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Patient Tolerability of Bowel Preparation is Associated with Polyp Detection Rate During Colonoscopy
- Source :
- Journal of Gastrointestinal and Liver Diseases. 23:135-140
- Publication Year :
- 2014
- Publisher :
- Romanian Society of Gastroenterology and Hepatology, 2014.
-
Abstract
- Background & Aims: A number of factors have been identified that influence the yield of screeningcolonoscopy. The perceived tolerability of bowel preparation has not been studied as a predictor of quality outcomes in colonoscopy. We aimed to characterize the association between patient-perceived tolerability of bowel preparation and polyp detection during colonoscopy.Methods: We performed a cross-sectional cohort study of 413 consecutive adult patients presenting foroutpatient colonoscopy at two outpatient endoscopy centers at our institution. We developed a standardized questionnaire to assess the patient's experience with bowel preparation. Bowel preparation quality was measured using the validated Ottawa scale and colonoscopic findings were recorded for each patient. The primary outcome was polyp detection and the secondary outcome was the quality of bowel preparation.Results: Patient-reported clarity of effluent during bowel preparation correlated poorly with Ottawa score during colonoscopy, k=0.15. Female gender was an independent risk factor for a poorly tolerated bowel prep (OR 3.93, 95% CI 2.30 - 6.72, p
- Subjects :
- Male
medicine.medical_specialty
Cross-sectional study
Colonic Polyps
Colonoscopy
Cathartic
Gastroenterology
California
Sex Factors
Internal medicine
Outcome Assessment, Health Care
medicine
Humans
Mass Screening
Risk factor
Aged
medicine.diagnostic_test
Cathartics
business.industry
Middle Aged
digestive system diseases
Endoscopy
Cross-Sectional Studies
Tolerability
Bowel preparation
Patient Compliance
Female
business
Attitude to Health
Cohort study
Subjects
Details
- ISSN :
- 18421121 and 18418724
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Journal of Gastrointestinal and Liver Diseases
- Accession number :
- edsair.doi.dedup.....fe88bdd713211e5d6d7401db70feb12c