Impact of colonoscopy on working productivity: a prospective multicenter observational study.

Cathartics Colonoscopy / methods Humans Odds Ratio Polyethylene Glycols Prospective Studies

Journal

Gastrointestinal endoscopy
ISSN: 1097-6779
Titre abrégé: Gastrointest Endosc
Pays: United States
ID NLM: 0010505

Informations de publication

Date de publication:
Mar 2022
Historique:
received: 26 04 2021
accepted: 12 11 2021
pubmed: 14 12 2021
medline: 9 3 2022
entrez: 13 12 2021
Statut: ppublish

Résumé

Patients undergoing colonoscopy are often in the workforce. Therefore, colonoscopy may affect patients' work productivity in terms of missed working days and/or reduced working efficiency. We aimed to investigate the impact of colonoscopy on work productivity and factors influencing this impact. We conducted a prospective, observational, multicenter study in 10 Italian hospitals between 2016 and 2017. We collected information on individual characteristics, work productivity, symptoms, and conditions before, during, and after the procedure from patients undergoing colonoscopy for several indications using validated tools. Outcomes were interference of preparation with work, absenteeism, and impaired work performance after the procedure. We fitted multivariate logistic regression models to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for potential predictors of the outcomes. Among 1137 subjects in the study, 30.5% reported at least 1 outcome. Impaired work performance was associated with bowel preparation regimen (full dose on the day of colonoscopy vs split dose: OR, 4.04; 95% CI, 1.43-11.5), symptoms during bowel preparation (high symptom score: OR, 3.21; 95% CI, 1.15-8.95), and pain during the procedure (OR, 2.47; 95% CI, 1.40-4.35). Increasing number of working hours and less comfortable jobs were associated with absenteeism (P for trend = .06) and impairment of working performance (P for trend = .01) and GI symptoms both before and after colonoscopy. Occupational and individual characteristics of patients should be considered when scheduling colonoscopy because this procedure may impair work productivity in up to one-third of patients. Split-dose bowel preparation, performing a painless colonoscopy, and preventing the occurrence of GI symptoms may minimize the impact of colonoscopy on work productivity.

Sections du résumé

BACKGROUND AND AIMS OBJECTIVE
Patients undergoing colonoscopy are often in the workforce. Therefore, colonoscopy may affect patients' work productivity in terms of missed working days and/or reduced working efficiency. We aimed to investigate the impact of colonoscopy on work productivity and factors influencing this impact.
METHODS METHODS
We conducted a prospective, observational, multicenter study in 10 Italian hospitals between 2016 and 2017. We collected information on individual characteristics, work productivity, symptoms, and conditions before, during, and after the procedure from patients undergoing colonoscopy for several indications using validated tools. Outcomes were interference of preparation with work, absenteeism, and impaired work performance after the procedure. We fitted multivariate logistic regression models to estimate odds ratios (ORs) and 95% confidence intervals (CIs) for potential predictors of the outcomes.
RESULTS RESULTS
Among 1137 subjects in the study, 30.5% reported at least 1 outcome. Impaired work performance was associated with bowel preparation regimen (full dose on the day of colonoscopy vs split dose: OR, 4.04; 95% CI, 1.43-11.5), symptoms during bowel preparation (high symptom score: OR, 3.21; 95% CI, 1.15-8.95), and pain during the procedure (OR, 2.47; 95% CI, 1.40-4.35). Increasing number of working hours and less comfortable jobs were associated with absenteeism (P for trend = .06) and impairment of working performance (P for trend = .01) and GI symptoms both before and after colonoscopy.
CONCLUSIONS CONCLUSIONS
Occupational and individual characteristics of patients should be considered when scheduling colonoscopy because this procedure may impair work productivity in up to one-third of patients. Split-dose bowel preparation, performing a painless colonoscopy, and preventing the occurrence of GI symptoms may minimize the impact of colonoscopy on work productivity.

Identifiants

DOI: 10.1016/j.gie.2021.11.039 PMID: 34896099
pubmed: 34896099
pii: S0016-5107(21)01868-X
doi: 10.1016/j.gie.2021.11.039
pii:
doi:

Substances chimiques

Cathartics 0
Polyethylene Glycols 3WJQ0SDW1A

Types de publication

Journal Article Multicenter Study Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

550-561.e8

Commentaires et corrections

Type : ErratumIn

Informations de copyright

Copyright © 2022. Published by Elsevier Inc.

Auteurs

Lorenzo Fuccio (L)

IRCCS Azienda Ospedaliero-Universitaria di Bologna, Department of Medical and Surgical Sciences; Gastroenterology Unit, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.

