Ho, Wendy Broughton, Darcy E Donelan, Karen Gazelle, G Scott Hur,
Chin K07CA107060/CA/NCI NIH HHS/ AJR Am J Roentgenol. 2010 Aug;195(2):393-7.
OBJECTIVE: The aim of this study was to evaluate patients' barriers
against colorectal cancer screening tests and to assess patients'
preferences and cost influences for CT colonography (CTC) in a nonadherent
urban subpopulation. SUBJECTS AND METHODS: Patients who had been
offered colorectal cancer screening but were nonadherent were asked
to participate in this questionnaire study. Patients' demographic
information was obtained, and patients' reasons for not being screened
were explored. Subjects were given an information sheet that described
a CTC procedure and then were asked about their willingness to undergo
CTC and about other relevant factors, such as fees. RESULTS: One
hundred seventy-five patients were invited to participate; 53 declined
and 54 did not respond, which left 68 subjects to be included in
the analysis. After being informed about CTC screening, most (83%)
subjects stated that they would be willing to undergo a CTC study.
However, 70% stated that they would not be willing to pay out-of-pocket
fees if insurance did not cover the study, and even among the 30%
who were willing to pay the fees, the average amount they were willing
to pay (mean, $244; median, $150) was well below currently charged
rates. CONCLUSION: Our study suggests that most nonadherent patients
would be willing to undergo CTC as long as out-of-pocket fees are