Document Detail

Endoscopic surveillance for Barrett's oesophagus: the patients' perspective.
MedLine Citation:
PMID:  19598328     Owner:  NLM     Status:  In-Process    
OBJECTIVE: Barrett's oesophagus (BO) is associated with the development of oesophageal adenocarcinoma and endoscopic surveillance is commonly practised. In view of the clinical, psychological and economic implications of BO, we have studied patients' attitudes towards surveillance, their levels of anxiety and quality of life. METHODS: Patients with BO undergoing endoscopic surveillance were asked to complete a questionnaire,including seven questions on their experience of surveillance, the Hospital Anxiety and Depression Scale,the Trust in Physician Scale (TIPS) and the Short Form-36 quality of life questionnaire. RESULTS: Of the 250 patients invited, 178 responded (71%).One hundred and fifty-one (60%) completed the questionnaire sufficiently for analysis [median age 66 (range 41-79) years, 101 male]. Twenty-nine percent of patients had received too little information concerning surveillance of BO and 22% no information at all. Information was deemed difficult to understand by 24%. Hospital Anxiety and Depression Scale anxiety score: 14%abnormal, 25% borderline. Quality of life was lower than the general population in seven of eight Short Form-36 parameters. Increasing TIPS score correlated with having received (r= 0.33, P <0.001) and understood (r = 0.2, P= 0.037) BO information, and negatively with the belief that endoscopic surveillance reduced oesophageal adenocarcinoma risk (r= - 0.19, P =0.025). Increasing TIPS score was associated with less anxiety (P= 0.015) and depression (P =0.001), and better quality of life. CONCLUSION: Patients undergoing endoscopic surveillance for BO suffer anxiety and have impaired quality of life. As trust in their physicians is correlated with receiving sufficient BO information, we surmise that ensuring BO patients understand their condition is likely to improve quality of life, anxiety and depression.
Sheldon C Cooper; Amul El-agib; Sadaf Dar; Imtiyaz Mohammed; Peter Nightingale; Iain A Murray; Brian T Cooper; Nigel J Trudgill
Related Documents :
16930378 - Time to rest: epidemiology and burden.
20190658 - The effects of conservative treatment for constipation on symptom severity and quality ...
16565618 - A brief behavioral sleep intervention for family caregivers of persons with cancer.
8664768 - A new short form individual quality of life measure (seiqol-dw): application in a cohor...
16648318 - Randomized, double-blind trial of olanzapine versus placebo in patients prodromally sym...
9684948 - St. john's wort in mild to moderate depression: the relevance of hyperforin for the cli...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of gastroenterology & hepatology     Volume:  21     ISSN:  1473-5687     ISO Abbreviation:  Eur J Gastroenterol Hepatol     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9000874     Medline TA:  Eur J Gastroenterol Hepatol     Country:  England    
Other Details:
Languages:  eng     Pagination:  850-4     Citation Subset:  IM    
Department of Gastroenterology, Sandwell General Hospital, West Bromwich, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  A blauth iiib hypoplastic thumb reconstructed with a vascularised metatarso-phalangeal joint transfe...
Next Document:  Colonic adenoma patients have higher incidence of hyperplastic polyps on surveillance colonoscopy.