ArticleiGIE : innovation, investigation and insights2023
The impact of post-traumatic stress disorder on screening and surveillance colonoscopy.
Article in iGIE : innovation, investigation and insights, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- "It's a tool, it's got hardships": a qualitative study of patient experience of colonoscopy and implications for trauma-informed care.Therapeutic advances in gastroenterology · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and Aims: Despite the widespread prevalence of post-traumatic stress disorder (PTSD), there are few data on its effects on utilization of colonoscopy, an invasive procedure involving heightened vulnerability. The aim of this study was to describe factors, including PTSD, associated with screening and surveillance colonoscopy utilization. Methods: We designed a retrospective cohort study examining colonoscopy patterns from 2009 to 2019 among patients aged 50 to 74 years. Primary outcomes were factors associated with screening and surveillance colonoscopy, assessed with multivariable logistic regression. A stratified analysis of screening sedation modality was also performed. Results: A total of 65,062 patients were included, with PTSD reported among 267 (.41%). Most patients with a history of PTSD underwent screening colonoscopy (58.4%) compared with those without a history of PTSD (10.9%). The adjusted odds ratio (OR) for undergoing screening colonoscopy if patients had a history of PTSD was 3.15 (95% confidence interval [CI], 2.37-4.21). Similarly, the adjusted OR for undergoing surveillance colonoscopy if patients had a history of PTSD was 2.05 (95% CI, 1.46-2.85). When stratifying according to procedural sedation versus monitored anesthesia care (MAC), patients without PTSD were more likely to undergo surveillance if screening was with MAC (adjusted OR, 3.90; 95% CI, 2.77-5.45). However, this did not have a similarly positive effect among patients with PTSD (adjusted OR, 1.60; 95% CI, .40-5.41). Conclusions: This study validates known characteristics associated with colonoscopy utilization and identifies PTSD as an unexpectedly important protective factor in both screening and surveillance, which has not previously been reported. The lack of positive impact of MAC on surveillance colonoscopy in this population underscores the need for an individualized decision on anesthesia to shape best practices in endoscopic trauma-informed care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.