Patients' experiences and reported barriers to colonoscopy in the screening context-A systematic review of the literature

Abstract

Objective: A systematic review of the literature was conducted to characterise patients' own experience of colonoscopy in the screening context. Methods: A search strategy was applied in MEDLINE, EMBASE and PSYCHinfo (1996-2009). Thematic analysis and narrative summary techniques were used. Results: Fifty-six studies met eligibility criteria and were included in the analysis. Seven studies examined patients' views after having colonoscopy. Forty-seven studies addressed patient-reported barriers to an anticipated primary colonoscopy. Most patients perceived the laxative bowel preparation to be the most burdensome part of colonoscopy. Other reported difficulties included anxiety, anticipation ..