Objective: To evaluate if addition of educational cartoon to pediatric bowel preparation instructions improves the quality of bowel preparation and patient experience. Methods: Patients were randomized to control group receiving standard bowel preparation instructions or intervention group receiving additional educational cartoon. To objectively rate bowel preparation, a blinded endoscopist completed numeric Ottawa score (0-14, with 0 being best). The family also completed a questionnaire rating the bowel preparation process. Results: Data from 23 patients were analyzed. Mean Ottawa score in the intervention group compared with controls was not significantly different (mean scores 3.73 and 3.33, respectively; P = .384). Level of education was significantly correlated with better Ottawa score in the overall population (ρ = −.462, P = .026) and within the control group (ρ = −.658, P = .02). Both groups of patients reported positive experience with bowel preparation. Conclusion: There may be benefit to further investigation of this educational cartoon in parents with less than college level education or non-English-speaking families in larger population of patients.

In this study, significant long-term disability was demonstrated after fibular flap reconstruction, as measured by the Lower Limb Core Scale.

ObjectiveEvaluation of post-operative donor site disability remains unaddressed in radial forearm free flap cases. This study aimed to assess donor site dysfunction following radial forearm free flap harvest using validated general, disease-specific and site-specific disability questionnaires.MethodsIn this retrospective case series of 24 patients at a tertiary academic medical centre, patients were assessed using the Short Form 36 Health Survey, Short Musculoskeletal Function Assessment questionnaire, and Disabilities of the Arm, Shoulder and Hand questionnaire. One-sample z-tests were performed, comparing means of the cohort to controls.ResultsCompared to population controls, the cohort had higher mean scores for the Disabilities of the Arm, Shoulder and Hand questionnaire (18.22 vs 10.1, p < 0.01), and Short Musculoskeletal Function Assessment questionnaire bothersome index (21.44 vs 13.77, p = 0.04), and a lower mean score for the Short Form 36 Health Survey physical component (38.88 vs 50, p < 0.01), indicating a greater disability for the cohort compared to controls.ConclusionRadial forearm free flap harvest causes significant long-term donor site disability in head and neck tumour patients. The Disabilities of the Arm, Shoulder and Hand questionnaire is a concise tool for measuring this dysfunction.

Introduction: CGM's have shown efficacy in the management of patients with T1D and T2D on multiple daily injections (MDI) and insulin pumps as a way to adjust insulin dosing. However, the benefit of CGM could extend beyond the dosing of insulin and has the potential to encourage lifestyle modification in non-insulin treated patients with type 2 diabetes. Methods: This prospective study included flash glucose monitoring-naive adult patients with T2D with and A1c >7% and <9%. Participants were allowed any combination of oral antidiabetic medications and glucagon-like peptide 1 (GLP-1) injections. Participants received study provided Abbott Freestyle Libre for 12 weeks. HbA1c and weight were measured, and the Diabetes Treatment Satisfaction Questionnaire (DTSQ), Audit of Diabetes Dependent Quality of Life (ADDQoL), and Food Frequency Questionnaire were all completed at baseline and 12 weeks. The Experience with Continuous Glucose Monitoring questionnaire was completed at the end of 12 weeks. Results: For participants (n=43) from one single diabetes center, HbA1c improved by 0.37% from 7.70%±0.56 (mean±SD) at baseline to 7.34%±0.57 at 12 weeks (paired t-test=3.65, p=0.0007). Glucose monitoring frequency improved, from 7.4 average number of fingersticks per week (SD: 7.74) to 4.7 flash glucose scans per day (SD: 3.09). Participants also demonstrated some glucose control with their blood sugar reading being within target range 79.44% of the time. Conclusion: The study suggests that FreeStyle Libre in insulin naïve patients with T2D can influence a decrease in A1c. Participants were more aware of their blood sugar levels while using the FreeStyle Libre and were able to achieve greater glycemic control as evidenced by their percent of time in target range. Findings from this study can be used to advocate to insurance companies to cover the Freestyle Libre in T2D patients who do not use insulin. Disclosure M. D. Simmons: None. E. J. Shiffrin: None. Funding Abbott (TJU20-27)