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Screening colonoscopy rates are not increased when women are offered a female endoscopist
Date:11/11/2010

sage that read, "If you prefer for a WOMAN doctor to perform your colonoscopy, be sure to let us know!" along with a cartoon graphic of a woman doctor reading a clipboard.

For patients wishing to proceed with colonoscopy, a medical assistant recorded whether the patient had any "preferences about the procedure in terms of date, time, and doctor performing it." At the time of reviewing recommendations for and the availability of screening colonoscopy, the medical assistants verbally offered the option of a female endoscopist only to patients assigned to the verbal invitation group; patients in the other group were required to initiate this request themselves, either after being prompted about procedure preferences or at any other time. Patients requesting a female endoscopist were scheduled accordingly; otherwise, patients were assigned to any available endoscopist. The study tracked colonoscopy completion for two months after colonoscopy scheduling (the average wait time was four to six weeks).

Results

The final analysis included 396 patients. Without differences based on the mode of invitation, 117 eligible women scheduled a screening colonoscopy and 72 underwent the procedure. After adjustment for baseline characteristics, patients who received a verbal plus written invitation were significantly more likely to request a female endoscopist than patients who received no invitation (44.2 percent vs 4.8 percent). The average waiting time for a screening colonoscopy did not differ between women who did and did not request a female endoscopist. In aggregate, patients who selected a female endoscopist were neither more nor less likely to undergo a colonoscopy than those who did not. Of those patients who received no offer of a female endoscopist (32.5 percent or 203 patients), 19.2 percent underwent a colonoscopy and for those patients who received a verbal offer of a female endoscopist (30.9 percent or 193 patients), 17.1 percent underwent a c
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Contact: Anne Brownsey
abrownsey@asge.org
630-570-5635
American Society for Gastrointestinal Endoscopy
Source:Eurekalert

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