Evaluation of the safety, efficacy and feasibility of ‘at-home’ capsule endoscopy

IF 2.4 Q3 GASTROENTEROLOGY & HEPATOLOGY
Ioanna Parisi, Angelica Vania Hosea, Sandro Stoffel, Martin Nemec, Sohail Badat, Edward Seward, Aradhna Kaushal, Robert Kerrison, Christian Von Wagner
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引用次数: 0

Abstract

Objective The role of small bowel capsule endoscopy (SBCE) in diagnosing gastrointestinal diseases has long been established. Recently, colon CE (CCE) has been suggested as an alternative to colonoscopy. CE has been traditionally conducted at endoscopy units. However, during the COVID-19 pandemic, a switch was made to ‘at-home CE’ (ACE) which has continued to date. This study is an evaluation of ACE, focusing on safety, efficacy, feasibility and patient perceptions. Methods The study evaluated the performance of ACE in 105 consecutive patients, considering procedure outcomes, completion rates, complications and patient satisfaction. Self-report questionnaires were used to assess perceptions and preferences of 84 ACE patients and 43 in-hospital CE patients. ACE procedure involved preassessment calls, bowel preparation, equipment setup, virtual verbal consent, capsule ingestion, booster alerts and equipment collection. Descriptive statistics and tests of independence were used for data analysis. Results All 105 ACE patients were able to have CE at home, with completion rates for SBCE, CCE and panenteric (Crohn’s) CE at 98.3%, 75.9% and 55.6%, respectively. Patients reported low levels of pain (94.1%), embarrassment (98.8%) and anxiety (82.1%). ACE saved time and money, as 42.9% of patients were able to avoid work absence and 52.4% avoided transportation costs. ACE patients reported high satisfaction with the overall procedure (mean=8.5, SD=1.9), and 83.3% would prefer CE again at home. Conclusion This study demonstrates that at-home CEs are clinically effective and well received by patients, providing the opportunity to conduct the test in the comfort of patients’ homes. No data are available. Request for additional information about the data should be made to corresponding author.
评估 "在家 "胶囊内窥镜检查的安全性、有效性和可行性
目的 小肠胶囊内镜(SBCE)在诊断胃肠道疾病方面的作用早已确立。最近,有人建议将结肠镜检查(CCE)作为结肠镜检查的替代方法。结肠镜检查传统上在内镜室进行。然而,在 COVID-19 大流行期间,人们开始改用 "居家大肠癌检查"(ACE),并一直沿用至今。本研究对 ACE 进行了评估,重点关注其安全性、有效性、可行性和患者感受。方法 该研究评估了连续 105 名患者的 ACE 表现,考虑了手术结果、完成率、并发症和患者满意度。使用自我报告问卷评估了 84 名 ACE 患者和 43 名院内 CE 患者的感知和偏好。ACE 程序包括预评估呼叫、肠道准备、设备设置、虚拟口头同意、胶囊摄入、增强警报和设备收集。数据分析采用了描述性统计和独立性检验。结果 所有 105 名 ACE 患者都能在家中进行肠道造影,SBCE、CCE 和泛肠道(克罗恩病)造影的完成率分别为 98.3%、75.9% 和 55.6%。患者报告的疼痛程度(94.1%)、尴尬程度(98.8%)和焦虑程度(82.1%)均较低。ACE 节省了时间和金钱,42.9% 的患者避免了缺勤,52.4% 的患者避免了交通费用。ACE患者对整个治疗过程的满意度很高(平均值=8.5,标准差=1.9),83.3%的患者愿意在家中再次进行CE治疗。结论 本研究表明,在家进行心电图检查在临床上是有效的,并且深受患者欢迎,因为患者有机会在舒适的家中进行检查。暂无数据。如需有关数据的更多信息,请联系通讯作者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Frontline Gastroenterology
Frontline Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
4.70
自引率
11.50%
发文量
93
期刊介绍: Frontline Gastroenterology publishes articles that accelerate adoption of innovative and best practice in the fields of gastroenterology and hepatology. Frontline Gastroenterology is especially interested in articles on multidisciplinary research and care, focusing on both retrospective assessments of novel models of care as well as putative future directions of best practice. Specifically Frontline Gastroenterology publishes articles in the domains of clinical quality, patient experience, service provision and medical education.
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