Giulia Collatuzzo (G)

Gastroenterology Unit, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.

Leonardo Frazzoni (L)

IRCCS Azienda Ospedaliero-Universitaria di Bologna, Department of Medical and Surgical Sciences; Gastroenterology Unit, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.

Sergio Cadoni (S)

Digestive Endoscopy Unit, Centro Traumatologico-Ortopedico Hospital, Iglesias, Italy.

Andrea Anderloni (A)

Digestive Endoscopy Unit, Division of Gastroenterology, Humanitas Clinical and Research Center, Milan, Italy.

Liboria Laterza (L)

IRCCS Azienda Ospedaliero-Universitaria di Bologna, Department of Medical and Surgical Sciences; Gastroenterology Unit, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy; Endoscopy Service, AUSL Reggio Emilia, Reggio Emilia, Italy.

Francesca Rogai (F)

IBD Unit, Gastroenterology Department, Careggi Hospital, University of Florence, Florence, Italy.

Vanessa Sambati (V)

Gastroenterology Unit, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.

Cristina Trovato (C)

Division of Endoscopy, Istituto di Ricovero e Cura a Carattere Scientifico, European Institute of Oncology, Milan, Italy.

Clara Benedetta Conti (CB)

Interventional Endoscopy Unit, ASST Monza, Monza, Italy; Gastroenterology Unit, Valduce Hospital, Como, Italy.

Cecilia Binda (C)

Unit of Gastroenterology and Digestive Endoscopy, Forli-Cesena Hospital, AUSL Romagna, Forli-Cesena, Italy.

Giovanna Vitale (G)

Gastroenterology Unit, Azienda Ospedaliera Regionale "S. Carlo," Potenza, Italy.

Amedeo Montale (A)

IRCCS Azienda Ospedaliero-Universitaria di Bologna, Department of Medical and Surgical Sciences.

Paola Soriani (P)

UOSD Gastroenterologia ed Endoscopia Digestiva, Azienda USL di Modena, Modena, Italy.

Alessandro Musso (A)

Gastroenterology Unit, Città della Salute e della Scienza, Turin, Italy.

Alessandro Mussetto (A)

Gastroenterology Unit, S. Maria delle Croci Hospital, Ravenna, Italy.

Marina La Marca (M)

IRCCS Azienda Ospedaliero-Universitaria di Bologna, Department of Medical and Surgical Sciences.

Paolo Gallittu (P)

Digestive Endoscopy Unit, Centro Traumatologico-Ortopedico Hospital, Iglesias, Italy.

Francesco Marinelli (F)

Gastroenterology Unit, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.

Donatella Mura (D)

Digestive Endoscopy Unit, Centro Traumatologico-Ortopedico Hospital, Iglesias, Italy.

Carlo Fabbri (C)

Unit of Gastroenterology and Digestive Endoscopy, Forli-Cesena Hospital, AUSL Romagna, Forli-Cesena, Italy.

Mauro Manno (M)

UOSD Gastroenterologia ed Endoscopia Digestiva, Azienda USL di Modena, Modena, Italy.

Rocco Maurizio Zagari (RM)

IRCCS Azienda Ospedaliero-Universitaria di Bologna, Department of Medical and Surgical Sciences.

Franco Radaelli (F)

Gastroenterology Unit, Valduce Hospital, Como, Italy.

Cesare Hassan (C)

Endoscopy Unit, Nuovo Regina Margherita Hospital, Rome, Italy.

Alessandro Repici (A)

Digestive Endoscopy Unit, Division of Gastroenterology, Humanitas Clinical and Research Center, Milan, Italy.

Steven Itzkowitz (S)

Division of Gastroenterology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Andrea Farioli (A)

Gastroenterology Unit, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.

Paolo Boffetta (P)

Gastroenterology Unit, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy; Stony Brook Cancer Center, Stony Brook University, Stony Brook, New York, USA.

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Classifications MeSH

questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Agents gastro-intestinaux › Cathartiques › Impact of colonoscopy on working productivity:...
questionsmedicales.fr › Procédures de chirurgie opératoire › Interventions chirurgicales mini-invasives › Endoscopie › Endoscopie digestive › Endoscopie gastrointestinale › Coloscopie › Impact of colonoscopy on working productivity:...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Impact of colonoscopy on working productivity:...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Probabilité › Odds ratio › Impact of colonoscopy on working productivity:...
questionsmedicales.fr › Technologie, industrie et agriculture › Produits manufacturés › Matériaux biomédicaux et dentaires › Polymères › Polyéthylène glycols › Impact of colonoscopy on working productivity:...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études prospectives › Impact of colonoscopy on working productivity:...