unscreened patients were willing to give up significantly more time to avoid screening sigmoidoscopy and colonoscopy (median 91 days and 183 days, respectively) than were patients undergoing screening sigmoidoscopy (median 0 days and 7 days, respectively), screening colonoscopy (median 0 days and 0 days, respectively), or patients with colorectal cancer (median 0 days and 0 days, respectively).
Cancer patients rated their current health state lower than volunteers for screening.
Colon cancer and colostomy were rated similarly by all four groups.
Substantial variation in patient attitudes was present in all groups.
Patients are generally very accepting of endoscopic screening for colorectal cancer. (...)
Mots-clés Pascal : Carcinome, Côlon, Rectum, Dépistage, Attitude morale, Acceptation, Relation, Qualité vie, Relation médecin malade, Etude statistique, Homme, Tumeur maligne, Appareil digestif pathologie, Intestin pathologie, Côlon pathologie, Rectum pathologie
Mots-clés Pascal anglais : Carcinoma, Colon, Rectum, Medical screening, Moral attitude, Acceptance, Relation, Quality of life, Physician patient relation, Statistical study, Human, Malignant tumor, Digestive diseases, Intestinal disease, Colonic disease, Rectal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0052269
Code Inist : 002B13B01. Création : 14/05/1998.