What determines the pre-procedure anxiety level of patients attending outpatient endoscopy? - A prospective survey

R. K. Hsu, K. Kyo, J. Inciardi, Joseph Leung

Research output: Contribution to journalArticlepeer-review


Introduction: Despite clear explanation and instruction, many patients receiving outpatient endoscopy are apprehensive about the procedures. This study examines the factors that may affect the patients' pre procedure anxiety level. Methods: Over a 3 months period, consecutive patients attending the GI Endoscopy Unit at the UC Davis Medical Center for outpatient endoscopy, were invited to participate in a survey before the endoscopy procedure. All the patients were evaluated in the clinic prior to being scheduled for the procedure. The procedures included EGD, colonoscopy, flexible sigmoidoscopy, ERCP. Specific questions were asked regarding their anxiety level (using a Likert scale), type of procedure, prior endoscopy experience, time lapse between clinic visit and endoscopy appointment. Anxiety level was categorized into 3 grades (mild: 0-3, moderate: 4-6 and severe 7-10). Results: A total of 283 patients participated in the study. M:F ratio was 1:1.2, with an average age of 54.2 and 54.9 respectively. Mann Whitney, Kruskal-Wallis and Ordinal logistic regression model were used in the analysis. P age ns gender 0.001 Type of procedure ns repeat procedure ns time lapse between clinic and procedure ns Females had a significantly higher pre-procedural anxiety level compared to males. The odds ratio was 3.01 (95% CI:1.9-4.8 adjusted for age and type of procedure). The age distribution for the 3 grades of anxiety level was similar for both genders. Conclusions: (1) Female patients, irrespective of age, were more anxious than males before endoscopic procedures. (2) The type of procedure, previous endoscopy experience, the time lapse between clinic visit and the procedure, were not related to the anxiety level.

Original languageEnglish (US)
JournalGastrointestinal Endoscopy
Issue number4
StatePublished - 1998

ASJC Scopus subject areas

  • Gastroenterology


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