This study was presented in part at Digestive Disease Week 2008, San Diego, California.
Article first published online: 16 SEP 2011
Copyright © 2011 Crohn's & Colitis Foundation of America, Inc.
Inflammatory Bowel Diseases
Volume 18, Issue 8, pages 1531–1539, August 2012
How to Cite
Friedman, S., Cheifetz, A. S., Farraye, F. A., Banks, P. A., Makrauer, F. L., Burakoff, R., Farmer, B., Torgersen, L. N. and Wahl, K. E. (2012), Doctor message can alter patients' behavior and attitudes regarding inflammatory bowel disease and colon cancer. Inflamm Bowel Dis, 18: 1531–1539. doi: 10.1002/ibd.21861
This study was funded by an unrestricted grant from Procter and Gamble.
- Issue published online: 16 JUL 2012
- Article first published online: 16 SEP 2011
- Manuscript Accepted: 21 JUL 2011
- Manuscript Received: 14 JUL 2011
- Crohn's disease;
- ulcerative colitis;
- doctor message
Patients with extensive ulcerative (UC) or Crohn's (CD) colitis have an increased risk of colon cancer and require colonoscopic surveillance. This study explores patient attitudes and behavior regarding inflammatory bowel disease (IBD), colonoscopies, and colon cancer risk.
In all, 514 patients with UC or CD colitis for at least 7 years and at least one-third of the colon involved participated in this cross-sectional questionnaire study performed at three tertiary referral IBD clinics.
In all, 288 patients were female, 262 had UC, and 252 had CD. The mean age was 48 (range, 20–88) and mean number of years with symptoms was 20 (range, 7–51); 70.8% reported “my doctor” as an extensive information source. The mean perceived lifetime risk of developing colon cancer without having routine colonoscopies was 56% (SD 24.193). We developed and validated a scale of 10 important messages that IBD patients remember doctors discussing with them (“Doctor Told Scale”). Higher scores correlated with better quality of life (P < 0.001) and positive descriptors of colonoscopies and IBD (P < 0.001). Patients with higher scores perceived a higher chance of getting colon cancer without having surveillance colonoscopies (P < 0.001) and were more likely to report that the correct surveillance interval is every 2 years (P < 0.01).
Patients who remember their doctor's messages are more likely to have a positive outlook about colonoscopies and IBD, have a better quality of life, undergo surveillance colonoscopies at the correct interval, and perceive cancer risk more realistically. (Inflamm Bowel Dis 2012)