Background and Aims
Resect and discard is a new paradigm for management of diminutive colon polyps. Little is
known regarding whether patients would accept resect and discard. We surveyed colonoscopy
patients and their drivers regarding acceptance of resect and discard.
Methods
This was a cross-sectional survey of colonoscopy outpatients and their drivers at
two outpatient academic endoscopy centers.
Results
Four hundred fifteen colonoscopy patients and 293 drivers completed the survey (93.5%
of all invited participants). Results for the two groups were similar. Overall, 66.3%
indicated they would accept resect and discard. Participants who were younger, white,
and seen at the ambulatory surgery center (vs the hospital outpatient department)
were more likely to accept. Those declining resect and discard were more likely to
be willing to pay some amount out-of-pocket to have diminutive polyps checked by pathology
(97.1% vs 44.5%). Of those unwilling to accept resect and discard, 49.8% would require
a zero chance of cancer in diminutive polyps before accepting resect and discard.
Conclusions
Patient acceptance of resect and discard appears promising but is quite variable.
Eliciting individual patient acceptance of resect and discard will be important during
initial implementation into clinical practice.
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Article info
Publication history
Published online: June 09, 2015
Accepted:
April 15,
2015
Received:
February 17,
2015
Footnotes
DISCLOSURE: This work was funded by gifts from Scott and Kay Schurz of Bloomington, Indiana and Daniel and Joan Fitzgibbon of Indianapolis, Indiana to the Indiana University Foundation and for the support of research by Dr Rex. D. Rex received research support and consulting fees from Olympus. All other authors disclosed no financial relationships relevant to this article.
See CME section; p. 389.
Identification
Copyright
© 2015 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.
