A short telephone-call reminder improves bowel preparation, quality indicators and patient satisfaction with first colonoscopy

Telephonic Nurse Guidance for Colonoscopy: A Clinical Trial

“…Although the literature proves a relationship between bowel cleansing and adenoma detection (Gálvez et al, 2017;Sánchez-del-Río et al, 2018), this study found no significant intergroup differences in that regard. Our data were consistent with studies (Gálvez et al, 2017;Rembacken et al, 2012) that included patients undergoing their first colonoscopies, and which found that an educational video on bowel cleansing was effective. The researchers found improved bowel preparation among the intervention group, but with similar adenoma detection rates between groups (Hayat et al, 2016).…”

“…These results support those of a clinical trial conducted among 258 patients to evaluate the effectiveness of text messages informing patients about the date of the procedure, laxative medications, and dietary requirements (Adike et al, 2018). That is, the intervention group had higher BBPS scores, better cecal intubation, and enhanced polyp detection (Gálvez et al, 2017). Another randomized, controlled study among 390 participants compared the relevance of traditional instructions given at the service location versus traditional instructions with reminders via telephone or SMS 2 days before colonoscopy, thus finding a significantly higher total BBPS score among participants in the reinforced education group (Lee et al, 2015).…”

“…A second important aspect is that telephone guidance was found to be extremely relevant based on the decreased need to reschedule exams due to inadequate preparation among participants in the IG (p = .005). The literature also reveals that there are additional benefits to improved educational strategies, including lower patient anxiety, better tolerance to medication and diet (Lee et al, 2015), greater service satisfaction (Back et al, 2018;Gálvez et al, 2017) and greater availability to repeat exams when necessary (Gálvez et al, 2017).…”

Evidence-Based and Patient-Centered Medicine with Shared Decision Improves Colonoscopy Efficacy in Poor Bowel Preparation Patients

“…The result of the article supports the notion that this type of maneuvers must be on the standard care. We can improve the outcomes incorporating minimal maneuvers on standardized procedures; for example; a short telephone call one day previous, taking patient satisfaction into account and involving them in making decisions [6]. This can avoid secondary expenses with the subsequent attachment to their appointments for colonoscopy.…”