| Options for screening colonoscopy without sedation: a pilot study in United States veterans. | |
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MedLine Citation:
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PMID: 17661766 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The direct and indirect costs of sedation limit access to screening colonoscopy amongst United States veterans. AIM: To determine if offering the option of sedation on-demand reduces the need for sedation. Design A retrospective review of prospectively collected performance improvement data in an open access screening colonoscopy programme. SETTING: Performance improvement programme to minimize the burden of sedation at a single VA Medical Center. Subjects 44 consecutive veterans who accepted the option of sedation on-demand. They could choose to have premedications before the start of colonoscopy, or to begin colonoscopy without premedications and receive the medications upon their request during the examination. METHOD: Two experienced endoscopists assisted by experienced nurse assistants performed all of the examinations. Insertion of the colonoscope was aided by infusion of warm water through the colonoscope without air insufflation. Medications were administered at the veterans' request. RESULTS: Offering the option of sedation on-demand to 44 consecutive veterans permitted 52% (N = 23) of the veterans to complete screening colonoscopy without any sedation. CONCLUSIONS: This novel approach of sedation on-demand and water infusion for screening colonoscopy deserves to be further evaluated in a randomized-controlled study amongst patients undergoing colorectal cancer screening. |
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Authors:
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J W Leung; S Mann; F W Leung |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Review |
Journal Detail:
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Title: Alimentary pharmacology & therapeutics Volume: 26 ISSN: 0269-2813 ISO Abbreviation: Aliment. Pharmacol. Ther. Publication Date: 2007 Aug |
Date Detail:
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Created Date: 2007-07-30 Completed Date: 2007-11-19 Revised Date: 2008-04-30 |
Medline Journal Info:
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Nlm Unique ID: 8707234 Medline TA: Aliment Pharmacol Ther Country: England |
Other Details:
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Languages: eng Pagination: 627-31 Citation Subset: IM |
Affiliation:
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Section of Gastroenterology, Sacramento VA Medical Center, Veteran Affairs Northern California Health Care System, 10535 Hospital Way, Mather, CA 95655, USA. jwleung@ucdavis.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Colonic Diseases / diagnosis* Colonoscopy / methods* Colorectal Neoplasms / diagnosis* Conscious Sedation / methods* Humans Mass Screening* Middle Aged Pain Measurement Patient Acceptance of Health Care Pilot Projects Prospective Studies Retrospective Studies United States Veterans |
| Comments/Corrections | |
Comment In:
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Aliment Pharmacol Ther. 2008 Jan 15;27(2):207-8; author reply 208-9
[PMID:
17956595
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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