Background
Resect and discard is a new paradigm for management of diminutive polyps. It is unknown
whether patients will embrace this new paradigm in which small polyps would not be
sent for histopathologic review.
Objective
To determine whether patients would be willing to pay for pathology costs with their
own money and which factors influence patients’ decisions to pay or not pay for pathology
costs with their own money.
Design
Single-center, prospective, survey study.
Setting
Hospital outpatient endoscopy center.
Patients
Adults undergoing colonoscopy for screening or routine polyp surveillance.
Interventions
Patient survey.
Main Outcome Measurements
Willingness to pay out-of-pocket for pathology costs when a diminutive polyp is found
and factors that influence patients’ decisions to pay or not pay for pathology costs
with their own money.
Results
A total of 500 participants completed the survey. A total of 360 respondents (71.9%)
indicated a hypothetical willingness to pay out-of-pocket for histopathologic polyp
analysis if this interpretation was not covered by insurance. Patient factors significantly
associated with willingness to pay for polyp analysis included higher income and education
and female sex.
Limitations
Single center, hypothetical situation.
Conclusion
Over two-thirds of patients were willing to pay to have their diminutive polyp sent
for pathologic evaluation if their insurance carrier would not pay the cost. Factors
associated with willingness to pay included higher income, higher education, and female
sex. Patients who were unwilling to pay raised concerns about cost and are less concerned
about cancer risk compared with those willing to pay. (Clinical trial registration
number: NCT02305251.)
Abbreviation:
CRC (colorectal cancer)To read this article in full you will need to make a payment
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References
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Article info
Publication history
Published online: April 22, 2015
Accepted:
January 15,
2015
Received:
December 12,
2014
Footnotes
DISCLOSURE: All authors disclosed no financial relationships relevant to this article.
If you would like to chat with an author of this article, you may contact Dr Early at [email protected]
Identification
Copyright
© 2015 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.
