Observational Study
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Nov 16, 2016; 8(19): 701-708
Published online Nov 16, 2016. doi: 10.4253/wjge.v8.i19.701
Information seeking and anxiety among colonoscopy-naïve adults: Direct-to-colonoscopy vs traditional consult-first pathways
Jocelyn A Silvester, Harmandeep Kalkat, Lesley A Graff, John R Walker, Harminder Singh, Donald R Duerksen
Jocelyn A Silvester, Harmandeep Kalkat, Lesley A Graff, John R Walker, Harminder Singh, Donald R Duerksen, Faculty of Health Sciences, College of Medicine, University of Manitoba, Winnipeg, MB R2H 2A6, Canada
Jocelyn A Silvester, Celiac Research Program, Boston Children’s Hospital and Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02115, United States
Author contributions: Silvester JA and Kalkat H collected data; Silvester JA, Kalkat H, Graff LA, Walker JR, Singh H and Duerksen DR contributed to data analysis, editing of manuscript and approval of the final version as submitted; Silvester JA, Graff LA, Walker JR, Singh H and Duerksen DR conceived and designed the study.
Supported by Health Sciences Centre Medical Staff Council Resident Research Award.
Institutional review board statement: This study was reviewed and approved by the Research Ethics Board at the University of Manitoba.
Informed consent statement: All study participants were informed about the purpose of the study verbally and in writing. Submission of a completed survey constituted informed consent to participate in the study.
Conflict-of-interest statement: Harminder Singh has been a consultant to Pendopharm; the other authors have no conflicts of interest to declare.
Data sharing statement: No other data available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Donald R Duerksen, MD, FRCPC, Associate Professor of Medicine, Faculty of Health Sciences, College of Medicine, University of Manitoba, St Boniface Hospital, C5120 - 409 Tache Avenue, Winnipeg, MB R2H 2A6, Canada. dduerkse@sbgh.mb.ca
Telephone: +1-204-2372796 Fax: +1-2042337154
Received: March 29, 2016
Peer-review started: April 4, 2016
First decision: May 23, 2016
Revised: July 7, 2016
Accepted: July 20, 2016
Article in press: July 22, 2016
Published online: November 16, 2016
Core Tip

Core tip: Direct access colonoscopy pathways are increasingly common, yet there has been relatively little scrutiny of how this practice impacts patients. This study examines the relationships among endoscopy pathway (direct vs traditional consult first), colonoscopy indication (cancer screening vs symptom investigation), information seeking behavior and pre-procedure anxiety. Patients undergoing their first colonoscopy completed questionnaires immediately prior to the procedure, before receiving sedation. The finding that direct-to-colonoscopy did not impact patient pre-procedure anxiety is reassuring. Analysis of information seeking behaviors underscores the crucial role of the family physician for referred patients who follow a direct-to-endoscopy pathway.