Preassessment interview improves the efficacy and safety of bowel preparation for colonoscopy
Authors
Padmanabhan, HRothnie, A
Higgins, A
Grewal, A
Arndtz, Katherine
Nevill, Alan M.

Brookes, Matthew

Mathew, R
Issue Date
2016-11-27
Metadata
Show full item recordAbstract
© 2016 Hari Padmanabhan et al. Aim. To determine whether preassessment improves bowel preparation quality and prevents renal deterioration for chronic kidney disease (CKD) patients. Methods. Data was collected prospectively starting in January 2011 for 12 months. Patients were divided according to the presence or absence of preassessment and stratified to one of three risk groups based on patient's comorbidities and identified risk factors for poor bowel preparation; group 1 had no risk factors, group 2 had 1 risk factor, and group 3 patients had 2 or more risk factors. The association between preassessment and bowel preparation quality was analyzed using binary logistic regression. Results. 1840 colonoscopies were carried out during the period. Total number analyzed was 1704. 404 patients were preassessed. Preassessment patients had significantly better bowel preparation across all groups (OR 1.605; p=0.002). Group 3 patients were 52% more likely to have good bowel preparation (p=0.04) if they had been preassessed. Eighty-eight patients were identified with an eGFR < 60 mL/min. There was a significant difference in the eGFR percentage change between patients with preassessment and those without (p=0.006). Conclusions. Face-to-face preassessment appears to improve the quality of bowel preparation and aids in minimizing the risk of renal injury in patients with CKD.Citation
Padmanabhan, H., Rothnie, A., Higgins, A., Grewal, A., Arndtz, K., Nevill, A. M., Brookes, M. J. and Mathew, R. (2016) Preassessment interview improves the efficacy and safety of bowel preparation for colonoscopy, Canadian Journal of Gastroenterology and Hepatology, 2016, 7591637. http://dx.doi.org/10.1155/2016/7591637Publisher
HindawiJournal
Canadian Journal of Gastroenterology and HepatologyPubMed ID
28018894Additional Links
https://www.hindawi.com/journals/cjgh/2016/7591637/Type
Journal articleLanguage
enISSN
2291-2789EISSN
2291-2797ae974a485f413a2113503eed53cd6c53
10.1155/2016/7591637
Scopus Count
Collections
Except where otherwise noted, this item's license is described as Licence for published version: Creative Commons Attribution 4.0 International
Related articles
- The effects of a preassessment clinic on nonattendance rates for day-case colonoscopy.
- Authors: Tibble JA, Forgacs I, Bjarnason I, Przemioslo R
- Issue date: 2000 Dec
- Polyethylene glycol bowel preparation does not eliminate the risk of acute renal failure: a population-based case-crossover study.
- Authors: Choi NK, Lee J, Chang Y, Jung SY, Kim YJ, Lee SM, Lee JH, Kim JY, Song HJ, Park BJ
- Issue date: 2013
- Effect of Functional Status on the Quality of Bowel Preparation in Elderly Patients Undergoing Screening and Surveillance Colonoscopy.
- Authors: Kumar A, Lin L, Bernheim O, Bagiella E, Jandorf L, Itzkowitz SH, Shah BJ
- Issue date: 2016 Jul 15
- SAFETY OF MANNITOL USE IN BOWEL PREPARATION: a prospective assessment of intestinal methane (CH4) levels during colonoscopy after mannitol and sodium phosphate (NaP) bowel cleansing.
- Authors: Paulo GA, Martins FP, Macedo EP, Gonçalves ME, Ferrari AP
- Issue date: 2016 Jul-Sep
- Duration of the interval between the completion of bowel preparation and the start of colonoscopy predicts bowel-preparation quality.
- Authors: Siddiqui AA, Yang K, Spechler SJ, Cryer B, Davila R, Cipher D, Harford WV
- Issue date: 2009 Mar