Graphical education and appropriate time before elective colonoscopy make better bowel preparation

Sun, Jiachen; Chen, Yongpeng; Gu, Yuqin; Chen, Jun-Rong; Li, Chujun; Zhou, Qiulun; Hu, Jiancong; Jiang, Guozhi

doi:10.4103/jmas.jmas_338_21

Cited by 3 publications

(1 citation statement)

References 20 publications

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“…Elderly persons may not benefit from printed directions, and as a result, different randomized controlled trials have shown the benefits of pre-endoscopy education. Patients who received a personalized booklet [ 23 ], animated visual educational training [ 24–26 ], smart phone applications, or instructional video clips had better bowel cleansing, regardless of the laxative used [ 27 ]. Video re-education was generally effective but varied based on the patient’s age, the purgative used, and the educational material shown [ 28 ].…”

Section: Introductionmentioning

confidence: 99%

Correlation between prescribing doctor attributes and intestinal cleanliness in colonoscopy: a study of 22522 patients

Zhou,

Khizar,

Zhang

et al. 2023

Annals of Medicine

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Objective This study aimed to analyze the correlation between different attributes of doctors who prescribe colonoscopies and the cleanliness of the intestine to guide the development of colonoscopy application protocols. Methods Data on colonoscopy cases conducted in the gastroenterology department of Hangzhou First People’s Hospital between April 2018 and March 2021 were collected. The gender, age, professional attributes of the prescribing doctors, and Boston Bowel Preparation Scale (BBPS) score were recorded. In addition, the correlation between the prescribing doctors’ characteristics and the intestine’s cleanliness was analyzed. Results The study included 22,522 patients with a mean BBPS score of 6.83 ± 1.94. There were 16,459 male and 6,063 female doctors with similar BBPS scores ( p = 0.212). The study found no significant difference in BBPS scores between 19,338 internist and 3,184 non-internist ( p = 0.154). However, BBPS scores differed significantly between 18,168 gastroenterologists and 4,354 non-gastroenterologists ( p = 0.016) and between 19,990 intestinal-related specialties(gastroenterology and gastrointestinal surgery) and 2,532 non-intestinal-related specialties ( p = 0.000). In addition, BBPS scores were significantly different between 18,126 prescribing endoscopiests and 4,396 non-endoscopiests ( p = 0.014). However, there was no significant difference in BBPS scores among doctors of different ages ( p = 0.190). The study found significant differences in BBPS scores between male and female patients and those under or over 40 years ( p = 0.000). Conclusion To improve colonoscopy preparation quality, priority should be given to doctors in gastroenterology, intestinal-related specialties, and endoscopiests. Their expertise may result in better education and improved bowel cleanliness.

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Section: Introductionmentioning

confidence: 99%

Correlation between prescribing doctor attributes and intestinal cleanliness in colonoscopy: a study of 22522 patients

Zhou,

Khizar,

Zhang

et al. 2023

Annals of Medicine

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The Machine Learning Model for Predicting Inadequate Bowel Preparation Before Colonoscopy: A Multicenter Prospective Study

Gu,

Xu,

et al. 2024

Clin Transl Gastroenterol

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Background and Aims: Colonoscopy is a critical diagnostic tool for colorectal diseases; however, its effectiveness depends on adequate bowel preparation (BP). This study aimed to develop a machine learning predictive model based on Chinese adults for inadequate BP . Methods: A multicenter, prospective study was conducted on adult outpatients undergoing colonoscopy from January 2021 to May 2023. Data on patient characteristics, comorbidities, medication use, and BP quality were collected. Logistic regression and four machine learning models (support vector machines, decision trees, extreme gradient boosting, and bidirectional projection network) were used to identify risk factors and predict inadequate BP. Results: Of 3217 patients, 21.14% had inadequate BP. The decision trees model demonstrated the best predictive capacity with an area under the receiver operating characteristic curve of 0.80 in the validation cohort. The risk factors at the nodes included body mass index, education grade, use of simethicone, diabetes, age, history of inadequate BP, and longer interval Conclusion: The decision trees model we created and the identified risk factors can be used to identify patients at higher risk for inadequate BP before colonoscopy, for whom more PEG or auxiliary medication should be used.

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A prospective, single-blinded, randomized controlled study on the effectiveness and safety of oral lactulose combined with carbohydrate-based clear fluids for bowel preparation in painless colonoscopy

Huang,

Liu,

Luo

et al. 2024

Preprint

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Objective This prospective, single-blinded, randomized controlled study aimed to evaluate the effectiveness and safety of lactulose combined with carbohydrate-based clear fluid for bowl preparation in painless colonoscopy procedures. Methods A total of 209 patients undergoing painless colonoscopy at Chongqing General Hospital between March and December 2023 were enrolled. Patients were randomly allocated into either the experimental (n = 104) or the control group (n = 105). The experimental group received lactulose (100-200ml) combined with carbohydrate-based clear fluid (800ml) and simethicone (12ml), while the control group received the standard reconstituted solution of polyethylene glycol electrolyte (3L) and simethicone (12ml). Outcomes assessed included the success rate of bowl preparation, safety, and willingness to repeat the bowel cleaning regime. Results There was no significant difference in the overall incidence of adverse reactions between the groups (33.7% vs. 40%). The success rate of bowel preparation was similar between the experimental and control groups (96.2% vs. 97.1%). The change in blood glucose levels before and after bowel preparation was significantly lower in the experimental group (0.01 mmol/L vs. 0.23 mmol/L). Patient willingness to repeat the bowel preparation regimen was also similar (96.2% vs. 95.2%). Subgroup analysis of high-risk patients showed no significant differences between the two groups in all outcomes. Conclusion Lactulose combined with carbohydrate-based clear fluid is a well-tolerated and comfortable regimen for bowel preparation, achieving high rates of preparation success and lesion detection comparable to polyethylene glycol electrolyte solutions. Trial registration: The study protocol was registered on the Chinese Clinical Trial Registry platform on Jun 20, 2022, with the register number of ChiCTR2200062035.

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Graphical education and appropriate time before elective colonoscopy make better bowel preparation

Cited by 3 publications

References 20 publications

Correlation between prescribing doctor attributes and intestinal cleanliness in colonoscopy: a study of 22522 patients

Correlation between prescribing doctor attributes and intestinal cleanliness in colonoscopy: a study of 22522 patients

The Machine Learning Model for Predicting Inadequate Bowel Preparation Before Colonoscopy: A Multicenter Prospective Study

A prospective, single-blinded, randomized controlled study on the effectiveness and safety of oral lactulose combined with carbohydrate-based clear fluids for bowel preparation in painless colonoscopy

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