UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Patient factors associated with non-attendance at colonoscopy after a positive screening faecal occult blood test

Plumb, AA; Ghanouni, A; Rainbow, S; Djedovic, N; Marshall, S; Stein, J; Taylor, SA; ... von Wagner, C; + view all (2017) Patient factors associated with non-attendance at colonoscopy after a positive screening faecal occult blood test. Journal of Medical Screening , 24 (1) pp. 12-19. 10.1177/0969141316645629. Green open access

[thumbnail of Plumb et al 2016 Patient factors associated with non-attendance at colonoscopy after a positive screening faecal occult blood test AAM.pdf]
Preview
Text
Plumb et al 2016 Patient factors associated with non-attendance at colonoscopy after a positive screening faecal occult blood test AAM.pdf

Download (411kB) | Preview

Abstract

BACKGROUND: Screening participants with abnormal faecal occult blood test results who do not attend further testing are at high risk of colorectal cancer, yet little is known about their reasons for non-attendance. METHODS: We conducted a medical record review of 170 patients from two English Bowel Cancer Screening Programme centres who had abnormal guaiac faecal occult blood test screening tests between November 2011 and April 2013 but did not undergo colonoscopy. Using information from patient records, we coded and categorized reasons for non-attendance. RESULTS: Of the 170 patients, 82 were eligible for review, of whom 66 had at least one recorded reason for lack of colonoscopy follow-up. Reasons fell into seven main categories: (i) other commitments, (ii) unwillingness to have the test, (iii) a feeling that the faecal occult blood test result was a false positive, (iv) another health issue taking priority, (v) failing to complete bowel preparation, (vi) practical barriers (e.g. lack of transport), and (vii) having had or planning colonoscopy elsewhere. The most common single reasons were unwillingness to have a colonoscopy and being away. CONCLUSIONS: We identify a range of apparent reasons for colonoscopy non-attendance after a positive faecal occult blood test screening. Education regarding the interpretation of guaiac faecal occult blood test findings, offer of alternative confirmatory test options, and flexibility in the timing or location of subsequent testing might decrease non-attendance of diagnostic testing following positive faecal occult blood test.

Type: Article
Title: Patient factors associated with non-attendance at colonoscopy after a positive screening faecal occult blood test
Open access status: An open access version is available from UCL Discovery
DOI: 10.1177/0969141316645629
Publisher version: http://doi.org/10.1177/0969141316645629
Language: English
Additional information: Copyright © The Author(s) 2016. Published by SAGE Publications. This is the accepted manuscript version of the article; the final published version is available on the SAGE Journals website at http://dx.doi.org/10.1177/0969141316645629
Keywords: Colorectal cancer screening, case-note review, colonoscopy, non-attendance
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 Life Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Life Sciences > UCL School of Pharmacy > Practice and Policy
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Department of Imaging
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health 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/1496193
Downloads since deposit
96Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item