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Evaluation of the safety, efficacy and feasibility of 'at-home' capsule endoscopy

Parisi, Ioanna; Hosea, Angelica Vania; Stoffel, Sandro; Nemec, Martin; Badat, Sohail; Seward, Edward; Kaushal, Aradhna; ... Von Wagner, Christian; + view all (2024) Evaluation of the safety, efficacy and feasibility of 'at-home' capsule endoscopy. Frontline Gastroenterology 10.1136/flgastro-2023-102565. (In press). Green open access

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Abstract

Objective: The role of small bowel capsule endoscopy (SBCE) in diagnosing gastrointestinal diseases has long been established. Recently, colon CE (CCE) has been suggested as an alternative to colonoscopy. CE has been traditionally conducted at endoscopy units. However, during the COVID-19 pandemic, a switch was made to ‘at-home CE’ (ACE) which has continued to date. This study is an evaluation of ACE, focusing on safety, efficacy, feasibility and patient perceptions. / Methods: The study evaluated the performance of ACE in 105 consecutive patients, considering procedure outcomes, completion rates, complications and patient satisfaction. Self-report questionnaires were used to assess perceptions and preferences of 84 ACE patients and 43 in-hospital CE patients. ACE procedure involved preassessment calls, bowel preparation, equipment setup, virtual verbal consent, capsule ingestion, booster alerts and equipment collection. Descriptive statistics and tests of independence were used for data analysis. / Results: All 105 ACE patients were able to have CE at home, with completion rates for SBCE, CCE and panenteric (Crohn’s) CE at 98.3%, 75.9% and 55.6%, respectively. Patients reported low levels of pain (94.1%), embarrassment (98.8%) and anxiety (82.1%). ACE saved time and money, as 42.9% of patients were able to avoid work absence and 52.4% avoided transportation costs. ACE patients reported high satisfaction with the overall procedure (mean=8.5, SD=1.9), and 83.3% would prefer CE again at home. / Conclusion: This study demonstrates that at-home CEs are clinically effective and well received by patients, providing the opportunity to conduct the test in the comfort of patients’ homes.

Type: Article
Title: Evaluation of the safety, efficacy and feasibility of 'at-home' capsule endoscopy
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/flgastro-2023-102565
Publisher version: https://doi.org/10.1136/flgastro-2023-102565
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/10188094
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