To assess patient preferences for colorectal cancer screening with stool-based tests after initial colonoscopy with suboptimal bowel preparation.
An online scenario-based survey of adults aged 45 to 75 years at average risk for colorectal cancer was performed.
When presented with a hypothetical scenario of screening colonoscopy with suboptimal bowel preparation, 59% of respondents chose stool-based testing as a next step, 29% preferred a repeat colonoscopy within a year, and 12% preferred a repeat colonoscopy in 10 years (N = 1,080).
Clinicians should consider offering stool-based screening tests as an alternative to repeat colonoscopy after suboptimal bowel preparation.
1Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA;
2Veterans Affairs Medical Center, Ann Arbor, Michigan, USA;
3Center for Bioethics and Social Sciences in Medicine, University of Michigan, Ann Arbor, Michigan, USA;
4Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA;
5Veterans Affairs Center for Clinical Management Research, Ann Arbor, Michigan, USA.
Correspondence: Kevin D. Platt, MD. E-mail: email@example.com.
Received February 23, 2019
Accepted July 10, 2019
Online date: August 20, 2019