Missed Work Related to Mid-Week Screening Colonoscopy

Background Most screening colonoscopies require patients to miss work on the day of the procedure. Little is known about whether patients are taking additional time off from work, and the reasons for doing so. Aims The purpose of this study was to assess the patterns and reasons for missed work rela...

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Veröffentlicht in:Digestive diseases and sciences 2011-07, Vol.56 (7), p.2114-2119
Hauptverfasser: Dong, Mamie H., Kalmaz, Denise, Savides, Thomas J.
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container_issue 7
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container_title Digestive diseases and sciences
container_volume 56
creator Dong, Mamie H.
Kalmaz, Denise
Savides, Thomas J.
description Background Most screening colonoscopies require patients to miss work on the day of the procedure. Little is known about whether patients are taking additional time off from work, and the reasons for doing so. Aims The purpose of this study was to assess the patterns and reasons for missed work related to screening colonoscopies. Methods All outpatient screening colonoscopy procedures performed at an academic medical center over 6 months were reviewed. Exclusions included procedures performed for other indications, patients age 65 or older, procedures performed on Monday or Friday, and patients who were not working. Patients were interviewed by telephone regarding missed work time and the reasons for doing so. Results Sixty-eight patients met all inclusion criteria. Thirty-four percent missed work on more than the day of the procedure. Thirty-two percent took the day prior off, 10% took the day after off, and 9% took both days off. The reason for taking the day before the procedure off was uniformly anticipation of the bowel preparation. Of those who took the day after off, 57% did so as a precautionary measure after moderate sedation, while 43% had symptoms. Conclusions One third of working patients who undergo mid-week screening colonoscopies miss work on additional days to the procedure day. Unanticipated time missed from work could increase the indirect costs of screening colonoscopy.
doi_str_mv 10.1007/s10620-010-1545-2
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Little is known about whether patients are taking additional time off from work, and the reasons for doing so. Aims The purpose of this study was to assess the patterns and reasons for missed work related to screening colonoscopies. Methods All outpatient screening colonoscopy procedures performed at an academic medical center over 6 months were reviewed. Exclusions included procedures performed for other indications, patients age 65 or older, procedures performed on Monday or Friday, and patients who were not working. Patients were interviewed by telephone regarding missed work time and the reasons for doing so. Results Sixty-eight patients met all inclusion criteria. Thirty-four percent missed work on more than the day of the procedure. Thirty-two percent took the day prior off, 10% took the day after off, and 9% took both days off. The reason for taking the day before the procedure off was uniformly anticipation of the bowel preparation. Of those who took the day after off, 57% did so as a precautionary measure after moderate sedation, while 43% had symptoms. Conclusions One third of working patients who undergo mid-week screening colonoscopies miss work on additional days to the procedure day. Unanticipated time missed from work could increase the indirect costs of screening colonoscopy.</description><identifier>ISSN: 0163-2116</identifier><identifier>EISSN: 1573-2568</identifier><identifier>DOI: 10.1007/s10620-010-1545-2</identifier><identifier>PMID: 21221788</identifier><identifier>CODEN: DDSCDJ</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Absenteeism ; Adult ; Anxiety - chemically induced ; Biochemistry ; Biological and medical sciences ; Colonoscopy ; Colonoscopy - economics ; Colonoscopy - psychology ; Digestive system. Abdomen ; Early Detection of Cancer - economics ; Early Detection of Cancer - psychology ; Endoscopy ; Feeding. Feeding behavior ; Female ; Fundamental and applied biological sciences. Psychology ; Gastroenterology ; Hepatology ; Humans ; Hypnotics and Sedatives - adverse effects ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Medical centers ; Medical colleges ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Oncology ; Original ; Original Article ; Retrospective Studies ; Transplant Surgery ; Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><ispartof>Digestive diseases and sciences, 2011-07, Vol.56 (7), p.2114-2119</ispartof><rights>The Author(s) 2011</rights><rights>2015 INIST-CNRS</rights><rights>COPYRIGHT 2011 Springer</rights><rights>Springer Science+Business Media, LLC 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c598t-dfcac229e4028207b80675827b6b3d3ca9be944d14a9138468067a6ea2fa7b423</citedby><cites>FETCH-LOGICAL-c598t-dfcac229e4028207b80675827b6b3d3ca9be944d14a9138468067a6ea2fa7b423</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10620-010-1545-2$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10620-010-1545-2$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,777,781,882,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=24306127$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21221788$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dong, Mamie H.</creatorcontrib><creatorcontrib>Kalmaz, Denise</creatorcontrib><creatorcontrib>Savides, Thomas J.