Effectiveness of Nurse Tele-consultation on the Quality of Elective Colonoscopy, Procedure-related Anxiety, and Financial Toxicity

Evaluation of the Effectiveness of Nurse Tele-consultation on the Quality of Elective Colonoscopy, Procedure-related Anxiety, and Financial Toxicity

This is a multicenter, non-pharmacological, experimental, prospective, randomized study, with two arms (1:1) in a single-blind design. The study aims to evaluate the effectiveness of a tele-consultation procedure in patients undergoing elective colonoscopy in terms of quality of the exam, anxiety procedure-related and financial toxicity.

The aim of this study is to evaluate the effectiveness, in daily clinical practice, of a tele-consultation procedure (defined as a telephone consultation with the patient conducted by nursing staff with an appropriate level of experience in digestive endoscopy) with the goal of:

1. improving adherence to methods and timing for the correct intake of the intestinal preparation by patients undergoing elective colonoscopy;
2. assessing whether the tele-consultation can reduce anxiety and procedure-related stress, promoting a better emotional state in patients undergoing colonoscopy.

Inclusion Criteria:

Subjects eligible for outpatient pancolonoscopy:

• for diagnostic purposes;
• for screening purposes;
• for post-polypectomy follow-up;
• of both genders;
• of all ethnicities;

Exclusion Criteria:

• Patients under 18 years of age or over 80 years of age;
• Patients on waiting lists with SHORT priority: the procedure to be provided within a short time (no more than 10 days);
• Patients included in GOM pathways who undergo colonoscopy within 10 days;
• Pregnancy;
• Presence of known contraindications to bowel preparation;
• Presence of known contraindications to performing pancolonoscopy;
• Patients who have undergone colonic resection and/or have a colostomy/ileostomy;
• Patients with cognitive impairments;
• Patients declared legally incompetent or unable to understand and make decisions;
• Patients unable to provide informed consent.