Racial minorities are less likely than whites to undergo colorectal cancer screening.
Computed tomography (CT) colonography is a less invasive alternative to optical colonoscopy.
However, it is not known whether computed tomography colonography will increase acceptance of colorectal cancer screening in minorities.
Dr Edmund Bini and colleagues from New York, USA assessed patients who underwent computed tomography colonography followed by same-day optical colonoscopy.
|Racial minorities were less satisfied with computed tomography colonography|
|Clinical Gastroenterolgy and Hepatology|
After the sedation from the optical colonoscopy had worn off, a questionnaire was administered to assess pain, discomfort, bloating, embarrassment, anxiety, and patient satisfaction using a 10-point scale.
The researchers reported that of the 272 patients enrolled, there were 134 whites, 71 blacks, 53 Hispanics, and 14 who self-identified their race as other.
The team found that the proportion of subjects who preferred computed tomography colonography over optical colonoscopy was not significantly different.
Racial minorities were significantly less likely than whites to prefer computed tomography colonography over optical colonoscopy.
The research team observed that 66% of whites, 45% of blacks, 36% of Hispanics, and 36% of other groups preferred computed tomography colonography.
Racial minorities were less satisfied with computed tomography colonography.
The team noted that racial minorities were significantly less willing to undergo computed tomography colonography again in the future.
Dr Bini's team concluded, "Compared with white patients, optical colonoscopy is better tolerated and is preferred over computed tomography colonography for evaluation of the colon among racial/ethnic minorities."
"Although computed tomography colonography is less invasive than optical colonoscopy, our findings suggest that computed tomography colonography is unlikely to overcome racial/ethnic disparities in colorectal cancer screening."