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Instructional web-based video decreases patient no-shows forcolonoscopy by ferujkll sdff
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Instructional web-based video decreases patient no-shows forcolonoscopy |
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Patients who watch an online instructional video are more likely tokeep their appointments and arrive prepared for a scheduledcolonoscopy than those who do not, according to a study bygastroenterologists at the University of Chicago Medicine. The study, presented at the 2012 annual Digestive Diseases Weekmeeting in San Diego, CA, found that among patients age 50 to 65 -the primary target for colon cancer screening - those who watched the video were 40 percent lesslikely to cancel an appointment. That suggests many more cancers could be prevented or detected and treated early if more thoroughinstruction were given. "Although early detection of colon cancer can save lives, onlyabout half of those who could benefit take advantage of thisscreening test," said Archita P.
Desai, MD, fellow in the sectionof gastroenterology at the University of Chicago Medicine. "Use ofthis video-preparation approach could increase the number of peoplewho complete the process. Thanks to such screening, the death ratefrom colorectal cancer has been dropping for more than 20 years, but there is stillplenty of room for improvement." Colorectal cancer is the second leading cause of cancer-relateddeaths in the United States, responsible for nearly 50,000 deaths ayear. The American Cancer Society recommends that men and womenshould have a colonoscopy every 10 years, beginning at age 50.
Whencolon cancer is caught early, 90 percent of patients remain alivefive years later, but when the cancer has already spread, five-yearsurvival falls to 12 percent. In the United States, only 53 percent of those older than 50 followthe recommendations for colorectal cancer screening. Far morepeople than that schedule a colonoscopy, but surveys show only 23percent to 58 percent of patients who schedule a colonoscopy keepthose appointments. This wastes resources, increases costs andextends the waiting time for those seeking an appointment.
The 30-minute web-based interactive program (watch a four-minutesegment) produced by Chicago-based Emmi Solutions, walks the viewerthough the entire process. It explains how colonoscopy isperformed, why preparation is necessary, and how to weigh the risksand benefits. Viewers can pause the video, ask questions or reviewthe information to make sure they understand it. Doctors can enablethe viewer to type a question to them or their staff.
The questionsthat patients ask can alert the doctor to address remainingconcerns. In this study, the researchers compared all 1,740 patients referredby their primary care physicians for a colonoscopy at theUniversity of Chicago Medicine in the six months from Dec. 1, 2009,to June 1, 2010 - before the colonoscopy video was available - toall 1,415 patients referred Dec. 1, 2010, to June 1, 2011, half ofwhom were told to watch the video.
More than three out of fourpatients with access to the video watched it all the way through. The researchers looked for "preventable cancellations," patientswho did not complete the test because they skipped the appointment,arrived unprepared, failed to follow instructions about taking ordiscontinuing certain medications, or faced transportation issues. The preventable cancellation rate for those who watched the videowas significantly lower, falling from 11 percent for patientsscreened before the video was available to 8 percent for those whohad access to the video. The biggest improvement was seen amongthose age 50 to 65, in which the no-show rate fell from 12 percentfor those without access down to 7 percent for those who watched. "This appears to be an effective and inexpensive way to improvecompliance," Desai said.
"Our next steps will be to track theoutcomes of patients who did not watch the video after beingassigned to do so as this group has the highest cancellation andpoor-preparation rates. It will be important to identify how tosuccessfully screen this group of patients." Additional References Citations. I am a professional writer from Other Computer Parts, which contains a great deal of information about ladies leather vest , shoe cover machine, welcome to visit!
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