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Journal article
Comparison of Patient Preferences for Fecal Immunochemical Test or Colonoscopy Using the Analytic Hierarchy Process.
BMC Health Services Research, Vol.15(1), pp.175-175
04/23/2015
DOI: 10.1186/s12913-015-0841-0
PMCID: PMC4411789
PMID: 25902770
Abstract
<p>BACKGROUND: In average-risk individuals aged 50 to 75 years, there is no difference in life-years gained when comparing colonoscopy every 10 years vs. annual fecal immunochemical testing (FIT) for colorectal cancer screening. Little is known about the preferences of patients when they have experienced both tests.</p>
<p>METHODS: The study was conducted with 954 patients from the University of Iowa Hospital and Clinics during 2010 to 2011. Patients scheduled for a colonoscopy were asked to complete a FIT before the colonoscopy preparation. Following both tests, patients completed a questionnaire which was based on an analytic hierarchy process (AHP) decision-making model.</p>
<p>RESULTS: In the AHP analysis, the test accuracy was given the highest priority (0.457), followed by complications (0.321), and test preparation (0.223). Patients preferred colonoscopy (0.599) compared with FIT (0.401) when considering accuracy; preferred FIT (0.589) compared with colonoscopy (0.411) when considering avoiding complications; and preferred FIT (0.650) compared with colonoscopy (0.350) when considering test preparation. The overall aggregated priorities were 0.517 for FIT, and 0.483 for colonoscopy, indicating patients slightly preferred FIT over colonoscopy. Patients' preferences were significantly different before and after provision of detailed information on test features (p < 0.0001).</p>
<p>CONCLUSIONS: AHP analysis showed that patients slightly preferred FIT over colonoscopy. The information provided to patients strongly affected patient preference. Patients' test preferences should be considered when ordering a colorectal cancer screening test.</p>
Details
- Title: Subtitle
- Comparison of Patient Preferences for Fecal Immunochemical Test or Colonoscopy Using the Analytic Hierarchy Process.
- Creators
- Yinghui Xu - University of IowaBarcey T Levy - University of IowaJeanette M Daly - University of IowaGeorge R Bergus - University of IowaJeffrey C Dunkelberg - University of Iowa
- Resource Type
- Journal article
- Publication Details
- BMC Health Services Research, Vol.15(1), pp.175-175
- Publisher
- BioMed Central
- DOI
- 10.1186/s12913-015-0841-0
- PMID
- 25902770
- PMCID
- PMC4411789
- ISSN
- 1472-6963
- Number of pages
- 9
- Copyright
- © 2015 Xu et al.; licensee BioMed Central.
- Grant note
- Funder: National Cancer Institute, Grant ID: 1 RC 1 CA144907-01
- Comment
Financial support for this study was provided by the National Cancer Institute – 1 RC 1 CA144907-01 (Principal Investigator, Barcey T. Levy). The funding agreement ensured the authors’ independence in designing the study, interpreting the data, writing, and publishing the report.
- Language
- English
- Date published
- 04/23/2015
- Academic Unit
- Physician Assistant Studies; Internal Medicine; Family Medicine; Epidemiology; Psychiatry
- Record Identifier
- 9983557345102771
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