Patient preferences of a resect and discard paradigm

A systematic review of questionnaires about patient’s values and preferences in clinical practice guidelines

“…Six (30%) of these studies were related to cancer diseases, 30 , 33 , 37 , 43 , 46 , 47 and 15 (75%) were conducted in the outpatient department. Furthermore, nine (45%) studies did not report the study design, 30 , 34 , 38 , 40 , 41 , 43 , 44 , 46 12 (60%) studies provided training to the study participants, 32 – 38 , 40 , 41 , 45 , 47 , 49 while four (20%) studies did not report information about patient training. 42 – 44 , 48 In addition, only five (25%) studies provided the method used to calculate the sample size 35 – 39 , 39 – 42 , 42 – 47 and only six (30%) studies investigated patient’s family members.…”

What Is the Hang-Up With Optical Diagnosis of Diminutive Colorectal Polyps?

“…By contrast, at another US center, two thirds of patients were willing to pay out of pocket for histology of their diminutive polyps. 27…”

Patient acceptance of the optical diagnosis and misdiagnosis of diminutive colorectal polyps

“…Although one survey reported that 66.3% would accept this paradigm, [9] another reported that at least 67.2% would pay $US150 of their own money per polyp for the histological assessment of a diminutive lesion. [10] Implicit in the rejection of "resect and discard" was the fear of unrecognized cancer being discarded and curative surgery not offered, leading to poor outcomes that may have been preventable.…”

“…[9,10] Face-to-face meetings of all authors refined the questions through consensus. A reading level of sixth grade was targeted, and cultural appropriateness and English language proficiency used in survey construction.…”