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Quality of Life Research
Published in: Quality of Life Research 8/2007

Open Access 01-10-2007

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

Authors: Marie-Louise Essink-Bot, Michelle E. Kruijshaar, Dirk J. Bac, Pieter J. Wismans, Frank ter Borg, Ewout W. Steyerberg, Peter D. Siersema

Published in: Quality of Life Research | Issue 8/2007

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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.
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Metadata
Title
Different perceptions of the burden of upper GI endoscopy: an empirical study in three patient groups
Authors
Marie-Louise Essink-Bot
Michelle E. Kruijshaar
Dirk J. Bac
Pieter J. Wismans
Frank ter Borg
Ewout W. Steyerberg
Peter D. Siersema
Publication date
01-10-2007
Publisher
Springer Netherlands
Published in
Quality of Life Research / Issue 8/2007
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-007-9239-8

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