</creatorcontrib><title>Missed Work Related to Mid-Week Screening Colonoscopy</title><title>Digestive diseases and sciences</title><addtitle>Dig Dis Sci</addtitle><addtitle>Dig Dis Sci</addtitle><description>Background Most screening colonoscopies require patients to miss work on the day of the procedure. Little is known about whether patients are taking additional time off from work, and the reasons for doing so. Aims The purpose of this study was to assess the patterns and reasons for missed work related to screening colonoscopies. Methods All outpatient screening colonoscopy procedures performed at an academic medical center over 6 months were reviewed. Exclusions included procedures performed for other indications, patients age 65 or older, procedures performed on Monday or Friday, and patients who were not working. Patients were interviewed by telephone regarding missed work time and the reasons for doing so. Results Sixty-eight patients met all inclusion criteria. Thirty-four percent missed work on more than the day of the procedure. Thirty-two percent took the day prior off, 10% took the day after off, and 9% took both days off. The reason for taking the day before the procedure off was uniformly anticipation of the bowel preparation. Of those who took the day after off, 57% did so as a precautionary measure after moderate sedation, while 43% had symptoms. Conclusions One third of working patients who undergo mid-week screening colonoscopies miss work on additional days to the procedure day. Unanticipated time missed from work could increase the indirect costs of screening colonoscopy.</description><subject>Absenteeism</subject><subject>Adult</subject><subject>Anxiety - chemically induced</subject><subject>Biochemistry</subject><subject>Biological and medical sciences</subject><subject>Colonoscopy</subject><subject>Colonoscopy - economics</subject><subject>Colonoscopy - psychology</subject><subject>Digestive system. Abdomen</subject><subject>Early Detection of Cancer - economics</subject><subject>Early Detection of Cancer - psychology</subject><subject>Endoscopy</subject><subject>Feeding. Feeding behavior</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. 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Abdomen</topic><topic>Early Detection of Cancer - economics</topic><topic>Early Detection of Cancer - psychology</topic><topic>Endoscopy</topic><topic>Feeding. Feeding behavior</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gastroenterology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Hypnotics and Sedatives - adverse effects</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Male</topic><topic>Medical centers</topic><topic>Medical colleges</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Oncology</topic><topic>Original</topic><topic>Original Article</topic><topic>Retrospective Studies</topic><topic>Transplant Surgery</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dong, Mamie H.</creatorcontrib><creatorcontrib>Kalmaz, Denise</creatorcontrib><creatorcontrib>Savides, Thomas J.</creatorcontrib><collection>SpringerOpen</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Health &amp; Medical Complete (ProQuest Database)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>ProQuest Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Digestive diseases and sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dong, Mamie H.</au><au>Kalmaz, Denise</au><au>Savides, Thomas J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Missed Work Related to Mid-Week Screening Colonoscopy</atitle><jtitle>Digestive diseases and sciences</jtitle><stitle>Dig Dis Sci</stitle><addtitle>Dig Dis Sci</addtitle><date>2011-07-01</date><risdate>2011</risdate><volume>56</volume><issue>7</issue><spage>2114</spage><epage>2119</epage><pages>2114-2119</pages><issn>0163-2116</issn><eissn>1573-2568</eissn><coden>DDSCDJ</coden><abstract>Background Most screening colonoscopies require patients to miss work on the day of the procedure. Little is known about whether patients are taking additional time off from work, and the reasons for doing so. Aims The purpose of this study was to assess the patterns and reasons for missed work related to screening colonoscopies. Methods All outpatient screening colonoscopy procedures performed at an academic medical center over 6 months were reviewed. Exclusions included procedures performed for other indications, patients age 65 or older, procedures performed on Monday or Friday, and patients who were not working. Patients were interviewed by telephone regarding missed work time and the reasons for doing so. Results Sixty-eight patients met all inclusion criteria. Thirty-four percent missed work on more than the day of the procedure. Thirty-two percent took the day prior off, 10% took the day after off, and 9% took both days off. The reason for taking the day before the procedure off was uniformly anticipation of the bowel preparation. Of those who took the day after off, 57% did so as a precautionary measure after moderate sedation, while 43% had symptoms. Conclusions One third of working patients who undergo mid-week screening colonoscopies miss work on additional days to the procedure day. Unanticipated time missed from work could increase the indirect costs of screening colonoscopy.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>21221788</pmid><doi>10.1007/s10620-010-1545-2</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Absenteeism
Adult
Anxiety - chemically induced
Biochemistry
Biological and medical sciences
Colonoscopy
Colonoscopy - economics
Colonoscopy - psychology
Digestive system. Abdomen
Early Detection of Cancer - economics
Early Detection of Cancer - psychology
Endoscopy
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Gastroenterology
Hepatology
Humans
Hypnotics and Sedatives - adverse effects
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical centers
Medical colleges
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Oncology
Original
Original Article
Retrospective Studies
Transplant Surgery
Vertebrates: anatomy and physiology, studies on body, several organs or systems
title Missed Work Related to Mid-Week Screening Colonoscopy
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